Surgical management of a patient with anomalous origin of the left circumflex coronary artery undergoing aortic and mitral valve surgery.

ABSTRACT:

Background

The anomalous origin of the left circumflex coronary artery is rare and, when isolated, typically has minimal pathological significance. However, it can cause damage or compression of the coronary artery during aortic and mitral valve surgery.

Case presentation

The patient was a 34-year-old male diagnosed with severe aortic regurgitation due to a bicuspid aortic valve following infective endocarditis at the mitral valve. He was referred to our hospital owing to worsening heart failure. Preoperative evaluation revealed a mitral valve aneurysm and an anomalous left circumflex coronary artery originating from the right coronary artery and running posteriorly along the aortic valve annulus. During surgery, dissection of the anomalous left circumflex coronary artery wa

SUBMITTER: Kojima R 

PROVIDER: S-EPMC12261822 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature