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Valve-sparing aortic root replacement in a patient with retroaortic course of the left circumflex artery
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  • Rody Akiel,
  • Julien Guihaire,
  • Marc Antoine Isorni,
  • Philippe Deleuze
Rody Akiel
Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph
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Julien Guihaire
Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph
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Marc Antoine Isorni
Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph,
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Philippe Deleuze
Marie Lannelongue Hospital, Groupe Hospitalier Paris Saint Joseph
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Abstract

Anomalous origin of the left circumflex artery (LCA) arising from the right coronary sinus was observed in a 45 year-old man with aortic root aneurysm. Valve-sparing aortic root replacement (VSARR) was decided despite the subannular course of the LCA. A modified Tirone David procedure was performed with specific consideration for distribution of the proximal suture line due to the peri-aortic and subannular course of the LCA. Due to the risk of LCA injury, a coronary artery bypass grafting was performed using the left internal thoracic artery to secure the perfusion of the LCA. The challenging association of aortic root aneurysm and anomalous origin and course of the LCA was managed successfully during VSARR.

Peer review status:Published

08 May 2020Submitted to Journal of Cardiac Surgery
09 May 2020Submission Checks Completed
09 May 2020Assigned to Editor
11 May 2020Reviewer(s) Assigned
13 May 2020Review(s) Completed, Editorial Evaluation Pending
15 May 2020Editorial Decision: Revise Minor
19 May 20201st Revision Received
25 May 2020Submission Checks Completed
25 May 2020Assigned to Editor
25 May 2020Reviewer(s) Assigned
29 May 2020Review(s) Completed, Editorial Evaluation Pending
29 May 2020Editorial Decision: Accept
02 Aug 2020Published in Journal of Cardiac Surgery. 10.1111/jocs.14740