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Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

Published online by Cambridge University Press:  20 October 2021

Giuliano Giusti*
Affiliation:
Unit of Pediatric Cardiology, Gaslini Pediatric Hospital, Genoa, Italy
Mariantonia Villano
Affiliation:
Anesthesia and Intensive Care Unit, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
Marco Pozzi
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Ospedali Riuniti, Ancona, Italy
*
Author for correspondence: G. Giusti, MD, Unit of Paediatric Cardiology, Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, 16147, Genoa, Italy. Tel: +39-01056361. E-mail: giulianogiusti@gaslini.org

Abstract

We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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