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Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 61-62

Aortic insufficiency in a patient with a quadricuspid aortic valve and abnormal left coronary ostium

1 Department of Cardiothoracic Vascular Surgery, All Institute of Medical Sciences, New Delhi, India
2 Department of Cardiac Anaesthesia, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Anish Gupta
98, Om Vihar, Phase-1A, Shiv Shankar Road, Uttam Nagar, New. Delhi - 110 059
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2395-5414.183000

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A 64-year-old female had symptomatic severe aortic insufficiency and was taken up for aortic valve replacement. The patient was found to have a quadricuspid aortic valve and abnormally located early bifurcated left coronary ostium which were very near to the commissures. There is a risk of damaging the coronary ostia while excising the valve or the prosthetic valve can obstruct the abnormally located ostia. Intraoperative transesophageal echocardiography can help in making an accurate intraoperative diagnosis and deciding aortotomy incision and valve excision. This patient underwent successful aortic valve replacement taking great care to save the abnormally located left coronary ostium.

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