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Aortic Valve Replacement in a Patient With an Aberrant Left Coronary Artery

Division of Cardiac Surgery, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia

For reprint information contact: Ahmed A. Alsaddique, MD Tel: 966 1 467 1575 Fax: 966 1 467 9493 email: alsadd{at}ksu.edu.sa College of Medicine and King Khalid University Hospital, P.O. Box 7805, Riyadh 11472, Saudi Arabia.

A 22-year-old male undergoing aortic valve replacement was found to have the left coronary ostium arising from the noncoronary cusp area in close proximity to the annulus. He could not be weaned off cardiopulmonary bypass after the operation, even after removal of a Teflon pledget thought to obstruct the left coronary ostium. He underwent bypass grafting to the left coronary system and was then easily weaned off cardiopulmonary bypass.