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KMID : 0364019940270060472
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 6 p.472 ~ p.476
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Single Coronary Artery Associated with Bicuspid Aortic valvular Stenosis -1 Cases Report-
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김우찬
진웅/윤정섭/박재길/이선희/곽문섭/김세화
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Abstract
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The incidence of single coronary artery is extremely rare in a review of congenital anomalies of the coronary arteries. This 27-year-old male patient was referred for the evaluation of cardiac condition showing exertional dyspnea(NYHA class
II-III)
and
chest discomfort for about 1 year. A complete catheterization study including angiogram disclosed large single coronary artery arising from left aortic sinus (Ogden classification L-4) associated with bicuspid aortic valvular stenosis and low
grade
supravalvular aortic stenosis. Calcified stenotic aortic valve was fully removed with caution and the 19mm St. Jude Medical valve was then implanted in the small aortic annulus. The patient had an uneventful recovery and was discharged on 13th
postoperative day. (Korean J Thoracic Cardiovas Surg 1994; 27:472-6)
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KEYWORD
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