Kandachar PS, Balushi AA, Al Aamri I, Al-Khouri MAJA, Menon RG, Zacharias S. Aortic root abscess and anomalous aortic origin of right coronary artery in a 5-year-old child.
J Card Surg 2022;
37:3872-3875. [PMID:
36054378 DOI:
10.1111/jocs.16877]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 07/27/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND
Aortic root abscess is a rare complication of infective endocarditis in children.
CASE REPORT
A 5-year-old boy with infective endocarditis of aortic valve and an anterior aortic root abscess was found to have anomalous aortic origin of right coronary artery from the left coronary sinus on computed tomography scan with contrast.
RESULT
He was managed surgically by "patch and prosthesis" approach and required aortic root enlargement. Since anomalous aortic origin of right coronary artery is a relative contraindication for a Konno-Rastan aortic root enlargement, a Manouguian procedure was performed.
CONCLUSION
Anterior aortic root abscesses are rare, the co-existence of anomalous aortic origin of right coronary artery is rarer still and such cases requiring aortic root enlargement are possibly best served by a Manouguian procedure.
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