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. 1981 Feb;45(2):142–147. doi: 10.1136/hrt.45.2.142

Coronary arterial anatomy in bicuspid aortic valve. Necropsy study of 100 hearts.

P K Lerer, W D Edwards
PMCID: PMC482502  PMID: 7459173

Abstract

In a necropsy study, the conjoined cusps of 50 congenitally and 50 acquired bicuspid aortic valves most commonly involved the right and left aortic cusps. In hearts with congenitally bicuspid aortic valves, the left coronary ostium arose at or above the aortic sinotubular junction in 44 per cent, whereas the incidence for the left coronary ostium in the acquired group was 20 per cent and that for the right coronary ostium in both groups was less than 20 per cent. In hearts with congenitally bicuspid aortic valves, the incidence of left coronary dominance (26%) was higher than in normal hearts. In hearts with apparently acquired bicuspid aortic valves, this incidence was also higher than normal, possibly because of acquired fusion of atypical congenitally bicuspid valves in some cases. In both types of aortic valve disease, the length of the left main coronary artery was similar; this length, however, was significantly shorter in hearts with left coronary dominance than in those with right or shared dominance.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Borman J. B., Appelbaum A., Hirsch M., Wanderman K. L., Gueron M. Quadruple valve commissurotomy. J Thorac Cardiovasc Surg. 1975 Oct;70(4):712–716. [PubMed] [Google Scholar]
  2. Fenoglio J. J., Jr, McAllister H. A., Jr, DeCastro C. M., Davia J. E., Cheitlin M. D. Congenital bicuspid aortic valve after age 20. Am J Cardiol. 1977 Feb;39(2):164–169. doi: 10.1016/s0002-9149(77)80186-0. [DOI] [PubMed] [Google Scholar]
  3. Fox C., Davies M. J., Webb-Peploe M. M. Length of left main coronary artery. Br Heart J. 1973 Aug;35(8):796–798. doi: 10.1136/hrt.35.8.796. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Furlong M. B., Jr, Gardner T. J., Gott V. L., Hutchins G. M. Myocardial infarction complicating coronary perfusion during open-heart surgery. J Thorac Cardiovasc Surg. 1972 Feb;63(2):185–192. [PubMed] [Google Scholar]
  5. Higgins C. B., Wexler L. Reversal of dominance of the coronary arterial system in isolated aortic stenosis and bicuspid aortic valve. Circulation. 1975 Aug;52(2):292–296. doi: 10.1161/01.cir.52.2.292. [DOI] [PubMed] [Google Scholar]
  6. Hutchins G. M., Nazarian I. H., Bulkley B. H. Association of left dominant coronary arterial system with congenital bicuspid aortic valve. Am J Cardiol. 1978 Jul;42(1):57–59. doi: 10.1016/0002-9149(78)90985-2. [DOI] [PubMed] [Google Scholar]
  7. Johnson A. D., Detwiler J. H., Higgins C. B. Left coronary artery anatomy in patients with bicuspid aortic valves. Br Heart J. 1978 May;40(5):489–493. doi: 10.1136/hrt.40.5.489. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kronzon I., Deutsch P., Glassman E. Length of the left main coronary artery: its relation to the pattern of coronary arterial distribution. Am J Cardiol. 1974 Dec;34(7):787–789. doi: 10.1016/0002-9149(74)90697-3. [DOI] [PubMed] [Google Scholar]
  9. McReynolds R. A., Ali N., Cuadra M., Roberts W. C. Combined acute rheumatic fever and congenitally bicuspid aortic valve: a hitherto unconfirmed combination. Chest. 1976 Jul;70(1):98–100. doi: 10.1378/chest.70.1.98. [DOI] [PubMed] [Google Scholar]
  10. Murphy E. S., Rösch J., Rahimtoola S. H. Frequency and significance of coronary arterial dominance in isolated aortic stenosis. Am J Cardiol. 1977 Apr;39(4):505–509. doi: 10.1016/s0002-9149(77)80158-6. [DOI] [PubMed] [Google Scholar]
  11. Roberts W. C. Anatomically isolated aortic valvular disease. The case against its being of rheumatic etiology. Am J Med. 1970 Aug;49(2):151–159. doi: 10.1016/s0002-9343(70)80070-5. [DOI] [PubMed] [Google Scholar]
  12. Roberts W. C. The congenitally bicuspid aortic valve. A study of 85 autopsy cases. Am J Cardiol. 1970 Jul;26(1):72–83. doi: 10.1016/0002-9149(70)90761-7. [DOI] [PubMed] [Google Scholar]
  13. SCHLESINGER M. J., ZOLL P. M., WESSLER S. The conus artery; a third coronary artery. Am Heart J. 1949 Dec;38(6):823-36, illust. doi: 10.1016/0002-8703(49)90884-4. [DOI] [PubMed] [Google Scholar]
  14. Scholz D. G., Lynch J. A., Willerscheidt A. B., Sharma R. K., Edwards J. E. Coronary arterial dominance associated with congenital bicuspid aortic valve. Arch Pathol Lab Med. 1980 Aug;104(8):417–418. [PubMed] [Google Scholar]
  15. Spencer F. C., Malette W. Technical considerations of coronary perfusion during aortic valve replacement. J Cardiovasc Surg (Torino) 1968 Nov-Dec;9(6):562–572. [PubMed] [Google Scholar]
  16. Waller B. F., Carter J. B., Williams H. J., Jr, Wang K., Edwards J. E. Bicuspid aortic valve. Comparison of congenital and acquired types. Circulation. 1973 Nov;48(5):1140–1150. doi: 10.1161/01.cir.48.5.1140. [DOI] [PubMed] [Google Scholar]
  17. Wanderman K. L., Gueron M. Coexistence of congenital bicuspid aortic valve and rheumatic heart disease. Chest. 1977 Apr;71(4):562–562. doi: 10.1378/chest.71.4.562. [DOI] [PubMed] [Google Scholar]

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