Abstract
We report a complex case of a 35-year-old gentleman who presented with large anterior myocardial infarction. Coronary angiography showed multiple coronary aneurysms of all proximal major coronaries with a total occlusion of the LAD artery. A diffuse form of supravalvular aortic stenosis was discovered incidentally upon aortic root injection and was confirmed with CT aortogram. Echocardiography revealed akinesia of the anterior wall with preserved thickness and depressed left ventricular function (EF = 25%). Aortic valve was competent with normal leaflet structure. The patient underwent Bentall procedure with LIMA to LAD coronary bypass grafting with the use of cardiopulmonary bypass utilizing the right axillary artery for arterial cannulation and routine right atrial venous cannulation. The post-operative course was uneventful. The patient was discharged home after 7 days and came back for follow up after 6 months in good condition.
Published Version
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