AVR in patients with anomalous course of the circumflex artery without
An anomalous origin of the left circumflex coronary artery that arises
as a side branch of the right coronary artery and encircles the aortic
annulus is usually an incidental finding. However, in patients
undergoing aortic valve/root procedures, its existence can significantly
complicate the surgical treatment. We report our operative strategy with
three different prostheses without valve downsizing.