Abstract
A woman with a single coronary artery underwent aortic valve replacement for aortic stenosis. Two years later, she developed an aortic annulus abscess around the right coronary cusp and non-coronary cusp. Due to significant adhesions to the right coronary artery (RCA) caused by the abscess, separating the artery became challenging, and there were concerns about the potential risk of future stenosis in the RCA. As a result, the patient underwent aortic root replacement and coronary artery bypass grafting using a Freestyle valve and a saphenous vein graft for the RCA. Following the procedure, the patient was discharged and remained symptom-free without any relapses of infection for 2 years.
Keywords: Single coronary artery, Prosthetic valve endocarditis, Freestyle valve