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