Aortic Regurgitation and Mitral Regurgitation in a Patient Concomitant with Coronary-to-Bronchial Artery Communication

Masakazu Sogawa

Takuya Fukuda and Hisanaga Moro

（Division of Cardiovascular Surgery, Niigata Prefectural Central Hospital, Joetsu, Japan, and Division of Thoracic and Cardiovascular Surgery, Saiseikai Niigata Daini Hospital, Niigata, Japan）

We report a rare case of combined valvular disease concomitant with the communication between the coronary and bronchial arteries. A 76-year-old woman was given a diagnosis of chronic heart failure 8 years previously and received medical therapy but recently she had dyspnea. Ultrasound cardiography revealed aortic regurgitation and mitral regurgitation. Cardiac catheterization confirmed the combined valvular disease and also revealed an aberrant coronary artery. Cardiac computed tomography showed coronary to bronchial artery communication, which caused myocardial ischemia. We performed aortic valve replacement with a bioprosthesis, mitral valve repair, and ligation and division of the aberrant coronary artery. Apart from some postoperative bronchial bleeding that ceased spontaneously the postoperative course was uneventful.

 

Jpn. J. Cardiovasc. Surg. 43:177-180（2014）

Keywords：coronary to bronchial artery communication;myocardial ischemia;combined valvular disease