[Aortitis syndrome with aortic regurgitation and bilateral coronary ostial stenosis]

Abstract

A 17-old-male was admitted to our hospital with the chief complaints of anterior chest oppression and syncope. His aortography showed severe aortic regurgitation with annular dilatation, and his coronary angiography revealed 90% stenosis of the left coronary ostium and total occlusion of the right coronary ostium. Because his symptoms increased in spite of steroid therapy during 2 weeks, aortic valve replacement with 25 mm SJM prosthetic valve and coronary artery bypass grafting using internal thoracic artery (IHA) and gastroepiploic artery (GEA) were performed at acute stage. Postoperative course was almost uneventful. Postoperative angiography showed graft patency and no evidence of perivalvular leakage. This is, to the best of our knowledge, the first report of coronary reconstruction using IHA and GEA for coronary disease associated with aortitis syndrome.