Figure Legend
Fig.1 The yellow-arrow shows the anomalous LCA, originating
from the right coronary artery (white-arrow) at multiplanar CT-scan
(Fig.1A; Blu: aortic root; Red: coronary arteries). The LCA
(black-arrow) was completely skeletonized and surrounded by a yellow
vessel-loop before cusp removal (Fig.1B). U-stiches with soft-pledgets
on the ventricular side were used, paying attention to avoid any LCA
involvement (Fig.1C). After valve replacement, accurate evaluation of
the field to verify the absence of LCA (black-arrow) compression
(Fig.1D).
Fig.2 Postoperative CT-scan after a mechanical valve
replacement (white-arrow, Fig.2A) and after a sutureless implantation
(red-arrow, Fig.2B). The yellow arrow shows the anomalous LCA, not
compressed by the sewing/basal rings nor by the left atrium (L.A.).