A clinical case of a 38 year old male, with heart failure grade IV (NYHA) and angina at rest related to severe aortic regurgitation, right coronary ostial occlusion, and a sub-total occlusion of the left coronary ostium owing to syphilitic infection in the past is reported and discussed. Treatment was established implanting a mechanical aortic prosthesis and a direct left main angioplasty suturing a patch made of safenous vein. Follow up has been excellent and the patient is today having a normal life, free of symptoms.
Coronary arteries; Aorta; Myocardial revascularization; Aortic valve prosthesis; Aortic valve; Heart valve prosthesis; Aortic valve stenosis
