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Protruding coronary stent detected by transesophageal echocardiography changes surgical procedure |
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| Authors: | David M. Corda MD Carl Dragstedt DO FACC Gary S. Allen MD Gregory M. Janelle MD FASE |
| Affiliation: | 1. Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA;2. Division of Cardiovascular Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, FL, USA;3. Veterans Health Administration, Gainesville, FL, USA;4. Florida Hospital Waterman, Tavares, FL, USA |
| Abstract: | This case describes an unusual intraoperative transesophageal echocardiogram (TEE) finding of an unknown sinus of Valsalva mass in a patient undergoing an off‐pump coronary artery bypass procedure. The intraoperative TEE finding not only revealed a protruding right coronary ostial stent but also changed the surgical procedure to include an aortotomy that allowed successful removal of the stent. As interventional cardiologists begin exploring more techniques to manage difficult ostial lesions, this finding may be seen more commonly in the future. This case highlights how the use of routine TEE even in off‐pump coronary artery bypass procedures may be very beneficial. |
| Keywords: | coronary artery bypass graft surgery (CABG) sinus of Valsalva TEE transesophageal echocardiography |