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BMC Anesthesiology
Published in: BMC Anesthesiology 1/2015

Open Access 01-12-2015 | Case report

Intraoperative echocardiographic delineation of the high take-off coronary ostia during an extensive surgical repair of the bicuspid aortic valve and dilated sinotubular junction: a case report

Authors: Hyun Ju Jung, Won-Kyoung Kwon, Sung Jun Lee, Nazri Mohamed, Bo-Mi Shin, Jinyoung Lee, Tae-Yop Kim

Published in: BMC Anesthesiology | Issue 1/2015

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Abstract

Background

This study reports the efficacy of intraoperative transesophageal echocardiography (TEE) for evaluation of high take-off coronary ostia and proximal coronary arterial flows as an alternative to preoperative coronary angiography.

Case presentation

In a 65-year old male undergoing the bicuspid aortic valve (BAV) repair and the extensive remodeling of dilated sinus and tubular junction, and preoperative coronary angiography were unsuccessfully completed due to an allergic reaction to the contrast medium. Intraoperative TEE by employing various 3-dimensional volume images of coronary ostia and Doppler tracings of the coronary arterial flows enabled a thorough pre-procedural evaluation of the high take-off coronary arteries and post-procedural evaluation by confirming the absence of any compromise in coronary arterial flow.

Conclusion

In the present case, intraoperative application of various TEE imaging modalities enabled comprehensive evaluation of high-taking off coronary artery, as an alternative to preoperative coronary angiography, in a patient undergoing an extensive aortic valve and aortic root repair procedure.
Literature
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Song MG, Yang HS, Choi JB, Shin JK, Chee HK, Kim JS. Aortic valve reconstruction with use of pericardial leaflets in adults with bicuspid aortic valve disease: early and midterm outcomes. Tex Heart Inst J. 2014;41:585–91.CrossRefPubMedPubMedCentral
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Augoustides JG, Szeto WY, Bavaria JE. Advances in aortic valve repair: Focus on functional approach, clinical outcomes, and central role of echocardiography. J Cardiothorac Vasc Anesth. 2010;24:1016–20.CrossRefPubMed
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Tian D, Rahnavardi M, Yan TD. Aortic valve sparing operations in aortic root aneurysms: remodeling or reimplantation? Ann Cardiothorac Surg. 2013;2:44–52.PubMedPubMedCentral
Metadata
Title
Intraoperative echocardiographic delineation of the high take-off coronary ostia during an extensive surgical repair of the bicuspid aortic valve and dilated sinotubular junction: a case report
Authors
Hyun Ju Jung
Won-Kyoung Kwon
Sung Jun Lee
Nazri Mohamed
Bo-Mi Shin
Jinyoung Lee
Tae-Yop Kim
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2015
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-016-0250-x

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