Left ventricular outflow tract to right atrial fistula diagnosed by intraoperative transesophageal echocardiography.

摘要

A 68-yr-old male with increasing shortness of breath and a history of aortic stenosis was admitted. A trans-thoracic echocardiographic examination (TTE) revealed an aortic valve (AV) area of 0.62 cm~2. The patient was subsequently scheduled for an AV replacement (AVR). Cardiac catheterization performed on the morning of surgery demonstrated single vessel coronary artery disease involving the right coronary artery. The patient underwent an uncomplicated AVR (#23 Carpentier-Edwards Magna) with a single vessel coronary artery bypass graft.