Presentation is loading. Please wait.

Presentation is loading. Please wait.

Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A

Published byCharity Rogers Modified over 5 years ago

Similar presentations

Presentation on theme: "Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A"— Presentation transcript:

1 Occlusion of the Left Main Coronary Artery Os By a Tethered Aortic Valve Cusp 
Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A. Dodd, MD, Thomas P. Doyle, MD, David P. Bichell, MD, Ann Kavanaugh- McHugh, MD  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages e63-e65 (March 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Apical 4-chamber view demonstrates increased echogenicity of the left ventricular endocardium and mitral valve chordal apparatus. Color flow mapping demonstrates mild mitral regurgitation. (B) A short-axis image demonstrates a small left main coronary artery and left anterior descending artery (arrowheads). (C) A short-axis color compare image demonstrates a hypoplastic, tethered left coronary cusp and the resultant posterior regurgitant orifice. The Annals of Thoracic Surgery  , e63-e65DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Transesophageal echocardiography at level of the aortic valve leaflets more clearly demonstrates a hypoplastic left aortic cusp with a posterior regurgitant orifice. Color flow mapping demonstrates retrograde flow in the left main coronary artery (LMCA). (B) Illustration demonstrates the regurgitant orifice and complete obstruction of the os of the LMCA. (RCA = right coronary artery.) The Annals of Thoracic Surgery  , e63-e65DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Illustration demonstrates operative repair. (A) A partially tethered left coronary artery cusp results in obstruction of the left main coronary artery (LMCA) os, with resultant dimple. (B) The aortic leaflet is delaminated with a #15 blade, (C) exposing a normal LMCA os. (D) Partial commissuroplasty of the left/right and left/noncommissures encourages separation of the newly delaminated leaflet from the aortic wall. The Annals of Thoracic Surgery  , e63-e65DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 A postoperative short-axis image demonstrates antegrade flow in left main and the left anterior descending coronary arteries. The Annals of Thoracic Surgery  , e63-e65DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A"

Similar presentations

A Rare Case of Mitral Valve Prolapse in Endomyocardial Fibrosis

A Rare Case of Mitral Valve Prolapse in Endomyocardial Fibrosis
An Option for Concomitant Management of Moderate Marfan Root Aneurysm at the Time of Mitral Valve Repair: A Role for Personalized External Aortic Root.

An Option for Concomitant Management of Moderate Marfan Root Aneurysm at the Time of Mitral Valve Repair: A Role for Personalized External Aortic Root.
Neonatal Flail Tricuspid Valve: Diagnosis and Management

Neonatal Flail Tricuspid Valve: Diagnosis and Management
Papillary Fibroelastoma of the Aortic Wall With Partial Occlusion of the Right Coronary Ostium  Can Yerebakan, MD, Andreas Liebold, MD, PhD, Gustav Steinhoff,

Papillary Fibroelastoma of the Aortic Wall With Partial Occlusion of the Right Coronary Ostium  Can Yerebakan, MD, Andreas Liebold, MD, PhD, Gustav Steinhoff,
Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E

Arman Kilic, MD, Mary A. Siki, BS, Wilson Y. Szeto, MD, Joseph E
Giant Left Ventricular Myxoma With Obstruction of the Left Ventricular Outflow Tract  Jian Liu, MD, Hui-Ming Guo, MD, Bin Xie, MD, Hai-Jiang Guo, MD, Ji-Mei.

Giant Left Ventricular Myxoma With Obstruction of the Left Ventricular Outflow Tract  Jian Liu, MD, Hui-Ming Guo, MD, Bin Xie, MD, Hai-Jiang Guo, MD, Ji-Mei.
Left Ventricular Outflow Obstruction After Mitral Valve Replacement Preserving Native Anterior Leaflet  Kazuma Okamoto, MD, Issei Kiso, MD, PhD, Yoshihito.

Left Ventricular Outflow Obstruction After Mitral Valve Replacement Preserving Native Anterior Leaflet  Kazuma Okamoto, MD, Issei Kiso, MD, PhD, Yoshihito.
Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock  Peter Chiu, MD, Donald Lynch, MD, Jama Jahanayar,

Bilateral Giant Coronary Artery Aneurysms Complicated by Acute Coronary Syndrome and Cardiogenic Shock  Peter Chiu, MD, Donald Lynch, MD, Jama Jahanayar,
Takotsubo Cardiomyopathy After Coronary Intervention Developed During Hospitalization  Jamal Hussain, MD, Nathan Laufer, MD, Suzane Sorrof, MD, Ashish.

Takotsubo Cardiomyopathy After Coronary Intervention Developed During Hospitalization  Jamal Hussain, MD, Nathan Laufer, MD, Suzane Sorrof, MD, Ashish.
Agenesis of the Mitral Posterior Leaflet in Elderly

Agenesis of the Mitral Posterior Leaflet in Elderly
Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.

Novel Use of Transesophageal Echocardiographic Probe for Intraoperative Epicardial Imaging  Adrian Ionescu, MD, FRCP, Michael Gilbert, MD, FRCA, Pankaj.
Mitraclip Procedure as a Bridge Therapy in a Patient With Heart Failure Listed for Heart Transplantation  Andrea Garatti, MD, Serenella Castelvecchio,

Mitraclip Procedure as a Bridge Therapy in a Patient With Heart Failure Listed for Heart Transplantation  Andrea Garatti, MD, Serenella Castelvecchio,
Isolated Papillary Muscle Rupture Complicating Acute Pancreatitis

Isolated Papillary Muscle Rupture Complicating Acute Pancreatitis
Repair of Circumflex Aortic Arch in an Adult

Repair of Circumflex Aortic Arch in an Adult
Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair  Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,

Tricuspid Valve Repair With Artificial Chorda After Previous Ventricular Septal Defect Repair  Toshiharu Sassa, MD, Ken Okamoto, MD, Hirokazu Tazume,
Muhammad S. Khan, MD, Matthew R

Muhammad S. Khan, MD, Matthew R
Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 

Antonio M. Calafiore, MD  The Annals of Thoracic Surgery 
Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations  Sinai C. Zyblewski, MD, Girish.

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations  Sinai C. Zyblewski, MD, Girish.
Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD 

Nicolas H. Pope, MD, Scott Lim, MD, Gorav Ailawadi, MD 
Aortic Valve Endocarditis in a Transplanted Heart After Urethral Instrumentation  Daniel Unic, MD, Boris Starcevic, MD, PhD, Mario Sicaja, MD, Davor Baric,

Aortic Valve Endocarditis in a Transplanted Heart After Urethral Instrumentation  Daniel Unic, MD, Boris Starcevic, MD, PhD, Mario Sicaja, MD, Davor Baric,

Similar presentations

Ads by Google