Transesophageal echocardiography assessment of severe ostial left main coronary stenosis.
Doppler echocardiography is commonly used in the assessment of stenotic valvular orifices. We describe the application of transesophageal echocardiography for the detection of a critical ostial left main coronary stenosis. Because preoperative coronary angiography often is not routinely performed in young patients undergoing valve surgery, application of Doppler echocardiography can potentially prevent catastrophic complications, particularly in atypical cases.
Firstenberg
M S
MS
Cardiovascular Imaging Center and the Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Greenberg
N L
NL
Lin
S S
SS
Garcia
M J
MJ
Alexander
L A
LA
Thomas
J D
JD
D000328:Adult; D001783:Blood Flow Velocity; D017023:Coronary Angiography; D003326:Coronary Circulation / Q000502:physiology; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D018619:Echocardiography, Doppler, Pulsed / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D012680:Sensitivity and Specificity