title: Intraoperative transeophageal echocardiography to diagnose an anomalous circumflex artery.
abstract: We describe a 43-year-old male presenting for hemiarch replacement and possible aortic valve replacement. Intraoperative transesophageal echocardiography (TEE) demonstrated an atypical coronary vessel, enabling proper diagnosis of an anomalous circumflex artery and appropriate operative planning.
authors.affiliation: Department of Anesthesiology, Denver Veterans Administration, Denver, Colorado, USA. quinnjstevens@gmail.com
authors.forename: Quinn
authors.initials: Q
authors.lastname: Stevens
authors.forename: Bryan
authors.initials: B
authors.lastname: Ahlgren
authors.forename: Nathaen
authors.initials: N
authors.lastname: Weitzel
authors.forename: T Brett
authors.initials: TB
authors.lastname: Reece
authors.forename: Ferenc
authors.initials: F
authors.lastname: Puskas
mesh_terms: D000328:Adult; D001011:Aorta / Q000000981:diagnostic imaging / Q000601:surgery; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D019917:Blood Vessel Prosthesis Implantation; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007432:Intraoperative Period; D008297:Male