CC-BY-NC-ND 4.0 · J Card Crit Care 2017; 01(01): 034
DOI: 10.1055/s-0037-1604211
Video Case Report
Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU)

Transthoracic Echocardiographic Assessment of Proximal Coronary Arteries

Omar Tageldin1, Navin C. Nanda1, Mohammed J. Arisha1, Ahmed Abdelhaleem1, Ayman Battisha1, Swetha Srialluri1
  • 1Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama, United States
Further Information

Address for correspondence

Navin C. Nanda, MD
Heart Station/Echocardiography Laboratories, University of Alabama at Birmingham
Spain Wallace Building, S102, 619 19th Street South, Birmingham, AL 35249

Publication History

Publication Date:
29 September 2017 (online)

 

The patient is a 55-year-old woman status post two mitral clips with a severely dilated left atrium and persistent severe mitral regurgitation. During a follow-up, an attempt was made to examine the proximal coronary arteries by two-dimensional transthoracic echocardiography[1] [2] [3] ([Videos 1] [2] [3] [4]).

Videos 1–4 The left main (LMC), proximal left anterior descending (LAD), and left circumflex (CX) coronary arteries are well seen in B-mode ([Videos 1], [2]) and with color Doppler ([Video 3]). No significant stenosis is noted in the visualized vessels in B-mode. Color Doppler signals are also laminar with no flow aliasing or turbulence consistent with no obstruction. [Video 4] shows normal right coronary artery (RCA) orifice viewed using the right parasternal examination approach in the same patient. AO, aorta; LA, left atrium; PR, pulmonary regurgitation; PV, pulmonary valve; RAA, right atrial appendage. Online content including video sequences viewable at: www.thieme-connect.com/ejournals/html/doi/10.1055/s-0037-1604211.

Georg Thieme Verlag. Please enable Java Script to watch the video.
Georg Thieme Verlag. Please enable Java Script to watch the video.
Georg Thieme Verlag. Please enable Java Script to watch the video.
Georg Thieme Verlag. Please enable Java Script to watch the video.

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No conflict of interest has been declared by the author(s).


Address for correspondence

Navin C. Nanda, MD
Heart Station/Echocardiography Laboratories, University of Alabama at Birmingham
Spain Wallace Building, S102, 619 19th Street South, Birmingham, AL 35249