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Eur J Cardiothorac Surg 2004;25:138
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Right coronary artery aneurysm: transesophageal echocardiography view

José M. Rodríguez-López*, Clemente Muriel

Department of Anesthesiology, University Hospital of Salamanca, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain

Received 1 August 2003; received in revised form 18 September 2003; accepted 4 October 2003.

* Corresponding author
e-mail: jmrodlop{at}terra.es

Key Words: Right coronary artery aneurysm • Transesophageal echocardiography

A 65-year-old man was scheduled for coronary revascularization. A coronary arteriogram revealed a three-vessel disease and right coronary artery (RCA) aneurysm. Intraoperative transesophageal echocardiography (TEE) showed the RCA aneurysm before (Fig. 1) and after (Fig. 2) the aneurysm resection was performed. In this case intraoperative TEE permitted us to verify that aneurysmectomy was correctly performed.



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  		Fig. 1. Mid-esophageal four-chamber transesophageal echocardiography showing the aneurysm before resection. RA, right atrium; RV, right ventricle; LA, left atrium; LV, left ventricle; RCAA, right coronary artery aneurysm.

 


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  		Fig. 2. Mid-esophageal four-chamber transesophageal echocardiography showing the aneurysm after resection. RA, right atrium; RV, right ventricle; LA, left atrium; LV, left ventricle; RCAA, right coronary artery aneurysm.

 




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