Dc. Wolford et al., ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE CLINICAL MANAGEMENT OF A PATIENT WITH A GIANT CORONARY-ARTERY ANEURYSM, Clinical cardiology, 20(6), 1997, pp. 573-575
Transthoracic echocardiography (TTE) has substantial limitations for t
he study of abnormalities of the coronary tree. Transesophageal echoca
rdiography (TEE) allows a more complete examination of the coronary ar
teries, particularly the proximal segments. This report describes the
use of TEE after cardiac catheterization in the clinical management of
a patient with unstable angina. While angiography first showed the gi
ant aneurysm of the left circumflex coronary artery, TEE, by revealing
an active thrombus of the lumen, prompted an immediate surgical resol
ution.