The Ring

View archive
TEEIntraOpMEAscAoSAX2D
Short case presentation
77 y.o. male witha history of chest pain, SOB and pitting edema. The cardiac cath showed a 100% RCA, 100% Cx, and a 70% LAD lesion. The patient also had  sleep apnea and pulmonary hypertension. A   systolic ejection murmur was noted over the left upper intercostal area. The patient presents to the operating room for a CABG w/ ECC. An intraoperative TEE is below.

What is the diagnosis? What is the severity of the diagnosis? Calculate the area of the lesion. What are your recommendations, if any, to the surgeon? Are there any associated conditions with the diagnosis?