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An Unexpected Guest in the Proximal Ascending Aorta
Author(s) -
Toffetti Laura,
Pugno Alice,
Massironi Laura,
Tresoldi Silvia,
Mantero Antonio G.
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12952
Subject(s) - ascending aorta , medicine , asymptomatic , transesophageal echocardiogram , cardiology , aorta , stent , transthoracic echocardiogram , coronary artery disease , radiology , percutaneous , right coronary artery , artery , myocardial infarction , coronary angiography
Mini‐Abstract A 72‐year‐old asymptomatic woman with history of ischemic heart disease and repeat coronary percutaneous interventions underwent a routine transthoracic echocardiogram ( TTE ). A 9‐mm long, fixed, echo dense mass was visualized in the proximal ascending aorta. We performed a two and three‐dimensional transesophageal echocardiogram and a cardiac multidetector‐row contrast‐enhanced computed tomography with ECG gating, which revealed the unexplained mass to be an ostial right coronary artery stent protruding 9 mm into the ascending aorta. Coronary stent protrusion is a very unusual finding observed during routine 2D TTE , but it has many potential clinical consequences. This case suggests that 2D TTE is feasible and useful for the identification and follow‐up of protruding ostial coronary stents.