Abstract
An 86-year-old woman with symptomatic severe aortic stenosis successfully underwent transapical aortic valve replacement. Real-time 3-dimensional transesophageal echocardiographyprovideduniqueviewsduring theprocedure.This case illustrates its advantages over 2-dimensional echocardiography in guiding device placement (Fig. 1, Video 1) and in assessingcoronarypatencyafter implantation (Fig.2,Video2). www.elsevier.com/locate/ejcts European Journal of Cardio-thoracic Surgery 35 (2009) 909
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