Abstract
A 68-YEAR-OLD woman was scheduled for surgery for diverticulosis, but her preoperative electrocardiogram prompted a stress test that was markedly positive for ischemia. Catheterization revealed occlusion of her left anterior descending and circumflex coronary arteries. Her ascending aorta was dilated (3.7 cm), there was mild aortic regurgitation, and there was a question of an apical left ventricular thrombus. Accordingly, intraoperative transesophageal echocardiographic examination was performed during surgery for coronary artery revascularization.
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