Aortic Cannulation around Grade 5 Aortic Arch Atheroma Utilizing Transesophageal Echocardiography
A 61-year-old male with severe aortic valve stenosis was scheduled for a minimally invasive bioprosthetic aortic valve replacement.Intraoperative transesophageal echocardiography (TEE) showed a NORMALISING SHAMPOO unicuspid aortic valve and extensive aortic atheromatous disease.A large atheroma with mobile components existed near the distal aortic