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- W2000502832 abstract "A 75-YEAR-OLD, 97-kg, 183-cm man presented to the authors' institution because of recurrent discharge of his automated implantable cardioversion device (AICD). He reported that the AICD had discharged a total of 8 times during the previous 8 months, including 3 times during the month before admission. The patient had a history of polymorphic ventricular tachycardia for which the AICD had originally been placed 11 years before. Interrogation of the AICD record indicated that ventricular tachycardia was responsible for the recent discharge episodes. The patient also had coronary artery disease previously treated with a left anterior descending coronary artery (LAD) stent. A cardiac catheterization was performed because of progressive recurrent malignant ventricular ectopy. Coronary angiography revealed complete occlusion of the proximal right and distal circumflex coronary arteries, a 70% stenosis of the left main coronary artery, and a 20% in-stent stenosis of the LAD. A left ventriculogram indicated the presence of a large posterior basal aneurysm without evidence of mural thrombus, inferior-apical hypokinesis, and moderate left ventricular dilatation with systolic dysfunction (ejection fraction of 30%). Mitral valve function was normal. The patient was brought to the operating room for off-pump coronary artery bypass graft surgery, and intraoperative transesophageal echocardiography (TEE) revealed the following images (Fig 1, Fig 2). What is the diagnosis? Fig 2Transgastric short-axis TEE image of the left ventricle below the level of the mitral valve showing an unusual echogenic “Y”-shaped structure. View Large Image Figure Viewer Download Hi-res image" @default.
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- W2000502832 date "2009-02-01" @default.
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- W2000502832 title "Why the “Y”? A Peculiar Intraventricular Structure Associated With a Posterior Basal Aneurysm" @default.
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- W2000502832 doi "https://doi.org/10.1053/j.jvca.2007.08.002" @default.
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