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A 56-year-old man underwent elective coronary artery bypass grafting for 3-vessel
coronary disease. After aortic and venous (with a single, double-staged venous cannula)
cannulation, cardiopulmonary bypass was initiated. However, after the start of cardiopulmonary
bypass, poor venous return and cardiac distention were noticed. Transesophageal echocardiography
(TEE) revealed the following images (Figs1-3).
Fig. 1An 18° view of the right atrium, liver, diaphragm, inferior vena cava and a hepatic
vein.
Usefulness of transesophageal echocardiography in diagnosing and guiding correct placement of a right ventricular assist device malpositioned in the left atrium.
