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Accessory Attachment

Published:March 26, 2010DOI:https://doi.org/10.1053/j.jvca.2009.12.012
      A 60-YEAR-OLD MAN with a past medical history significant for obesity, hypertension, hypercholesterolemia, and a longstanding murmur presented with shortness of breath and fatigue with exertion over a period of 1 week. A transthoracic echocardiogram showed moderate aortic stenosis. A cardiac catheterization was performed and showed severe aortic stenosis (peak gradient of 70 mmHg and valve area of 0.64 cm2), single-vessel coronary artery disease (60%-70% occlusion of mid-left anterior descending artery), and dilation of the ascending aorta (5 cm). Given these findings in a symptomatic patient, the decision was made to proceed to the operating room for a biologic Bentall procedure and single-vessel coronary artery bypass graft surgery.

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