Fig. 1

Previous heart surgery schema and TTE findings. The Bentall procedure was performed with a stentless valve, the left main trunk was sutured and ligated, and CABG was added to the LAD and OM with an SVG, because the left coronary bottom was too fragile to be reconstructed. The graft for the OM was later occluded by CT. The TTE findings show (a) severe AI and (b) hyperechoic lesions in the left cusp. The upper-right illustration was created based on the central illustration in the paper reported by Miller et al. [10]. CABG coronary artery bypass grafting, LAD left anterior descending artery, OM obtuse marginal branch, SVG saphenous vein graft, CT computed tomography, TTE transthoracic echocardiography, AI aortic insufficiency