1. Calcified Bicuspid Aortic Valve Mass Prolapsing Into the Left Main Coronary Artery 
Tauqir Y. Goraya, MD, PHD, Farouk Mookadam, MD, Andre C. Lapeyre, MD, Richard C. Daly, MD, Henry D. Tazelaar, MD, Kyle W. Klarich, MD 
Mayo Clinic Proceedings 
Volume 75, Issue 10, Pages (October 2000)
DOI: /
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2. Figure 1
Preoperative transesophageal echocardiogram. In the longitudinal (A) and transverse (B) views, a pedunculated mass(arrow) is seen arising from the aortic valve(AV). Asc Ao=ascending aorta;LVOT=left ventricular outflow tract.
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3. Figure 2
Coronary angiogram showing filling defect in left main coronary artery (arrow). LAD= left anterior descending coronary artery; LCX=left circumflex coronary artery; LM =left main coronary artery.
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4. Figure 3
Intraoperative transesophageal echocardiogram. In both longitudinal views (A and B), a pedunculated mass (arrow) is seen arising from aortic valve (AV), with distal end prolapsed into left main coronary artery. Asc Ao = ascending aorta; LM = ostium of left main coronary artery; LVOT = left ventricular outflow tract.
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5. Figure 4
Intraoperative findings. Calcified bicuspid aortic valve (AV) as viewed from aortic side. Pedunculated mass (arrow) is seen arising from conjoined raphe of left and noncoronary cusps. LM= left main coronary artery.
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6. Figure 5
Section of aortic valve mass showing the presence of calcium fragments (arrow), fibrin, and bland thrombus (hematoxylin-eosin, original magnification x100).
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