Transmitral diagnostic cardioscopy in a coronary artery bypass graft patient

A 69-year-old man with unstable angina and impaired left ventricular function who was admitted for emergency coronary artery bypass grafting had echocardiographic findings suggestive of a left ventricular thrombus. A transmital cardioscopy was successfully performed at surgery, without video assistance, to confirm the diagnosis. We discuss our approach and the advantages.