Movement in the Arch

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TEEintraoppreopTGmLVSAX2D
Short case presentation
76 y.o. male with a history of chest pain. Cardiac Cath showed a Ramus 90%, Cx 80%, OM1
 80%, and a RCA 100%.

 Please review the TEE and consider the following questions:

 What is the severity of atherosclerosis?
 Is he at a high risk of embolization and stroke?
 What would be your recommendations for cannulation?
 Any other recommendations?