PMC6047233_01
Transthoracic echocardiographic image with large vegetation attached to the posterior leaflet of the mitral valve.
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Transthoracic echocardiogram showed a thickened and restricted mitral valve with a large vegetation (21 mm x 19 mm) on the posterior leaflet (Figure 1), with partial flail and severe regurgitation.
Computer tomographic image with splenic infarct due to septic embolization.
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This was followed by sudden onset septic embolization to the left lower limb causing critical ischemia, as well as new splenic infarcts (Figure 2), managed with left lower extremity thrombectomy and four-compartment fasciotomy.
Photograph of thrombus removed from left atrial appendage.
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Intraoperative transesophageal echocardiogram showed an enlarged left atrium measuring 5.7 cm with thrombi present in both left and right atrial appendages (Figure 3).