PMC2896834_01
Ecg on admission reveals ST segment elevation in leads II, III, AVF.
CRP2010-319732.001.jpg
PMC2896834_01_CRP2010-319732.001.jpg
fig1
Electrocardiogram (ECG) showed ST segment elevation in leads II, III, AVF (Figure 1).
Transesophageal echocardiography shows an echodense structure (0.7 cm by 1 cm) on the atrial aspect of the anterior mitral leaflet.
CRP2010-319732.002.jpg
PMC2896834_01_CRP2010-319732.002.jpg
fig2
A transesophageal echocardiogram (TEE), performed to evaluate the neurologic symptoms, revealed on the atrial surface of the mitral valve a 0.7 cm by 1 cm echodense mass on the anterior leaflet (Figure 2) and a 0.6 cm by 0.5 cm vegetation on the posterior leaflet, with evidence of moderate mitral regurgitation.
Arrows point to the vegetations on the leaflets.
CRP2010-319732.003.jpg
PMC2896834_01_CRP2010-319732.003.jpg
fig3
At surgery, the echocardiographic preoperative findings were confirmed (Figure 3).