PMC5353471_01
Chest X-ray showing pulmonary congestion.
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F1
Chest X-ray showed a clear picture of lung congestion [Figure 1]. Transthoracic echocardiogram (TTE) revealed an unusual bulging of the anterior leaflet of MV with a severe eccentric posterior regurgitation [Figure 2, Videos 1 and 2].
Transthoracic echocardiogram, parasternal L-A view showing the anterior leaflet saccular aneurysm of the mitral valve.
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F2
Transthoracic echocardiogram (TTE) revealed an unusual bulging of the anterior leaflet of MV with a severe eccentric posterior regurgitation [Figure 2, Videos 1 and 2].
Transesophageal echocardiography, 4-C mid-esophageal view showing the perforated anterior leaflet aneurysm of the mitral valve.
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F3
Transesophageal echocardiography (TEE) revealed a saccular structure in the anterior leaflet that bulged into the left atrium throughout the cardiac cycle and was perforated [Figure 3 and Video 3].
Transesophageal echocardiography image demonstrating the anterior-posterior bicuspid aortic valve.
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F4
TEE with a severe aortic regurgitation and a torrential color jet that hit the mitral anterior leaflet aneurysm [Figure 4, Videos 4 and 5]. Two clear elongated vegetations were found floating inside an aneurysm with a severe eccentric jet from the perforated zone [Video 6].