PMC6630084_01
Transthoracic echocardiographic images: A: Parasternal long axis view. There is a large vegetation that measured 10x17 mm attached to the atrial surface of the anterior mitral valve leaflet. B: The vegetation and the flail anterior leaflet completely prolapse into the LA. C: Off-axis parasternal short axis view showing the large vegetation attached to the tip of the anterior mitral leaflet. In this view, the vegetation measured 19x24 mm. D: Apical four chamber view. The vegetation is attached to the tip of the anterior mitral valve leaflet. E: Severe mitral regurgitation. F: Postoperative apical four chamber view showing a bi-leaflet mechanical prosthesis in the mitral position.
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A transthoracic echocardiogram was performed (Fig. 1).