PMC7640558_01
Brain CT (A) and MRI image (B) showing right acute-subacute occipito-parietal infarction.
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Urgent brain computed tomography (CT) and magnetic resonate (MRI) showed recent right-side occipital infarction with no sign of bleeding (Fig. 1).
Transesophageal Echocardiography showed a mass attached to the left ventricle side of the left coronary aortic leaflet.
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However, there was a solitary, well-defined highly mobile mass measured 0.5 x 0.7 cm attached to the left-ventricular side of the aortic left coronary cusp causing mild-moderate aortic regurgitation (Fig. 2).
Cardiac CT revealing mass attached to the left coronary cusp during cardiac (A) Diastole, and (B) in Systole.
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Cardiac CT angiography revealed mild, non-obstructive left coronary lesion with the presence of the aortic valve mass (Fig. 3).
Intraoperative view, a jelly like mass attached to (A) left coronary cusp and (B) non-coronary cusp.
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After opening of the aorta, a large mass was found to be attached to the LV side of left coronary cusp and other small mass attached to the noncoronary cusp (Fig. 4).