PMC8081123_01
Trans-esophageal echocardiography mid-esophageal view, 0 , with color doppler showing inlet type of ventricular septal defect (VSD; red arrow). LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle
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F1
After induction of general anaesthesia, transesophageal echocardiographic (TEE) examination confirmed the preoperative findings [Figure 1 and Video 1].
Trans-esophageal echocardiography mid-esophageal for chamber view, PTFE patch after closure of ventricular septal defect (VSD; red arrow) and severe LV dysfunction. PTFE: Polytetrafluoroethylene, LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle
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F2
TEE examination revealed no residual VSD with mild mitral regurgitation, normal right ventricular function and poor left ventricular function [Figure 2 and Video 2].
Modified apical four chamber view on transthoracic echocardiography examination showing a vegetation of size 6 x 7 mm vegetation (red arrow) was seen on the PTFE patch on the right ventricular side in. PTFE: Polytetrafluoroethylene, CS: coronary sinus; LV: Left ventricle; RA: Right atrium; RV: Right ventricle
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F3
TTE confirmed the diagnosis of IE by showing vegetation that measured 7 x 6 mm on the PTFE patch toward the right ventricle [Figure 3 and Video 3].
Apical four chamber view on transthoracic echocardiography examination showing no vegetation after 8 weeks of antifungal therapy on the PTFE patch (red arrow) in apical four chamber view on transthoracic echocardiography examination. PTFE: Polytetrafluoroethylene, LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle
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F4
After two weeks of therapy, his fever subsided and repeated TTE showed a reduction in the size of vegetation. Antifungal therapy was continued for 8 weeks and after completion, no vegetation was seen on TTE and blood culture was negative for any organism [Figure 4 and Video 4].