PMC7139129_01
Parasternal long axis view showing vegetation on the posterior leaflet of the mitral valve (a). Doppler evaluation revealing severe mitral regurgitation (b). LA, left atrium; LV, left ventricle, Ao, aorta; V, vegetation; J, regurgitation jet.
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A subsequent transesophageal echocardiogram confirmed the presence of severe MR with preserved LVEF and a large echodensity on the posterior leaflet measuring 1.3 x 0.7 cm, consistent with a vegetation (Fig. 1).