PMC4777461_01
ECG at presentation, during chest pain, showing sinus rhythm with ST depression in leads V3-V6, DI, DII, aVF, AVL and ST elevation in aVR.
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ECG during chest pain, showing remarkable ST changes-ST depression and T wave inversion, including leads V2 and DIII.
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ECG after chest pain remission.
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Transesophageal echocardiography. Interference of the mass with the closure of the prosthetic disc.
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Subsequently, transesophageal echocardiography (TOE) was performed, which allowed to visualize the interference of the mass with the closure of the prosthetic disc (Figure 4).
Hematoxylin and eosin staining, obx10. Microscopic aspect suggestive of pannus
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