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(A) Transthoracic echocardiography of a patient with P. stutzeri endocarditis, apical view of the left heart demonstrating a floating structure on the mitral ring, which is suggestive of a bacterial vegetation (arrow). (B) Transesophageal echocardiography of the same patient: long section of the mitral valve, demonstrating the same floating structure (arrow).
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In addition, floating structures were found on echocardiography that were consistent with vegetations on the mitral annuloplasty ring (Fig. 1).