PMC8632806_01
Biplanar transesophageal echocardiography of the aortic valve during systole with the mid-esophageal aortic valve long axis (left) and short-axis (right).
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F1
On TEE done at our institution, we identified one large (1.7 x 1.1 cm) mass on the aortic side of the aortic valve, between the non-coronary and left cusp at the base, that is attached by a stalk (Figure 1), likely moving most consistently with the non-coronary cusp (Supplementary Videos 1, 2).
(A) Left ventricular outflow tract view of the pre-operative CT angiogram showing the masses (Yellow arrows) and the thickening of the non-coronary cusp of the aortic valve (White arrow). (B) An XX view of the aortic valve with indicating the mass on the left cusp of the aortic valve (Yellow arrow).
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F2
(A,B) 3D reconstructed and printed models of the mass.
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F3
Superior intra-operative images of the aortic valve with the valve closed (A) and opened (B).
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F4
There was a medium size mass attached to the non-coronary cusp which was 2 mm (Figures 4A,B).
(A,B) Gross pathology photographs of the valve.
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F5