PMC4939255_01
Intraoperative image, showing an inflow cannula to the left atrium and an outflow cannula to the aortic placement of the left ventricular assist device (arrows).
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F1
In the course of surgery - a dense colored pericardial fluid was evacuated, myocardial biopsy was taken, and the LVAD was implanted via an inflow cannula to the left atrium and an outflow cannula to the aortic placement of the LVAD (Figure 1).
Parasternal long-axis echocardiographic view, showing severe mitral regurgitation (arrow)
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F2
Also on the same day of the LVAD explantation, comprehensive transthoracic and transesophageal echocardiographic examinations revealed severe mitral insufficiency, which was mild at initial evaluation, and a flail segment on the posterior mitral valve leaflet with a to-and-fro moving chordal structure (Figure 2).