PMC9876663_01
Transesophageal echocardiography image of Micra device (asterisk) with attached vegetation (arrow).
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fig1
However, given high suspicion for endocarditis, thickened mitral valves, and persistent bacteremia, patient underwent transesophageal echocardiography (TEE), which noted a mobile mass, measuring 1.6 cm x 1.8 cm attached to the leadless Micra pacemaker seen near the right ventricular outflow tract part of the RV under the pulmonary valve (Figure 1).
Gross image of successfully removed Micra device and previously attached vegetation.
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fig2
The Micra device and associated vegetation were removed and placed next to one another (Figure 2).