PMC5697122_01
Preprocedural transthoracic echocardiogram (TTE). Apical 4-chamber view revealing a 3 x 1.5 cm tricuspid valve vegetation (red arrow).
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AngioVac system. A repeat TTE at our facility confirmed prior findings of TV vegetation measuring 3 x 1.5 cm and moderate TR (Figure 1).
Preprocedural transesophageal echocardiogram (TEE). Midesophageal longitudinal-axis 115-degree view revealing the tricuspid valve vegetation 4.2 cm in its largest diameter (red arrow).
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TEE revealed a 50-60% reduction in the size of the TV vegetation (2.1 cm decrease in the longest dimension) (Figures 2 and 3). The AngioVac system was removed, and hemostasis was achieved in both the right IJ and the left common femoral venous accesses via purse-string sutures. The patient tolerated the procedure well.
Postprocedural transesophageal echocardiogram (TEE). Midesophageal short-axis 0-degree view revealing the tricuspid valve vegetation reduced in size to 2.1 cm from its largest diameter (red arrow).
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TEE revealed a 50-60% reduction in the size of the TV vegetation (2.1 cm decrease in the longest dimension) (Figures 2 and 3). The AngioVac system was removed, and hemostasis was achieved in both the right IJ and the left common femoral venous accesses via purse-string sutures. The patient tolerated the procedure well.