PMC6196617_01
Transesophageal echocardiography showing vegetations attached to the annulus of the posterior leaflet of the mitral valve.. LA: left atrium; LV: left ventricle; AV: aortic valve; Arrow: vegetation.
10.1177_2050313X18807629-fig1.jpg
PMC6196617_01_10.1177_2050313X18807629-fig1.jpg
fig1-2050313X18807629
Bedside and departmental transthoracic echocardiography (TTE) was performed 4 days after the stroke, followed by transesophageal echocardiography (TEE), which showed a large vegetation attached to the annulus of the posterior leaflet of mitral valve (PML), measuring 14 x 12 mm (Figure 1).
Follow-up brain CT scan showing the newly developed ischemic area (arrow) with no hemorrhage.
10.1177_2050313X18807629-fig2.jpg
PMC6196617_01_10.1177_2050313X18807629-fig2.jpg
fig2-2050313X18807629
TEE 8 weeks later showed no evidence of fresh vegetations or abscess. There was no evidence of hemorrhage or mycotic aneurysms on a follow-up CT of the brain (Figure 2).