PMC5161785_01
CT angiogram of abdomen/pelvis showing a large thrombus occluding left common iliac artery.
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CT angiogram of the pelvis showed occlusion of left common iliac, left popliteal tibial, and right common femoral and right popliteal tibial arteries (Fig. 1).
Transthoracic echocardiogram showing a large highly mobile vegetation attached on mitral valve.
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Transthoracic echocardiogram (TTE) performed to evaluate the source of multiple emboli revealed a large 1.2 cm highly mobile vegetation attached to the anterior mitral valve leaflet with associated eccentric posteriorly directed severe mitral regurgitation (Figs. 2 and 3).
Transthoracic echocardiogram showing severe mitral valve regurgitation associated with the mitral valve vegetation.
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Transthoracic echocardiogram (TTE) performed to evaluate the source of multiple emboli revealed a large 1.2 cm highly mobile vegetation attached to the anterior mitral valve leaflet with associated eccentric posteriorly directed severe mitral regurgitation (Figs. 2 and 3).
Embolectomy specimen showing organizing blood clot with layering. Fungal organisms are present, arranged in parallel arrays (H&E stain, 100x original magnification).
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The embolectomy specimen was examined histologically, showing organizing blood clot with abundant fungal organisms arranged in parallel arrays (Fig. 4).
High-power view of embolectomy specimen, demonstrating abundant fungal organisms with wide hyphae and absence of distinctive septa, arranged in a ribbon-like configuration. The morphologic features are interpreted as consistent with Mucorales (H&E stain, 400x original magnification).
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On high power magnification, the fungal elements were characterized by wide hyphae, with lack of distinctive septa (Fig. 5).