PMC4804077_01
Transthoracic echocardiography (TTE), 4-chamber view of the heart. (a) The mitral valve is thickened and dysfunctional due to a floating vegetation (white arrow) on the anterior mitral leaflet; LA = left atrium; LV = left ventricle. (b) Color Doppler sonography shows severe mitral regurgitation.
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Echocardiography showed a floating vegetation on the anterior mitral leaflet and severe mitral regurgitation (Figures 1(a)-1(b)).
Transesophageal echocardiography (TEE): (a) 3-chamber view of the heart: floating vegetation (white arrow) on the anterior mitral leaflet; Ao = aorta; LV = left ventricle. (b) Another projection of the floating vegetation (11 mm x 20 mm) and the destroyed mitral valve. (c) Color Doppler sonography shows severe mitral regurgitation.
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Transesophageal echocardiography (TEE) revealed a perforated anterior mitral leaflet and a vegetation of 20 mm x 11 mm (Figures 2(a)-2(c)).