PMC5611389_01
Transthoracic echocardiography performed at presentation reveals a large ovoid laminated mass on the aortic valve, measuring 3.7 cm x 2.1 cm on apical five chamber view (A) and 2.4 cm x 1.6 cm on parasternal short-axis view (B). Follow-up transthoracic echocardiography performed after 4 months of anticoagulation shows complete resolution of the valvular mass on apical five-chamber view (C) and parasternal short-axis view (D).
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F1
A transthoracic echocardiogram (TTE) showed an irregular ovoid laminated mass, 3.7 cm x 2.1 cm in size (Figures 1A,B). Serial TTE controls showed progressive resolution of the mass, with complete regression 4 months after therapy (Figures 1C,D).
Follow-up transthoracic echocardiography performed 5 months after presentation, showing the presence of previously undiagnosed bicuspid aortic valve.
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F2
I, and reduction in the left ventricular hypertrophy and dilation. Interestingly, the resolution of the valvular mass unveiled a BAV that was not previously diagnosed (Figure 2).