PMC8116484_01
(A) Qualitative assessment of mitral valve at transesophageal echocardiogram (TEE), showing the two vegetations on both anterior and posterior mitral valve leaflets, which protrude toward left atrium during systole; (B) Assessment with color doppler showing severe mitral regurgitation; (C) three-dimensional assessment at TEE, the black arrows indicate the two vegetations on mitral leaflets.
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F1
The transthoracic echocardiogram (TTE) diagnosed a severe mitral regurgitation (MR) due to IE; it was confirmed by transesophageal echocardiogram (TEE), which showed two vegetations on the atrial face of mitral valve, sized 11 x 10 mm on the posterior leaflet and 7 x 5 mm on the anterior leaflet (Figure 1).
Large vegetation on the atrial face of anterior mitral valve leaflet.
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F2
Intra-operatively, the diagnosis of IE was confirmed, identifying huge vegetations on the atrial face of mitral valve leaflets (Figure 2).