PMC9150229_01
Postoperative electrocardiogram shows a right bundle branch block (RBBB).
10.1177_23247096221101852-fig1.jpg
PMC9150229_01_10.1177_23247096221101852-fig1.jpg
fig1-23247096221101852
Postoperative electrocardiogram (ECG) showed a right bundle branch block with no ischemic changes (Figure 1), similar to the preoperative ECG (Figure 2).
Preoperative electrocardiogram shows a right bundle branch block (RBBB) with artifacts.
10.1177_23247096221101852-fig2.jpg
PMC9150229_01_10.1177_23247096221101852-fig2.jpg
fig2-23247096221101852
Postoperative electrocardiogram (ECG) showed a right bundle branch block with no ischemic changes (Figure 1), similar to the preoperative ECG (Figure 2).
Transthoracic echocardiogram with contrast shows 2 mobile echo-density masses in the left ventricular apical region measuring 1.8 x 1.2 cm (red arrow) and 1.0 x 0.5 cm (yellow arrow).
10.1177_23247096221101852-fig3.jpg
PMC9150229_01_10.1177_23247096221101852-fig3.jpg
fig3-23247096221101852
Transthoracic echocardiogram (TTE) revealed 2 mobile pedunculated echo-densities in the LV apical region measuring 1.8 x 1.2 cm and 1.0 x 0.5 cm within the setting of a normal LV ejection fraction of 55% and normal wall motion (Figure 3).
Transesophageal echocardiogram shows a large mobile echo-density (2.3 x 2.1 cm) with a stalk attached to the anterior wall of the left ventricle.
10.1177_23247096221101852-fig4.jpg
PMC9150229_01_10.1177_23247096221101852-fig4.jpg
fig4-23247096221101852
A subsequent transesophageal echocardiogram (TEE) was performed and provided a better visualization as it showed a large mobile echo-density (2.3 x 2.1 cm) with a stalk attached to the anterior wall of the left ventricle (Figure 4) and a second smaller mobile echo-density attached to the apex of LV.