PMC8536538_01
Echocardiogram parasternal long axis view. The green block arrow indicates new vegetation on the conduit valve, measuring at 8 mm x 7 mm. The conduit leaflets also appeared significantly thickened. However, there was no conduit insufficiency. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
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An echocardiogram showed a significant change in the conduit valve with an echo-bright, mobile mass most consistent with a vegetation (Fig. 1).
PMC8536538_02
Echocardiogram parasternal view. The green block arrow indicates an extremely thickened conduit valve. Also, not shown is an additional mobile echogenic focus, which may be valve tissue, thrombus or vegetation. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
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Four months later, a repeat echocardiogram found not only the thickened conduit valve, unchanged from previous study, but also an echogenic and mobile mass on the posterior leaflet consistent with possible vegetation (Fig. 2).