PMC8324358_01
Transesophageal Echocardiogram (TEE) midesophageal bicaval view: large lobulated mobile mass extending from the superior vena cava (SVC) into the right atrium.
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Transesophageal echocardiogram (TEE) revealed similar lesions, with an additional aortic valve vegetation (1 cm x 0.5 cm) (Figures 1-3).
TEE-modified deep transgastric view: tip of the mass is seen at the body of the right ventricle below the tricuspid valve.
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Transesophageal echocardiogram (TEE) revealed similar lesions, with an additional aortic valve vegetation (1 cm x 0.5 cm) (Figures 1-3).
TEE-modified transgastric right ventricle inflow view: large hyperechoic lobulated mass across the tricuspid valve and occupying the body of the right ventricle.
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fig3
Transesophageal echocardiogram (TEE) revealed similar lesions, with an additional aortic valve vegetation (1 cm x 0.5 cm) (Figures 1-3).
Transthoracic echocardiogram (TTE) after antifungal treatment with resolution of the large fungal mass.
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TPN, he was started on lifelong suppressive therapy with fluconazole after sepsis resolved. Three months later, a repeat TTE showed complete resolution of the intracardiac mass without evidence of persistent vegetations, thus confirming the fungal origin of the mass (Figure 4).