PMC9841342_01
: MRI Brain on day 1 (above a to d) and day 21 (below A to D) showing acute ischemia at the level of the left lentiform nucleus, part of the left caudate nucleus, and the left external capsule (arrow heads); (e): thrombosis of the left middle cerebral artery (star); (E): Recanalization of the middle cerebral artery with suspicion of a 4 mm aneurysm (arrow).
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An MRI/MRA of the brain revealed an acute ischemic stroke in the left lentiform nucleus, part of the left caudate nucleus, and the left external capsule, with thrombosis of the left middle cerebral artery (Fig. 1).
Transesophageal echocardiography reveals the presence of a vegetation at the aortomitral fibrosa (arrows) with aortic valve regurgitation.
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It showed the mobile echodense mass attached to the aortomitral fibrosa, of 0.4 x 0.4 cm in size, with severe aortic valve regurgitation, and a preserved ejection fraction (Fig. 2).