case_images: PMC5353471_01
case_images: Chest X-ray showing pulmonary congestion.
case_images: JCE-27-23-g001.jpg
case_images: PMC5353471_01_JCE-27-23-g001.jpg
case_images: F1
case_images: Chest X-ray showed a clear picture of lung congestion [Figure 1]. Transthoracic echocardiogram (TTE) revealed an unusual bulging of the anterior leaflet of MV with a severe eccentric posterior regurgitation [Figure 2, Videos 1 and 2].
case_images: Transthoracic echocardiogram, parasternal L-A view showing the anterior leaflet saccular aneurysm of the mitral valve.
case_images: JCE-27-23-g002.jpg
case_images: PMC5353471_01_JCE-27-23-g002.jpg
case_images: F2
case_images: Transthoracic echocardiogram (TTE) revealed an unusual bulging of the anterior leaflet of MV with a severe eccentric posterior regurgitation [Figure 2, Videos 1 and 2].
case_images: Transesophageal echocardiography, 4-C mid-esophageal view showing the perforated anterior leaflet aneurysm of the mitral valve.
case_images: JCE-27-23-g003.jpg
case_images: PMC5353471_01_JCE-27-23-g003.jpg
case_images: F3
case_images: Transesophageal echocardiography (TEE) revealed a saccular structure in the anterior leaflet that bulged into the left atrium throughout the cardiac cycle and was perforated [Figure 3 and Video 3].
case_images: Transesophageal echocardiography image demonstrating the anterior-posterior bicuspid aortic valve.
case_images: JCE-27-23-g004.jpg
case_images: PMC5353471_01_JCE-27-23-g004.jpg
case_images: F4
case_images: TEE with a severe aortic regurgitation and a torrential color jet that hit the mitral anterior leaflet aneurysm [Figure 4, Videos 4 and 5]. Two clear elongated vegetations were found floating inside an aneurysm with a severe eccentric jet from the perforated zone [Video 6].