case_images: PMC11745124_01
case_images: Timeline. NIHSS, National Institutes of Health Stroke Scale; PCA, posterior cerebral artery; MCA, middle cerebral artery; MRI, magnetic resonance imaging; P2-P3, P2-P3 segment of posterior cerebral artery; M2, M2 segment of middle cerebral artery.
case_images: ytae550f1.jpg
case_images: PMC11745124_01_ytae550f1.jpg
case_images: ytae550-F1
case_images: There was no sign of heart failure or infection (Figure 1).
case_images: Central figure. (A) Doppler ultrasound of the lingual artery; absence of flow in the evaluated segment of the right lingual artery. (B and C) Magnetic resonance imaging angiography of the neck and brain vessels. Transverse and coronal sections demonstrate asymmetry in the representation of the external carotid artery (white arrow). (D-H) Echocardiogram showing a vegetations on the atrial side of the mitral valve (*). (F) 3D modelling of the 2D images. (G-H) Cardiac surgery. (G) Exploration of the mitral valve with diffuse involvement of the valve, featuring a prominent vegetation at the A2-A3 junction. (H) Surgical specimen of the coaptation area of both leaflets with large vegetations. (I) Mitral valve replacement with a bioprosthetic valve.
case_images: ytae550f2.jpg
case_images: PMC11745124_01_ytae550f2.jpg
case_images: ytae550-F2
case_images: Two weeks after the stroke, the patient underwent mitral valve replacement with a bioprosthetic valve (Figure 2I).