case_images: PMC10097912_01
case_images: 2d (A) and 3D (B) preoperative transesophageal echocardiography (TEE) showing the presence of a mass (arrow) attached to the base of the anterior mitral leaflet on the atrial aspect of the mitral valve, and 2D (C) and 3D (D) postoperative TEE showing a residual minimal stump (arrow).
case_images: fcvm-10-1121488-g001.jpg
case_images: PMC10097912_01_fcvm-10-1121488-g001.jpg
case_images: F1
case_images: These findings were later confirmed by transesophageal echocardiography (TEE), measuring a 20 x 8 mm neoformation (Figures 1A,B). TEE image and only the stump was left (Figures 1C,D).
case_images: PMC10097912_02
case_images: (A) 2D preoperative transesophageal echocardiography (TEE) showing the presence of a mass (arrow) attached to the aortic prosthesis and floating in the aortic root. (B) 2D preoperative TEE showing a mass (arrow) attached to the mitral prosthesis on the atrial side. (C) postoperative 2D TEE showing no residual mass on the aortic prosthesis. (D) postoperative 2D TEE showing a residual minimal stump (arrow) on the mitral prosthesis.
case_images: fcvm-10-1121488-g002.jpg
case_images: PMC10097912_02_fcvm-10-1121488-g002.jpg
case_images: F2
case_images: Considering his cardiac medical history, he underwent a TTE and a TEE that showed moderate biventricular dysfunction and the presence of vegetation on the mitral and aortic prosthesis with no regurgitation or signs of valve dysfunction (Figures 2A,B). TEE showed no significant residual mass, trivial intraprosthesis aortic, and mitral regurgitation (Figures 2C,D).