case_images: PMC5353468_01
case_images: Transesophageal echocardiographic examination showing a large atrial septal defect (a, arrowheads), a large parachute-shaped mass attached to aortic valve (b, right arrowheads), and a large mass in the left atrial appendage (b, left arrowheads, Video 1), suggestive of vegetation in a patient with intravenous drug abuse and Pseudomonas endocarditis.
case_images: JCE-27-14-g001.jpg
case_images: PMC5353468_01_JCE-27-14-g001.jpg
case_images: F1
case_images: Transesophageal echocardiographic (TEE) examination confirmed a large atrial septal defect [Figure 1a, arrowheads], a large parachute-shaped mass attached to aortic valve [Figure 1b, right arrowheads], and a large mass in the left atrial appendage [Figure 1b, left arrowheads and Video 1], suggestive of vegetation.
case_images: Transesophageal echocardiographic examination demonstrating multiple vegetation attached to mitral valve leaflets (a, arrowheads) with a large fluttering saccular mass (1.4 cm x 4 cm) in the left atrium attached to the posterior mitral valve leaflet bulging into the left atrium suggesting mitral valve aneurysm (a and b, arrowheads, Video 1) in a patient with intravenous drug abuse and Pseudomonas endocarditis.
case_images: JCE-27-14-g002.jpg
case_images: PMC5353468_01_JCE-27-14-g002.jpg
case_images: F2
case_images: In the longitudinal plane, TEE demonstrated multiple vegetation attached to mitral valve leaflets [Figure 2a, arrowheads] with a large fluttering saccular mass (1.4 cm x 4 cm) in the left atrium attached to the posterior mitral valve leaflet bulging into the left atrium, suggestive of mitral valve aneurysm [Figure 2a and b, arrowheads and Video 1]. Interestingly, on modified view, the left atrial mass intermittently resembled a "cat" face with prominent eyes, nose, and mouth [Figure 3 and Video 2] measuring 4.9 cm x 1.9 cm.
case_images: Transesophageal echocardiographic examination showing a large left atrial vegetation intermittently resembling a "cat" face with prominent eyes, nose, and mouth (Video 2) measuring 4.9 cm x 1.9 cm in a patient with intravenous drug abuse and Pseudomonas endocarditis.
case_images: JCE-27-14-g003.jpg
case_images: PMC5353468_01_JCE-27-14-g003.jpg
case_images: F3
case_images: Interestingly, on modified view, the left atrial mass intermittently resembled a "cat" face with prominent eyes, nose, and mouth [Figure 3 and Video 2] measuring 4.9 cm x 1.9 cm.