case_images: PMC4900401_01
case_images: (a and b) Mid-esophageal aortic valve short axis view on transesophageal echocardiography giving the impression of left atrial shadow
case_images: ACA-19-146-g001.jpg
case_images: PMC4900401_01_ACA-19-146-g001.jpg
case_images: F1
case_images: Review TEE demonstrated left atrial (LA) chamber deformation that was initially considered an intra-atrial lesion [Figure 1].
case_images: (a and b) Mid-esophageal long axis view and mid-esophageal aortic valve short axis view on transesophageal echocardiography showing lesion of homogenous echogenicity surrounding the aortic root
case_images: ACA-19-146-g002.jpg
case_images: PMC4900401_01_ACA-19-146-g002.jpg
case_images: F2
case_images: The lesion measured 4.0 cm x 1.5 cm and was of homogenous echogenicity [Figure 2].
case_images: Mid-esophageal long axis view on transesophageal echocardiography with color Doppler showing the absence of blood flow through the lesion
case_images: ACA-19-146-g003.jpg
case_images: PMC4900401_01_ACA-19-146-g003.jpg
case_images: F3
case_images: On color Doppler evaluation, no vascularity was detected in the lesion, thus ruling out aortic root dissection [Figure 3].
case_images: Hematoma seen at the posterior aspect of aortic root on direct palpation
case_images: ACA-19-146-g004.jpg
case_images: PMC4900401_01_ACA-19-146-g004.jpg
case_images: F4
case_images: After direct inspection and palpation, the lesion was found to be a hematoma at the posterior aortic wall [Figure 4] which was encroaching the LA dorsally leading to an impression of the intra-atrial lesion in various views of TEE.
case_images: Postoperative day 1 review transthoracic echocardiographic five chamber view showing reduction in the size of hematoma compared to immediate postoperative size
case_images: ACA-19-146-g005.jpg
case_images: PMC4900401_01_ACA-19-146-g005.jpg
case_images: F5
case_images: Review transthoracic echocardiography revealed a reduction in the size of hematoma to 3.2 cm x 1.5 cm [Figure 5].