case_images: PMC5471576_01
case_images: Initial EKG demonstrating accelerated junctional rhythm at 99 beats/minute with retrograde P wave conduction, QS duration 92 ms, and corrected QT interval 469 ms.
case_images: CRIM2017-4513623.001.jpg
case_images: PMC5471576_01_CRIM2017-4513623.001.jpg
case_images: fig1
case_images: Electrocardiogram demonstrated accelerated junctional rhythm at 99 beats/minute with retrograde P waves (Figure 1).
case_images: Transesophageal echocardiogram mid-esophageal position demonstrating a 1.3 by 1.0 cm mass (red arrow) attached to the interventricular septum in the left ventricular outflow tract during diastole. LVOT = left ventricular outflow tract, Ao = aorta, and AV = aortic valve.
case_images: CRIM2017-4513623.002.jpg
case_images: PMC5471576_01_CRIM2017-4513623.002.jpg
case_images: fig2
case_images: A large mobile mass measuring 1.3 cm by 1.0 cm was attached to the septal wall of the left ventricular outflow tract (LVOT) (Figures 2 and 3).
case_images: Transesophageal echocardiogram mid-esophageal position. The mass moves out of view during systole; red arrow indicates location of mass attachment to the left ventricular outflow tract. Ao = aorta and AV = aortic valve.
case_images: CRIM2017-4513623.003.jpg
case_images: PMC5471576_01_CRIM2017-4513623.003.jpg
case_images: fig3
case_images: A large mobile mass measuring 1.3 cm by 1.0 cm was attached to the septal wall of the left ventricular outflow tract (LVOT) (Figures 2 and 3).
case_images: Transesophageal echocardiogram with color flow Doppler showing the aortic regurgitant jet (blue color) contacting the septal wall of the left ventricular outflow tract at the attachment site of the mass (red arrow). Ao = aorta and AV = aortic valve.
case_images: CRIM2017-4513623.004.jpg
case_images: PMC5471576_01_CRIM2017-4513623.004.jpg
case_images: fig4
case_images: The mass was attached at the site of a jet lesion where the aortic valve regurgitant jet contacted the LVOT wall (Figure 4).