case_images: PMC11770396_01
case_images: Two-dimensional transoesophageal echocardiography (midoesophageal four-chamber view) with colour flow Doppler demonstrates the bioprosthetic mitral valve abscess expansion in systole (A, arrow) and collapse in diastole (B, arrow). LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
case_images: ytaf013f1.jpg
case_images: PMC11770396_01_ytaf013f1.jpg
case_images: ytaf013-F1
case_images: Colour flow imaging demonstrated systolic blood flow into the cavity and diastolic flow out of the cavity, denoting a fistulous connection between the abscess and the LV cavity (Figure 1 and Supplementary material online, Video S2).
case_images: Multiplanar reconstruction of the bioprosthetic mitral valve using transoesophageal echocardiography demonstrates an abscess (red/single arrow) and multiple vegetations (yellow/three arrows). LA, left atrium; LV, left ventricle.
case_images: ytaf013f2.jpg
case_images: PMC11770396_01_ytaf013f2.jpg
case_images: ytaf013-F2
case_images: For a more comprehensive evaluation of the bioprosthetic mitral valve, 3D echocardiography was performed, revealing the abscess cavity, vegetations, and fistulous connection to the LV cavity (Figures 2 and 3 and Supplementary material online, Videos S3-S6).
case_images: Multiplanar reconstruction of the bioprosthetic mitral valve using transoesophageal echocardiography demonstrates an abscess fistulizing to the left ventricle through an orifice (arrow). LA, left atrium.
case_images: ytaf013f3.jpg
case_images: PMC11770396_01_ytaf013f3.jpg
case_images: ytaf013-F3
case_images: For a more comprehensive evaluation of the bioprosthetic mitral valve, 3D echocardiography was performed, revealing the abscess cavity, vegetations, and fistulous connection to the LV cavity (Figures 2 and 3 and Supplementary material online, Videos S3-S6).