case_images: PMC5791492_01
case_images: Midesophageal five-chamber view showing a mass in the left ventricle outflow tract attached to the pulmonary valve and a chordal tissue from mass attaching to the endocardial surface of the left ventricle. LA: left atrium, LV: left ventricle, VSD: ventricular septal defect, RV: right ventricle, PA: pulmonary artery, LVOT: left ventricle outflow tract
case_images: ACA-21-61-g001.jpg
case_images: PMC5791492_01_ACA-21-61-g001.jpg
case_images: F1
case_images: In addition, a thick cord-like structure originating from the endocardial surface of the left ventricle was found attached to the mass [Figure 1 and Video 1].
case_images: Midesophageal five-chamber view showing turbulent flow across the LVOT due to a mobile mass attached to the pulmonary valve. LA: left atrium, LV: left ventricle, RV: right ventricle, PA: pulmonary artery
case_images: ACA-21-61-g002.jpg
case_images: PMC5791492_01_ACA-21-61-g002.jpg
case_images: F2
case_images: Color Doppler examination showed turbulent flow across the pulmonary valve [Figure 2]. In midesophageal four-chamber view, chordae from the tricuspid valve were seen attached to the tip of interventricular septum (IVS) [Figure 3 and Video 2].
case_images: Midesophageal four-chamber view showing chordae from the tricuspid valve attached to the tip of interventricular septum. LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle, VSD: ventricular septal defect
case_images: ACA-21-61-g003.jpg
case_images: PMC5791492_01_ACA-21-61-g003.jpg
case_images: F3
case_images: In midesophageal four-chamber view, chordae from the tricuspid valve were seen attached to the tip of interventricular septum (IVS) [Figure 3 and Video 2]. A careful look showed the mass moving with the movement of the pulmonary valve and a chord-like structure attached to the mass after originating from both right and left ventricles [Figure 4 and Video 3].
case_images: Midesophageal aortic long-axis view showing a mobile mass attached to the undersurface of the pulmonary valve, a large ventricular septal defect, and normal-appearing pulmonary and aortic valves
case_images: ACA-21-61-g004.jpg
case_images: PMC5791492_01_ACA-21-61-g004.jpg
case_images: F4
case_images: A careful look showed the mass moving with the movement of the pulmonary valve and a chord-like structure attached to the mass after originating from both right and left ventricles [Figure 4 and Video 3].