case_images: PMC8424240_01
case_images: Patient's electrocardiogram showing inverted T-wave in leads II, III, and AVF.
case_images: CRIC2021-5573141.001.jpg
case_images: PMC8424240_01_CRIC2021-5573141.001.jpg
case_images: fig1
case_images: ECG revealed T-wave inversion in leads II, III, and AVF (Figure 1).
case_images: Patient's chest X-ray demonstrating cardiomegaly and right lower lobe consolidations with pleural effusion.
case_images: CRIC2021-5573141.002.jpg
case_images: PMC8424240_01_CRIC2021-5573141.002.jpg
case_images: fig2
case_images: Chest imaging revealed cardiomegaly and right pleural effusion with right lower lobe consolidations (Figure 2).
case_images: Parasternal long axis view revealing a diffused leaflet thickening of the mitral valve.
case_images: CRIC2021-5573141.003.jpg
case_images: PMC8424240_01_CRIC2021-5573141.003.jpg
case_images: fig3
case_images: Echocardiogram showed a dilated right ventricle with mild to moderate tricuspid regurgitation and severe rheumatic mitral stenosis with moderate to severe mitral regurgitation (Figure 3).
case_images: Transesophageal echocardiogram showing a symmetrical mass-like structure on the ventricular surface involving the tips of both leaflets extending to the body, causing a restriction in the valve function.
case_images: CRIC2021-5573141.004.jpg
case_images: PMC8424240_01_CRIC2021-5573141.004.jpg
case_images: fig4
case_images: Transesophageal echocardiogram showed thickened mitral valve leaflets with symmetrical mass-like structure on the ventricular surface involving the tips of both leaflets extending to the body, causing a restriction in the valve function during both cardiac phases (Figure 4).
case_images: Gross anatomy of the mitral valve leaflets in keeping with Libman-Sacks endocarditis.
case_images: CRIC2021-5573141.005.jpg
case_images: PMC8424240_01_CRIC2021-5573141.005.jpg
case_images: fig5
case_images: During the operation, the mitral valve was found to be grossly thickened with friable tissue and complete amalgamation of the leaflets with subvalvular apparatus (Figure 5).