case_images: PMC5757095_01
case_images: EKG showing ST elevation at II, III, and aVF with reciprocal ST depression at I and aVL.
case_images: CRIC2017-8578031.001.jpg
case_images: PMC5757095_01_CRIC2017-8578031.001.jpg
case_images: fig1
case_images: Initial electrocardiogram (EKG) showed 1-2 mm ST elevation in inferior leads (II, III, and aVF) with reciprocal ST depression in leads I and aVL (Figure 1).
case_images: Coronary angiogram showing an occlusion of the small acute marginal branch (A) of the right coronary artery with slow flow in the posterior descending artery (B).
case_images: CRIC2017-8578031.002.jpg
case_images: PMC5757095_01_CRIC2017-8578031.002.jpg
case_images: fig2
case_images: There was no other significant CAD (Figure 2).
case_images: Transthoracic echocardiogram (TTE) showing a 1.2 x 1.2 cm mobile mass attached to the ventricular aspect of mitral valve and hyperechogenic mitral annulus.
case_images: CRIC2017-8578031.003.jpg
case_images: PMC5757095_01_CRIC2017-8578031.003.jpg
case_images: fig3
case_images: Subsequent transthoracic echocardiogram (TTE) showed a 1.2 x 1.2 cm mobile mass attached to the base of the posterior mitral valve leaflet on ventricular aspect (Figure 3).
case_images: CT scan of the brain without contrast showing an infarct in the left occipital lobe.
case_images: CRIC2017-8578031.004.jpg
case_images: PMC5757095_01_CRIC2017-8578031.004.jpg
case_images: fig4
case_images: CT scan of the brain without contrast showed an infarct in the left occipital lobe (Figure 4).
case_images: Pathology specimens showing a nodule of amorphous debris and fibrinous material in low-power field (a) and histiocytes and multinucleated giant cells in high-power field (b).
case_images: CRIC2017-8578031.005.jpg
case_images: PMC5757095_01_CRIC2017-8578031.005.jpg
case_images: fig5
case_images: Histologic examination of the mass showed a nodule of amorphous debris and fibrinous material with histiocytes and multinucleated giant cells without organism, consistent with a cardiac CAT (Figure 5).