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Figure 1
12-leads electrocardiogram (EKG): sinus tachycardia, normal QRS complex and no ST-T specific abnormalities.
Figure 2
Transesophageal echocardiography – midesophageal mitral commissural view-mass attached to the posterior mitral valve, on the atrial surface, with a diameter of 6/6 mm and prolapsing A2 scallop.
Figure 3
Transesophageal echocardiography – midesophageal aortic short axis view, zoom on the aortic valve- all three leaflets are involved.
Figure 4
Transesophageal echocardiography aortic valve long-axis-view 18 mm long, mobile, hyperechogenic mass attached to the ventricular side of the aortic valve. The echocardiographic appearance is suggestive for vegetation.
Figure 5
Transesophageal echocardiographymidesophageal 5 chamber view-perforation cusp without hemodynamic impact is revealed by colour Doppler examination.
Figure 6
Transthoracic echocardiography apical 5 chamber- normal left ventricle size and normal ejection fraction. Colour Doppler imaging reveals no hemodynamic impact.
Figure 7
Transesophageal echocardiography midesophageal 5 chamber view -a significantly reduced aortic vegetation (6 mm). LA left atrium, RA right atrium, LVOT left ventricle outflow tract, RVOT right ventricle outflow tract, LV left ventricle, Ao ascending aorta.