Figure and Video Legends:
Figure 1: Transesophageal echocardiography at mid esophageal view showing left atrium (LA), left ventricle (LV) and bio-prosthetic mitral valve (BPMV).
(1A) Shows a large 2.7 cm x 1.7 cm echogenic mass attached to ventricular side of the mitral annulus.
(1B) Focussed view of the BPMV showing the attachment of the mass.
Figure 2: Transesophageal echocardiography (TEE) with echo contrast (definity) at mid esophageal and trans-gastric views.
(1A) TEE at mid esophageal view at 125 degrees shows a large 2.7 cm x 1.7 cm echo dense mass attached to ventricular side of the mitral annulus.
(1B) Trans-gastric view of the left ventricle showing the echo dense mass attached to mitral annulus.
Figure 1A- Transthoracic Echocardiography parasternal long axis view, showing large mass (white arrow) on ventricular side of mitral valve.
Figure 1B - Transesophageal echocardiography (TEE) view at mid-esophageal level 62 degrees, shows normally functioning bio-prosthetic mitral valve (BPMV) with a large mass attached to the ventricular side of the mitral annulus (arrow).
Figure 1C - Transesophageal echocardiography (TEE) view at mid-esophageal level 62 degrees focusing on BPMV, shows an echogenic annular mass attached to the ventricular side (arrow).
Figure 1D - Transesophageal echocardiography (TEE) view at mid-esophageal level 125 degrees with echo-contrast (Definity), shows a large echogenic mass (suggesting high vascularity and Definity accumulation) attached to the ventricular side of the mitral annulus (arrow).
Figure 1E - Transesophageal echocardiography (TEE) transgastric view at 88 degrees with echo-contrast, with a large mass attached to the ventricular side of the mitral annulus (arrow).