Transesophageal echocardiography (TEE) confirmed the above findings and revealed an aneurysm on the anterior mitral leaflet (Figure 10.1c,d; Videoclip 10.1c,d). MR was present and flow entered but did not traverse the aneurysm (Figure 10.2; Videoclip 10.2a,b,c).

Figure 10.2 Transthoracic echocardiography: (a) parasternal long-axis view shows mitral aneurysm (arrow). (b) Same view with color Doppler shows the mitral valve regurgitant flow enveloped by the aneurysm (arrow). AO, aorta; LA, left atrium; LV, left ventricle.

Hospital Course

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