Case Report: Thrombosed Mitral Leaflets in a Patient With Rheumatic Heart Disease: A Rare Clinical Case

Figures

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  FIGURE 1. (A) Two‐dimensional transesophageal echocardiography (TEE) showing a hypoechoic mass around the leaflet tips, suggestive of thrombus or vegetation (size = 2.19 × 0.71 cm). (B) Two‐dimensional transesophageal echocardiography (TEE). Control echocardiography after 1 week of admission revealed a significant decrease in the size of the mass (size = 1.23 × 1.06 cm). (C) Two‐dimensional transesophageal echocardiography (TEE), esophageal view, showing mitral valve opening in mid‐diastole. A hypoechoic mass was observed on the anterior mitral valve leaflet (AMVL), and opening of the MV was restricted. (D) Two‐dimensional transesophageal echocardiography (TEE). Colored doppler shows a moderate regurgitant flow of mitral valve (MV).

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  FIGURE 2. (A) A chest computed tomography scan (CT scan) demonstrated multiple calcified mediastinal and hilar nodules, calcified granulomas in both lungs, and air‐space opacification. (B) A chest computed tomography scan (CT scan) demonstrated an increase in the thickness of the interlobular septum, bilateral pleural effusions, and accumulation of fluid in the fissure of both sides.

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  FIGURE 3. (A) Magnetic resonance imaging (MRI) of the head that was performed 7 days after admission shows gliosis and malacia at left frontoparietal lobes and cortical focus in the superior gyrus of the left frontal lobe in favor of acute ischemia. (B) Follow‐up brain computed tomography (CT) scan shows a hypodense area in the frontoparietal lobe, consistent with ischemic stroke and no evidence of intracranial hemorrhage.