Successful surgical treatment approach for mitral valve vegetation of infective endocarditis after severe soft tissue infection with mediastinitis

Figures

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  FIGURE 1. Preoperative contrast‐enhanced computed tomography image shows massive intrasoft tissue fluid collection from the neck to pectoralis major and minor muscles that extends to the axillary line, dorsally to the sternal notch (Yellow arrow)

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  FIGURE 2. Photographs showing Osler's node on the patient's left thumb and Janeway spot on the dorsal side of the left hand found at admission (Yellow arrow)

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  FIGURE 3. Images of the vegetation detected on transesophageal echocardiography. The vegetation was present at the border of the posterior wall of the left ventricle and surrounded the papillary muscle and chorde of the posterior mitral leaflet (Yellow arrow)

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  FIGURE 4. Image of the intraoperative findings. The huge vegetation was attached between the mitral annulus and left ventricular posterior wall that surrounded the papillary muscle and its P1 segment of the posterior mitral valve leaflet (Yellow arrow)