A Spiral in the Heart: Mitral Valve Endocarditis with Unusual Vegetation Shape Potentially Affecting Effectiveness of Antibiotic Therapy

Figure 1

(a) Transthoracic echocardiography showing a rounded-shaped mass attached to a prolapsing posterior mitral leaflet. (b) Transesophageal echocardiography revealing a spiral-like appearance of the mass. (c) Color Doppler image showing high turbulence within the vegetation. (d) Color-Doppler image showing severe mitral regurgitation.

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