A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli

Figure 1

(a) Cherry red spot at the center of the fundoscopy. (b) Echolucent area in the mitral-aortic fibrosa with a hyperechogenic structure inside (red circle). (c) Reconstruction through transoesophageal echocardiography showing the mitral-aortic intervalvular fibrosa with a pseudoaneurysm (arrow) communicating with the left ventricle outflow tract and a free thrombus inside. (d) Transoesophageal echocardiography at 126° showing a free hyperechogenic highly mobile structure inside a pseudoaneurysm in the mitral-aortic intervalvular fibrosa, protruding into the LVOT through a small orifice. LA: left atrium; LV: left ventricle; Ao: ascending aorta.