Fig. 4

Left atrial thrombus visualized on echocardiogram in mid-esophageal 4 chamber view of bioprosthetic mitral valve. Transesophageal echocardiogram (TEE) demonstrating left atrial thrombus coming into view in end-diastole the (A) mid-esophageal 4 chamber view at 0 degrees, (B) magnified mid-esophageal 4 chamber view at 0 degrees, and (C) continuous wave Doppler across the mitral valve with dense mitral stenosis envelope. Velocity-time integral mean gradient was 19 mmHg at 71 beats per minute