Fig. 5

Echocardiographic images of bioprosthetic mitral valve in mid-esophageal 4 chamber and long axis view following left atrial thrombus resolution. Transesophageal echocardiogram (TEE) performed approximately 4 weeks after left atrial thrombus was identified showing resolution of thrombus in end-diastole in the (A) mid esophageal 4 chamber view at 13 degrees and (B) long axis view at 100 degrees. Severe leaflet restriction is noted, and the mean gradient was measured at 26 mmHg although at a heart rate of 100 beats per minute