Transesophageal Echocardiogram
On 6/22, 8 days before death, a
cross-sectional, two-dimensional echocardiographic view of
the aortic and pulmonic (PV) valves showed thickening of the
leaflets of the PV and one of two pedunculated vegetations
that prolapsed 3 cm into the pulmonary artery during
systole. There was no valvar insufficiency. The tic marks at
the edge of the photograph are 1 cm apart. Landmarks are
indicated on the same photo below.
RV = right ventricular chamber. PV =
thickened pulmonic valve. V and 2 arrows = vegetation on
stalk during systole. AO = aorta. The small arrow below AO
indicates a normal, thin aortic valve leaflet. The
arrowheads indicate the wall of the pulmonary artery
trunk.
The patient was not considered to be a candidate for a surgical procedure.
Clinical
summary
Radiograph