Abstract
Three months after combined mitral and aortic valve replacement, a 74-year-old woman presented with New York Heart Association grade II to III dyspnea. She had regular sinus tachycardia (109 bpm), and her blood pressure was 90/55 mm Hg. Routine echocardiography showed normal left ventricular ejection fraction and normal functional status of mitral and aortic valve prosthesis. However, late systolic impression of the inferior/inferolateral wall and a large paracardiac cavity displaying an intense systolic and diastolic color and pulsed Doppler flow signal were noted (see Figure 1 and Movie I in the online-only Data Supplement). The cavity seemingly had a tortuous …
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