Fig. 2

(A) Transesophageal echocardiography demonstrating mitral regurgitation depicted by moderate to a severe posterior eccentric jet of mitral regurgitation with evidence of leaflet perforation and color Doppler signal going through the vegetation. (B) Large and rounded echo density measuring up to 1.2 × 1.3 cm attached to the P3 segment of the posterior mitral valve leaflet suggestive of endocarditis, mitral vegetation, and perforation