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a Transesophageal echocardiogram shows structural change of left and right coronary cusps of aortic valve. b Vegetations on the mitral valve (arrow) in mitral commissural view. LA left atrium, LV left ventricle, MV mitral valve, RA right atrium, TV tricuspid valve, RVOT right ventricular outflow tract, RV right ventricle, PV pulmonary valve, R right coronary cusp, L left coronary cusp, N noncoronary cusp
