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. 2016 Aug 1;4(1):119–122. doi: 10.1002/ams2.234

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© 2016 The Authors Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

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Imaging and histological findings of Case 1, a 72‐year‐old woman with unilateral pulmonary edema. A, Anteroposterior chest radiograph shows right‐side limited infiltrates with cardiomegaly. B, Transthoracic echocardiography shows mitral valve prolapse (arrow). C, Color Doppler transesophageal echocardiography reveals severe mitral regurgitation and the regurgitant jet tending to blow rightward within the left atrium at the midesophageal two‐chamber view. D, Histological findings of the mitral valve reveal fibrous thickening but no vegetation or rheumatic change. LA, left atrium; LAA, left atrial appendage; LV, left ventricle.