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Clinical valve thrombosis. (A,B) Transesophageal echocardiography (TEE) showing thrombosis and turbulent color flow over a bioprosthetic aortic valve in a patient who underwent transcatheter aortic valve replacement 6 years earlier. The patient presented with dyspnea NYHA class 3b and echocardiography revealed a mean transvalvular gradient of 37 mmHg (C,D) The thrombotic mass at the prosthetic leaflets was confirmed by intracardiac echocardiography from the ascending aorta.
