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(a) Brain magnetic resonance imaging showing multiple acute cerebral infarctions. (b) Transesophageal echocardiography showing mobile vegetations >10 mm attached to the posterior mitral leaflet. (c) Moderate mitral regurgitation from the posterior commissure (commissural view). (d) Intraoperative findings (surgeon's view): fragile vegetations were seen extensively attached to the both mitral leaflets on the posterior commissure side (*).
