K e y w o r d s Bacterial endocarditis, Echocardiography, Heart, Mitral diseases, Mitral ring calcification, Sepsis A b b r e v i a t i o n s u s e d AML, anterior mitral leaflet; LA, left atrium; LV, left ventricle; MAC, mitral annular calcification; PML, posterior mitral leaflet; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; V, vegetation; IE, infective endocarditis

This case report describes the role of transesophageal echocardiography to diagnose proximal left main coronary artery disease.

Mailing address: Márcia de Melo Barbosa • Al Conde do Rio Pardo, 288, Vila do Conde, 34.000-000, Nova Lima, MG Brazil E-mail: [email protected], [email protected]

A 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified th...