Longitudinal long-axis transthoracic echography after an uneventful vegetation excision, partial leaflet resection, and reconstruction by pericardial patch and ring annuloplasty (the latter is indicated by the arrow). Traces of colour Doppler flow in the left atrium indicates severe mitral regurgitation resolution after surgery. Anatomical landmarks: AA, ascending aorta; LA, left atrium; LV, left ventricle; RV, right ventricle.