1. An Unusual Case of Arterial Embolism in an Adolescent With a Mitral Valve Repair With a Ring 
Christos Tourmousoglou, MD, Christos Karkos, MD, Theodoros Fidanis, MD, Efstratios K. Theofilogiannakos, MD, Prodromos Hytiroglou, MD, Antonis Pitsis, MD 
The Annals of Thoracic Surgery 
Volume 104, Issue 4, Pages e315-e317 (October 2017)
DOI: /j.athoracsur
Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
Digital subtraction angiography revealing abrupt cutoff in (A) the left common femoral artery and (B) the left popliteal artery (B) in keeping with the diagnosis of an embolic occlusion. (C, D) Transesophageal echocardiography showing normal left ventricular size and systolic function with mild-to-moderate mitral regurgitation. Most importantly, multiple hyperechogenic masses attached at the anterior leaflet of the mitral valve are observed.
The Annals of Thoracic Surgery  , e315-e317DOI: ( /j.athoracsur )
Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Hematoxylin and eosin–stained sections of the embolic material: (A) low-power view; (B) high-power view revealing minute fragments of synthetic material (arrows).
The Annals of Thoracic Surgery  , e315-e317DOI: ( /j.athoracsur )
Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Kalangos Bioring in its commercial form (Bioring SA, Lonay, Switzerland). The body of the mitral Bioring (A) differs from that of the tricuspid Bioring (B) because of different anatomic structures of the native mitral and tricuspid valve.
The Annals of Thoracic Surgery  , e315-e317DOI: ( /j.athoracsur )
Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions