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This video clip depicts two-dimensional transesophageal echocardiography performed in another patient with a metallic prosthetic valve shows acoustic shadowing (arrows) and reverberations on the ventricular aspect of the prosthetic valve but the left atrium is clear. Thus, both transthoracic and transesophageal modalities complement each other in adequately assessing metallic prosthetic valves. (LA: Left atrium; LV: Left ventricle; RA: Right atrium; RV: Right ventricle).
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