
Figure 1
Transesophageal echocardiogram showing severe mitral regurgitation.
Video 1(A)
Transesophageal echocardiogram 2-dimensional video showing a large oscillating echodensity on the bioprosthetic mitral valve, also at https://youtu.be/hm8LprvaWDY.
Video 1(B)
Transesophageal echocardiogram 3-dimensional video of oscillating echodensity, also at https://youtu.be/qfxDc736LG4.

Figure 2
Transesophageal echocardiogram showing trivial mitral regurgitation after valve-in-valve procedure.

Figure 3
Aspirated material after AngioVac removal.
Video 2
Transesophageal echocardiogram video showing AngioVac removal of the vegetation, also at https://youtu.be/HJ1yQsG7wPU.
Video 3
Transesophageal echocardiogram video showing successful deployment of a 21-mm Edwards Trifecta™ Bioprosthetic Valve in the bioprosthetic mitral valve, also at https://youtu.be/qvsrElMhhKs.
Video 4
Transesophageal echocardiogram 3-dimensional video showing final results, also at https://youtube.com/shorts/vG34eVLoP5M.
Video 5
Transthoracic echocardiogram 1 month after valve-in-valve procedure, also at https://youtu.be/CqxZ1Pfmt-o.