Aortic and Mitral Valve Replacement Due to Extensive Inflammatory Immunoglobulin G4–Related Pseudotumor  Josef Besik, MD, Jan Pirk, MD, Ivan Netuka, MD,

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Aortic and Mitral Valve Replacement Due to Extensive Inflammatory Immunoglobulin G4–Related Pseudotumor  Josef Besik, MD, Jan Pirk, MD, Ivan Netuka, MD, Ondrej Szarszoi, MD, Tomas Marek, MD, Marian Urban, MD, Eva Honsova, MD, Jan Laco, MD  The Annals of Thoracic Surgery  Volume 100, Issue 4, Pages 1439-1441 (October 2015) DOI: 10.1016/j.athoracsur.2014.12.051 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transesophageal echocardiographic view showing a tumorous infiltration (arrow) between the anterolateral commissure of the mitral valve (MV) and the left coronary cusp of the aortic valve (AV). The Annals of Thoracic Surgery 2015 100, 1439-1441DOI: (10.1016/j.athoracsur.2014.12.051) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Immunostaining for immunoglobulin-positive cells showing numerous IgG-positive plasma cells (original magnification ×400). The Annals of Thoracic Surgery 2015 100, 1439-1441DOI: (10.1016/j.athoracsur.2014.12.051) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Immunostaining for immunoglobulin-4–positive cells showing a significant number of IgG4-positive plasma cells (original magnification ×400). The Annals of Thoracic Surgery 2015 100, 1439-1441DOI: (10.1016/j.athoracsur.2014.12.051) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions