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DECLARATIONS
Authors’ contributions
Writing of the case report: Lopez-Marco A, Williams J
Consultant anaesthetist responsible for the case who also performed the intraoperative TOE and facilitated
the images: Tan C
Operating consultant surgeon: Mehta D

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
The patient whom this case report refers gave his written consent form for publication of clinical information
as well as diagnostic images.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2018.

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