This case is of a patient suffering from atrial flutter (170 bpm) and hypotension. After administration of amiodarone, normotension with HR of 110 bpm has been restored.
Patient undergone replacement of mitral valve with a mechanical prosthesis (8 years ago) and coronary artery bypass graft surgery (3 years ago).
Now, the patient complains of a headache.
Bed-side echocardiography was performed: