Intraoperative mid-esophageal 2-chamber TEE image demonstrates thin and pliable bioprosthetic mitral leaflets after 5 days of intravenous heparin (compare to Fig. 1A and B). The left atrial thrombus remains. View Video 5 at http://movie-usa.glencoesoftware.com/video/10.1530/ERP-17-0004/video-5.