Owls Eyes in the Left Atrium

“ Owls eyes ” appearances in cardiac surgery have been described in literature in conditions of infiltrative cardiomyopathies, during pulmonary vein visualisation for catheter ablation of symptomatic atrial fibrillation. Unlike in the literature, an intraoperative transesophageal echocardiogram while evaluating the cardiac structures in our adult case of chronic rheumatic heart disease with treated infective endocarditis showed “ Owls eyes ” appearance in left atrial chamber which were due to specific pathology of posterior mitral leaflets involved with rheumatic disaease and findings confirmed at the operation.