case_images: PMC10453950_01
case_images: Large echogenic mass can be appreciated on the aortic valve.
case_images: mdcvj-19-1-1241-g1.jpg
case_images: PMC10453950_01_mdcvj-19-1-1241-g1.jpg
case_images: F1
case_images: Transthoracic echocardiography was performed and demonstrated global left ventricular (LV) hypokinesis, right ventricular dilation and hypokinesis, and a 1.5 cm x 1.6 cm echogenic mass on the ventricular side of the aortic valve (AV) (Figure 1).
case_images: Transesophageal echocardiography midesophageal aortic valve short axis view (left) and long axis view (right). Large mobile vegetation on the aortic valve with significant left ventricular outflow obstruction; see also at https://youtu.be/nNkrE-YsOKk.
case_images: .jpg
case_images: PMC10453950_01_.jpg
case_images: V1
case_images: AV with LV outflow obstruction (Video 1). AV mean pressure gradient was 38.7 mm Hg and the maximum velocity was 3.64 m/s (Figure 2). The calculated dimensionless index was 0.34 (Figure 2).
case_images: Pulse wave Doppler (2a) and continuous wave Doppler (2b) with evidence of left ventricular outflow obstruction.
case_images: mdcvj-19-1-1241-g2.jpg
case_images: PMC10453950_01_mdcvj-19-1-1241-g2.jpg
case_images: F2
case_images: On day 5 of his ICU stay, the patient became difficult to arouse, prompting imaging that revealed acute cerebrovascular accident (Figure 3), likely secondary to septic embolization.