case_images: PMC4306225_01
case_images: ECG demonstrating complete atrioventricular block with accelerated junctional escape.
case_images: CRIID2015-324675.001.jpg
case_images: PMC4306225_01_CRIID2015-324675.001.jpg
case_images: fig1
case_images: An electrocardiogram (ECG) demonstrated accelerated junctional escape rhythm with complete atrioventricular block (Figure 1).
case_images: Transesophageal echocardiogram at midesophageal inflow/outflow tract revealing subannular abscess, in diastole.
case_images: CRIID2015-324675.002.jpg
case_images: PMC4306225_01_CRIID2015-324675.002.jpg
case_images: fig2
case_images: TEE confirmed initial TTE findings of aortic valve thickening on the left coronary cusp highly suggestive of vegetation (Figure 2) and associated severe aortic regurgitation.
case_images: Transesophageal echocardiogram at midesophageal long-axis view with Doppler revealing regurgitation into abscess surrounding the aortic valve suggestive of aortic fistula.
case_images: CRIID2015-324675.003.jpg
case_images: PMC4306225_01_CRIID2015-324675.003.jpg
case_images: fig3
case_images: Furthermore, an echo density was noted at the aortic root with color flow transmission highly suggestive of an aortic root abscess with fistula (Figure 3).