case_images: PMC7305547_01
case_images: 1st ECG obtained from patient with a 2nd degree AV block consistent with Mobitz type I.
case_images: CRIID2020-7463719.001.jpg
case_images: PMC7305547_01_CRIID2020-7463719.001.jpg
case_images: fig1
case_images: Upon cardiology review of the initial electrocardiogram (ECG), it was found the patient had a Mobitz type 1 block (Figure 1).
case_images: A follow-up ECG taken the next day from the patient with a 3rd degree AV block.
case_images: CRIID2020-7463719.002.jpg
case_images: PMC7305547_01_CRIID2020-7463719.002.jpg
case_images: fig2
case_images: A follow-up ECG was ordered the next day, which showed the patient had progressed to a complete AV block (Figure 2).
case_images: Transesophageal echocardiogram showing a 4-chamber view. Paravalvular abscess is circled.
case_images: CRIID2020-7463719.003.jpg
case_images: PMC7305547_01_CRIID2020-7463719.003.jpg
case_images: fig3
case_images: A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
case_images: Transesophageal short axis and long axis view, respectively, of the aortic valve showing multiple echolucent areas of the aortic root suggestive of aortic root abscess.
case_images: CRIID2020-7463719.004.jpg
case_images: PMC7305547_01_CRIID2020-7463719.004.jpg
case_images: fig4
case_images: A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
case_images: Transesophageal short axis and long axis view, respectively, of the aortic valve. Doppler interrogation shows severe aortic stenosis across valve.
case_images: CRIID2020-7463719.005.jpg
case_images: PMC7305547_01_CRIID2020-7463719.005.jpg
case_images: fig5
case_images: A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
case_images: Transesophageal long axis view of the aortic valve. Paravalvular abscess is denoted by the circle. The arrow denotes vegetation on the aortic valve.
case_images: CRIID2020-7463719.006.jpg
case_images: PMC7305547_01_CRIID2020-7463719.006.jpg
case_images: fig6
case_images: A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).