case_images: PMC7472547_01
case_images: TOE images demonstrating multiple vegetation attached to the aortic valve and aortic root with dilatation of sinus Valsalva anteriorly; likely to be an abscess cavity.
case_images: acmi-1-051-g001.jpg
case_images: PMC7472547_01_acmi-1-051-g001.jpg
case_images: F1
case_images: TOE demonstrated 'multiple vegetation attached to the aortic valve and aortic root with dilation of sinus Valsalva anterior, appearances suggestive of an aortic valve abscess', as demonstrated in Figs 1 and 2. The aortic valve morphology appeared to be bicuspid, with one anterior cusp; this morphology is believed to be an independent risk factor for HACEK endocarditis.
case_images: Severe aortic regurgitation.
case_images: acmi-1-051-g002.jpg
case_images: PMC7472547_01_acmi-1-051-g002.jpg
case_images: F2
case_images: TOE demonstrated 'multiple vegetation attached to the aortic valve and aortic root with dilation of sinus Valsalva anterior, appearances suggestive of an aortic valve abscess', as demonstrated in Figs 1 and 2. The aortic valve morphology appeared to be bicuspid, with one anterior cusp; this morphology is believed to be an independent risk factor for HACEK endocarditis.