case_images: PMC7525298_01
case_images: TTE from parasternal long axis view showing large echodensity on the right coronary cusp. Color Doppler demonstrates AI.
case_images: CRIC2020-8844255.001.jpg
case_images: PMC7525298_01_CRIC2020-8844255.001.jpg
case_images: fig1
case_images: Additionally, there was eccentric aortic insufficiency (AI) graded as moderate in severity by qualitative assessment (Figure 1).
case_images: TEE from transgastric long axis view with beam path at 120 degrees showing aortic valve echodensity. Color Doppler demonstrates severe AI. Yellow arrow points to subaortic membrane.
case_images: CRIC2020-8844255.002.jpg
case_images: PMC7525298_01_CRIC2020-8844255.002.jpg
case_images: fig2
case_images: Interestingly, a linear structure in the left ventricular outflow tract (LVOT) was visualized, suggestive of a subaortic membrane (Figure 2).
case_images: Resected aortic valve with vegetation on the left coronary cusp and perforation of the right coronary cusp.
case_images: CRIC2020-8844255.003.jpg
case_images: PMC7525298_01_CRIC2020-8844255.003.jpg
case_images: fig3
case_images: He was found to have extensive phlegmon on the right coronary cusp and a perforation of the left coronary cusp of the aortic valve (Figure 3).
case_images: Intraoperative images showing the thin fibrotic subaortic membrane visible above the suction cannula.
case_images: CRIC2020-8844255.004.jpg
case_images: PMC7525298_01_CRIC2020-8844255.004.jpg
case_images: fig4
case_images: Additionally, inspection of the LVOT confirmed a fibrotic subaortic membrane extending from the interventricular septum to the anterior annular region of the mitral valve (Figure 4).