case_images: PMC9836057_01
case_images: Top: transoesophageal echocardiogram demonstrating valvular vegetation (blue arrow) and mitral valve outpouching and perforation (red arrow). Bottom: the regurgitant jet through the aortic valve perforation (courtesy of Walter Reed Cardiology).
case_images: acmi-4-410-g001.jpg
case_images: PMC9836057_01_acmi-4-410-g001.jpg
case_images: F1
case_images: A transoesophageal echocardiogram was subsequently performed, which demonstrated severe aortic valve regurgitation with a perforation of the non-coronary cusp associated with an 8 mm, thin, filamentous mobile structure consistent with a vegetation (Fig. 1).