case_images: PMC4828096_01
case_images: (A to C) - Radiologic evolution - progressive worsening of pulmonary
  interstitial edema. (D) - Transthoracic echocardiography - severe aortic
  regurgitation measured by continuous Doppler. (E) - Transesophageal
  echocardiography - aortic valve vegetations on the non-coronary and
  right coronary cusps.
case_images: rbti-28-01-0083-g01.jpg
case_images: PMC4828096_01_rbti-28-01-0083-g01.jpg
case_images: f1
case_images: She had high inflammatory parameters and mild hypoxemia, and the admission chest radiography showed right hilar congestion (Figure 1A). Over the next 2 days, she deteriorated rapidly, with progressive worsening of clinical, analytical (Table 1), and radiological (Figures 1A to 1C) parameters. Because there was no improvement, transthoracic echocardiogram was performed the following day and despite bad image quality, showed an important aortic regurgitation (Figure 1D). The transesophageal echocardiogram confirmed severe aortic regurgitation and the presence of two aortic valve vegetations, adherent to the right coronary and to the non-coronary cusps (Figure 1E).