case_images: PMC4475710_01
case_images: Transthoracic echocardiogram showing a 10 mm x 11 mm vegetation (arrow) on the ventricular aspect of the pulmonic valve.
case_images: CRIID2015-274819.001.jpg
case_images: PMC4475710_01_CRIID2015-274819.001.jpg
case_images: fig1
case_images: TTE and 12 days after initiation of antibiotics) revealing a new 10 mm x 11 mm vegetation on the ventricular aspect of the pulmonic valve, severe tricuspid regurgitation, and severe prosthetic valve mitral stenosis (Figure 1). The patient was not a candidate for pulmonic valve replacement and medical management was continued.