case_images: PMC6432829_01
case_images: A transesophageal echocardiogram revealed an hyperechoic enlarged image measuring 2.9 cm long and 1.4 cm wide.
case_images: 994_Fig1.jpg
case_images: PMC6432829_01_994_Fig1.jpg
case_images: f1-994-1-7055-1-10-20190131
case_images: It was therefore decided to include piperacillin-tazobactam and to expand the study: a chest-abdomen-pelvis CT scan did not show any relevant pathological findings, but a transoesophageal echocardiogram revealed an enlarged image (29x14 mm) in the anterior segment of the aortic prosthesis, which continued in the initial segment of the ascending aorta, suggesting a periaortic abscess within the preserved aortic valve (Fig. 1).
case_images: A PET/TC scan showed a pathological metabolism of the periaortic valve prosthesis, consistent with a perivascular infectious pathology.
case_images: 994_Fig2.jpg
case_images: PMC6432829_01_994_Fig2.jpg
case_images: f2-994-1-7055-1-10-20190131
case_images: A PET-CT scan showed an increase in the pathological metabolism of the periaortic valve prosthesis, consistent with a perivascular infectious pathology (Fig. 2).