case_images: PMC4677595_01
case_images: TEE at the mid-esophageal level showing vegetation (*) on the aortic valve and fistula formation (arrow) between the aortic root and the right atrium.
case_images: JCHIMP-5-29446-g001.jpg
case_images: PMC4677595_01_JCHIMP-5-29446-g001.jpg
case_images: F0001
case_images: Given high suspicion for IE, a transesophageal echocardiogram (TEE) was performed revealing an irregularly shaped mobile echodensity (1.7 cmx1.0 cm) on the aortic valve consistent with a vegetation (Fig. 1).
case_images: Color Doppler of the fistula communicating the aortic root and the right atrium.
case_images: JCHIMP-5-29446-g002.jpg
case_images: PMC4677595_01_JCHIMP-5-29446-g002.jpg
case_images: F0002
case_images: Also, a root abscess was present with fistula formation between the right sinus of Valsalva and the right atrium (Fig. 2).