case_images: PMC10870037_01
case_images: Electrocardiogram showing sinus tachycardia with arrows pointing out RR interval
case_images: cureus-0016-00000052488-i01.jpg
case_images: PMC10870037_01_cureus-0016-00000052488-i01.jpg
case_images: FIG1
case_images: On physical examination, the patient was not in acute distress, had a 2 out of 6 diastolic heart murmur over the aortic and pulmonic areas, was tachycardic with a heart rate in the 100s (Figure 1), and had reduced breath sounds over bilateral lung bases.
case_images: BAV vegetation on transthoracic echocardiogram. BAV: bicuspid aortic valve
case_images: cureus-0016-00000052488-i02.jpg
case_images: PMC10870037_01_cureus-0016-00000052488-i02.jpg
case_images: FIG2
case_images: Transthoracic echocardiogram showed normal left ventricular ejection fraction, severe aortic regurgitation, and moderate-sized vegetation or mass on the BAV (Figures 2, 3).
case_images: BAV vegetation on transthoracic echocardiogram. BAV: bicuspid aortic valve
case_images: cureus-0016-00000052488-i03.jpg
case_images: PMC10870037_01_cureus-0016-00000052488-i03.jpg
case_images: FIG3
case_images: Transthoracic echocardiogram showed normal left ventricular ejection fraction, severe aortic regurgitation, and moderate-sized vegetation or mass on the BAV (Figures 2, 3).
case_images: BAV vegetations on transesophageal echocardiogram. BAV: bicuspid aortic valve
case_images: cureus-0016-00000052488-i04.jpg
case_images: PMC10870037_01_cureus-0016-00000052488-i04.jpg
case_images: FIG4
case_images: A transesophageal echocardiogram confirmed vegetations on the ventricular surfaces of both aortic leaflets and severe aortic regurgitation (Figure 4).
case_images: Aortic valve remnant
case_images: cureus-0016-00000052488-i05.jpg
case_images: PMC10870037_01_cureus-0016-00000052488-i05.jpg
case_images: FIG5
case_images: Figure 5 shows the remnant BAV with vegetation.