case_images: PMC5803962_01
case_images: Transesophageal echocardiogram showing vegetation/mass noted on septal leaflet of the Tricuspid Valve. RA: Right atrium, LA: Left atrium, RV: Right ventricle
case_images: APC-11-100-g001.jpg
case_images: PMC5803962_01_APC-11-100-g001.jpg
case_images: F1
case_images: There was also a second mass/vegetation seen associated with the septal leaflet of the tricuspid valve and the interatrial septum [Figure 1].
case_images: Transthoracic echocardiogram image showing side by side 2-dimensional and color doppler imaging of membranous septum without VSD. RA: Right atrium, LA: Left atrium RV: Right ventricle, AoV: Aortic Valve
case_images: APC-11-100-g002.jpg
case_images: PMC5803962_01_APC-11-100-g002.jpg
case_images: F2
case_images: No communication across the ventricular septum was observed [Figure 2].
case_images: Transesophageal echocardiogram image showing side by side 2-dimensional and color doppler imaging of IE created defect. LV to RV to Anterior septal commissure of tricuspid valve to RA. RA: Right atrium, LA: Left atrium, RV: Right ventricle, LV: Left ventricle, VSD: Ventricular septal defect
case_images: APC-11-100-g003.jpg
case_images: PMC5803962_01_APC-11-100-g003.jpg
case_images: F3
case_images: Echocardiogram at that time showed a new VSD (left ventricle [LV] to right ventricle [RV] to anterior septal commissure of the tricuspid valve to right atrium) [Figure 3].
case_images: Intraoperative image from the surgeon's viewpoint looking at the tricuspid valve from the right atrial position. The septal leaflet is being held by forceps, and a vegetation is notable in the abscess cavity where the ventricular septal defect begins
case_images: APC-11-100-g004.jpg
case_images: PMC5803962_01_APC-11-100-g004.jpg
case_images: F4
case_images: Intraoperative findings showed a vegetation near the septal leaflet of the tricuspid valve with VSD [Figure 4] and erosion of the noncoronary cusp of the AoV [Figure 5].
case_images: Intraoperative image from the surgeon's viewpoint. Splayed ascending aorta looking at the aortic valve showing erosion of the noncoronary cusp of the aortic valve
case_images: APC-11-100-g005.jpg
case_images: PMC5803962_01_APC-11-100-g005.jpg
case_images: F5
case_images: Intraoperative findings showed a vegetation near the septal leaflet of the tricuspid valve with VSD [Figure 4] and erosion of the noncoronary cusp of the AoV [Figure 5].