case_images: PMC11738642_01
case_images: Transthoracic echocardiography imaging. (A) Aortic valve short axis. (B) Aortic valve short axis with color-flow Doppler.
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case_images: TTE was performed 2 h after admission. TTE suggested pericardial effusion, abnormal aortic valve development, and no significant abnormalities in left heart function. (Figure 1).
case_images: The images of the cardiac CT. (A) The coronal view of the heart, arrow points to the aneurysm of the aortic sinus. (B) The transverse section of the heart. (C) The sagittal view of the heart. (D) 3D image. (E) The transverse section of the kidney, the line indicates the area of renal infarction. (F) The coronal section of the kidney.
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case_images: ccr370114-fig-0002
case_images: CT scan was performed 4 h after admission. CT angiography suggested significant dilation of the ascending aortic sinus, with an abnormal protruding sac-like high-density image adjacent to the left coronary sinus, suspected to be an aortic sinus aneurysm (Figure 2).
case_images: Transesophageal echocardiography imaging. (A) Aortic valve short-axis with color-flow Doppler, arrowhead points to periannular abscess. (B) Aortic valve long-axis with color-flow Doppler.
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case_images: PMC11738642_01_CCR3-13-e70114-g001.jpg
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case_images: This is consistent with the appearance of a PA of the aortic valve, and the floating vegetation within the lumen has the potential to detach at any time (Figure 3).
case_images: Intraoperative images showing periannular abscess during aortic exploration, arrowhead points to periannular abscess.
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case_images: ccr370114-fig-0004
case_images: The patient underwent immediate surgical intervention, including debridement of infected tissue, aortic valve with ascending aorta replacement, and coronary artery transplantation (Figure 4).