case_images: PMC5409950_01
case_images: Echocardiographic views of the patient:
case_images: JTHC-12-42-g001.jpg
case_images: PMC5409950_01_JTHC-12-42-g001.jpg
case_images: F1
case_images: Transthoracic and transesophageal echocardiography revealed a ruptured noncoronary SVA to the right atrium, 2 vegetations on the ventricular side of the noncoronary cusp of the aortic valve (7 x 6 mm, 3 x 3 mm) and perforation of this cusp resulting in severe aortic regurgitation, 2 large vegetations on the atrial side of the septal and posterior leaflets of the tricuspid valve (7 x 12 mm, 7 x 12 mm), and moderately severe tricuspid regurgitation (Figure 1).