PMC4677595_01
TEE at the mid-esophageal level showing vegetation (*) on the aortic valve and fistula formation (arrow) between the aortic root and the right atrium.
JCHIMP-5-29446-g001.jpg
PMC4677595_01_JCHIMP-5-29446-g001.jpg
F0001
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).
Color Doppler of the fistula communicating the aortic root and the right atrium.
JCHIMP-5-29446-g002.jpg
PMC4677595_01_JCHIMP-5-29446-g002.jpg
F0002
Also, a root abscess was present with fistula formation between the right sinus of Valsalva and the right atrium (Fig. 2).