PMC8608870_01
Transesophageal echocardiogram. A: Aortic valve vegetation extending into the LVOT and abutting the anterior mitral leaflet. B: Aortic valve vegetation with aortic root abscess.
gr1.jpg
PMC8608870_01_gr1.jpg
fig0005
A transesophageal echocardiogram was done showing an echo dense highly mobile oscillating structure attached to the left aortic valve cusp between the noncoronary and left coronary cusp measuring 1 x 1.5 cm consistent with an aortic valve vegetation extending into the LVOT and abutting the anterior mitral leaflet in addition to an aortic root abscess with loculations and early dehiscence of the base of the aortic valve [Fig. 1].
A: Aortic valve vegetation with aortic root abscess. B: Aortic root repair with insertion of bovine pericardial patch. C: Aortic valve post suture-less bioprosthetic valve implantation (Corcym Perceval prosthesis).
gr2.jpg
PMC8608870_01_gr2.jpg
fig0010
On day 10 of hospitalization, patient underwent aortic root debridement and repair with a pericardial patch, mitral valve repair with removal of vegetations noted on the anterior leaflet and aortic valve replacement with a suture-less bovine prosthetic valve [Fig. 2].
Bullous eruption of patient's left hand.
gr3.jpg
PMC8608870_01_gr3.jpg
fig0015
On post-operative day 4, he developed a blister eruption on the soles of his feet, bilateral hands, arms and abdomen [Fig. 3].