PMC8546413_01
Echocardiography showing a mass (i.e., Fungal ball) attached to the cusps of the aortic valve (blue arrows). (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.)
gr1.jpg
PMC8546413_01_gr1.jpg
fig0005
Abdominal computed tomography (CT) showed a wedge-shaped hypodense lesion in the spleen suggestive of splenic infarction [Fig. 1A].
(A) CT abdomen showing wedge-shaped hypodense lesion consistent with splenic infarction, (B) CT brain showing multiple hypodense lesions involving temporal and occipital lobes consistent with infarcts due to showering emboli, (C) CT aortogram depicting occlusion of abdominal aorta bifurcation.
gr2.jpg
PMC8546413_01_gr2.jpg
fig0010
Echocardiography (echo) revealed moderate aortic regurgitation and a rounded mass measuring approximately 1.5 by 1 cm attached to the left aortic valve coronary cusp, which was not present in the previous echo one year earlier [Fig. 2]. CT brain showed multiple brain hypodensities, suggesting thrombo-embolic stroke [Fig. 2B]. CT aortogram demonstrated saddle thrombus at the aortic bifurcation occluding the proximal parts of common iliac arteries [Fig. 2C].