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Transesophageal echocardiogram (TTE) in Midesophageal Long-Axis view (ME LAX) showing an aortic valve involved by endocarditis (A). Note that the mitral apparatus (B) doesn't show any signs of involvement.
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Another transesophageal echocardiogram (Fig. 1) was performed, presenting now a large and fistulized abscess located close to the left coronary cusp, with a continuous shunt directed towards the left atrium and part of its content protruding on the left ventricle outflow tract.
Contrast-enhanced cardiac computed tomography showing a contained rupture of a pseudoaneurysm in the aortic angle.
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Contrast-enhanced cardiac computed tomography (Fig. 2) suggested a contained rupture of a pseudoaneurysm in the aortic angle, measuring 27 x 15 mm on axial and 25 mm on coronal planes, in close relation to the left sinus of Valsalva (immediately inferior), its neck located 16 mm from left coronary ostium origin.