PMC10453950_01
Large echogenic mass can be appreciated on the aortic valve.
mdcvj-19-1-1241-g1.jpg
PMC10453950_01_mdcvj-19-1-1241-g1.jpg
F1
Transthoracic echocardiography was performed and demonstrated global left ventricular (LV) hypokinesis, right ventricular dilation and hypokinesis, and a 1.5 cm x 1.6 cm echogenic mass on the ventricular side of the aortic valve (AV) (Figure 1).
Transesophageal echocardiography midesophageal aortic valve short axis view (left) and long axis view (right). Large mobile vegetation on the aortic valve with significant left ventricular outflow obstruction; see also at https://youtu.be/nNkrE-YsOKk.
.jpg
PMC10453950_01_.jpg
V1
AV with LV outflow obstruction (Video 1). AV mean pressure gradient was 38.7 mm Hg and the maximum velocity was 3.64 m/s (Figure 2). The calculated dimensionless index was 0.34 (Figure 2).
Pulse wave Doppler (2a) and continuous wave Doppler (2b) with evidence of left ventricular outflow obstruction.
mdcvj-19-1-1241-g2.jpg
PMC10453950_01_mdcvj-19-1-1241-g2.jpg
F2
On day 5 of his ICU stay, the patient became difficult to arouse, prompting imaging that revealed acute cerebrovascular accident (Figure 3), likely secondary to septic embolization.