PMC4828096_01
(A to C) - Radiologic evolution - progressive worsening of pulmonary
interstitial edema. (D) - Transthoracic echocardiography - severe aortic
regurgitation measured by continuous Doppler. (E) - Transesophageal
echocardiography - aortic valve vegetations on the non-coronary and
right coronary cusps.
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She had high inflammatory parameters and mild hypoxemia, and the admission chest radiography showed right hilar congestion (Figure 1A). Over the next 2 days, she deteriorated rapidly, with progressive worsening of clinical, analytical (Table 1), and radiological (Figures 1A to 1C) parameters. Because there was no improvement, transthoracic echocardiogram was performed the following day and despite bad image quality, showed an important aortic regurgitation (Figure 1D). The transesophageal echocardiogram confirmed severe aortic regurgitation and the presence of two aortic valve vegetations, adherent to the right coronary and to the non-coronary cusps (Figure 1E).