PMC5451782_01
PMC5451782_02
TTE: parasternal short axis view showing type A quadricuspid aortic valve in systole (a) and diastole with a planimetric aortic valve area of 1.8 cm2 (b). (c) shows type A quadricuspid aortic valve during systole along with two fistulae, the first between the left sinus of Valsalva and the left atrium (LA) and the second between an aortic periannular abscess and LA.
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fig1
Furthermore, we evidenced two existing interruptions of tissue continuity between the aortic root and left atrium (LA) traversed by a turbulent flow inside revealing abscess and left sinus of Valsalva fistulization to LA (Figures 1 and 2).
TTE: parasternal long axis view showing aortic periannular abscess communicating with the left atrium without (a, c) and with color Doppler imaging (b) and aortic vegetation (d).
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fig2
Furthermore, we evidenced two existing interruptions of tissue continuity between the aortic root and left atrium (LA) traversed by a turbulent flow inside revealing abscess and left sinus of Valsalva fistulization to LA (Figures 1 and 2).
CT displays (a) on axial plane an irregular, deformed aortic valve, in which there is hypodense material (red arrow), two pseudoaneurysms (blue arrows), and dilated left atrium (black star). (b) Coronal reconstruction showing a pseudoaneurysm at the base of the ascending aorta (blue arrow) and dilated left atrium (black star).
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fig3
Multislice computed tomography (MSCT) displayed two pseudoaneurysms and hypodense material, suggestive of an abscess, in the aortic root (Figure 3).