PMC7305547_01
1st ECG obtained from patient with a 2nd degree AV block consistent with Mobitz type I.
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Upon cardiology review of the initial electrocardiogram (ECG), it was found the patient had a Mobitz type 1 block (Figure 1).
A follow-up ECG taken the next day from the patient with a 3rd degree AV block.
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A follow-up ECG was ordered the next day, which showed the patient had progressed to a complete AV block (Figure 2).
Transesophageal echocardiogram showing a 4-chamber view. Paravalvular abscess is circled.
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A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
Transesophageal short axis and long axis view, respectively, of the aortic valve showing multiple echolucent areas of the aortic root suggestive of aortic root abscess.
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A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
Transesophageal short axis and long axis view, respectively, of the aortic valve. Doppler interrogation shows severe aortic stenosis across valve.
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A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).
Transesophageal long axis view of the aortic valve. Paravalvular abscess is denoted by the circle. The arrow denotes vegetation on the aortic valve.
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A small mobile echogenic density was also seen attached to the base of aortic leaflets (Figures 3-6).