PMC9836057_01
Top: transoesophageal echocardiogram demonstrating valvular vegetation (blue arrow) and mitral valve outpouching and perforation (red arrow). Bottom: the regurgitant jet through the aortic valve perforation (courtesy of Walter Reed Cardiology).
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F1
A transoesophageal echocardiogram was subsequently performed, which demonstrated severe aortic valve regurgitation with a perforation of the non-coronary cusp associated with an 8 mm, thin, filamentous mobile structure consistent with a vegetation (Fig. 1).