PMC4306225_01
ECG demonstrating complete atrioventricular block with accelerated junctional escape.
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An electrocardiogram (ECG) demonstrated accelerated junctional escape rhythm with complete atrioventricular block (Figure 1).
Transesophageal echocardiogram at midesophageal inflow/outflow tract revealing subannular abscess, in diastole.
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TEE confirmed initial TTE findings of aortic valve thickening on the left coronary cusp highly suggestive of vegetation (Figure 2) and associated severe aortic regurgitation.
Transesophageal echocardiogram at midesophageal long-axis view with Doppler revealing regurgitation into abscess surrounding the aortic valve suggestive of aortic fistula.
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Furthermore, an echo density was noted at the aortic root with color flow transmission highly suggestive of an aortic root abscess with fistula (Figure 3).