Abstract
A patient with aortic valve endocarditis presented with severe aortic regurgitation, large vegetation, and a periannular cavity at transesophageal echocardiography consistent with an abscess. At surgery a common coronary ostium was found, which was responsible for the abnormal periannular image. Such congenital abnormality, although unusual, is an echocardiographic pitfall in the case of endocarditis.
MeSH terms
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Abscess / diagnostic imaging*
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Aortic Valve / diagnostic imaging*
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Aortic Valve Insufficiency / complications
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Coronary Vessel Anomalies / complications
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Coronary Vessel Anomalies / diagnosis*
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Diagnostic Errors
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Echocardiography, Transesophageal
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnostic imaging*
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Heart Valve Diseases / diagnostic imaging
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Humans
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Male
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Middle Aged
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Streptococcal Infections / diagnostic imaging