title: An unusual case of acquired ventricular septal defect as a complication of aortic valve endocarditis: echocardiographic delineation of multiple subvalvular complications in one patient.
abstract: We describe a patient with unusual echocardiographic features of prosthetic aortic valve endocarditis. Transesophageal echocardiography in this patient demonstrated a large multiloculated aortic root abscess extending to mitral-aortic intervalvular fibrosa, a high acquired ventricular septal defect, paravalvular aortic regurgitation caused by aortic valve dehiscence, and anterior mitral valve leaflet perforation.
authors.affiliation: Cardiology Section, Loma Linda VA Medical Center, Loma Linda, CA, USA.
authors.forename: K
authors.initials: K
authors.lastname: Ashmeik
authors.forename: R G
authors.initials: RG
authors.lastname: Pai
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001783:Blood Flow Velocity; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology / Q000503:physiopathology; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D013203:Staphylococcal Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000503:physiopathology; D013210:Staphylococcus / Q000302:isolation & purification