Aortic Valve Replacement and Penicillin Desensitization in a Patient with Abiotrophia defectiva Aortic Valve Endocarditis

Figure 1

Transoesophageal echocardiogram images suggestive of bicuspid native aortic valve infective endocarditis. AV: aortic valve; LV: left ventricle; RV: right ventricle; LA: left atrium. Transoesophageal echocardiogram demonstrates the classical “fish mouth” appearance of aortic bicuspid valve during systole (a), severe aortic regurgitation (b), vegetation adherent to the ventricular aspect of the aortic valve seen in two-dimensional echocardiogram (c), and three-dimensional echocardiogram (d).

(a)

(b)

(c)

(d)