Lactococcus garvieae: An Uncommon Human Pathogen Causing Infective Endocarditis in a Valve-in-Valve Transcatheter Aortic Valve Replacement

Figure 5

Transesophageal echocardiogram (TEE) midesophageal views (Video 1). Various frames of TEE images showing an elongated and oscillating echogenic structure (red arrow) attached to the right coronary cusp leaflet of the valve-in-valve TAVR (blue arrow) consistent with an infective endocarditis vegetation (measuring 0.7 cm). No significant insufficiency or paravalvular extension of infection was detected. No evidence in favor of valvular thrombosis. The other native valves (especially the mitral valve) had no vegetations. LA: left atrium; Ao: ascending aorta.