March 2012 Br J Cardiol 2012;19:46–7 doi:10.5837/bjc.2012.010
Andrew J Howe, John A Purvis
Figure 1. Transoesophageal echocardiogram image. Hollow arrow marks abscess anterior to a bicuspid aortic valve (AV) and below the level of the pulmonary valve (PV). Solid arrow marks vegetation on the posterior aspect of the aortic valve TOE confirmed a 0.8 cm vegetation at the posteriorcommissure of the aortic valve with an ill-defined, 1.6 cm diameter, loculated lesion anterior to the valve pressing into the right ventricular outflow tract. This was felt to be an abscess cavity (hollow arrow, figure 1). TOE showed no involvement or impairment of flow throughout the length of the left main stem (LMS) or proximal right coronary arteries (LMS
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