Aortic root abscess and mitral valve vegetations

The long axis precordial view (panel A) from a transthoracic echocardiogram in a patient with clinical endocarditis and acute severe aortic regurgitation shows a deformed posterior aortic root and thickend anterior mitral leaflet (arrow), which are nonspecific. The transesophageal echocardiographic views (panels B and C) show a vegetation of the mitral valve (arrow, panel B) and a large abscess cavity of the aortic root (arrow, panel C).