Cardiac Computed Tomography of Severe Aortic Endocarditis

Abstract

A 37-year-old patient revealed a splenic infarct (Figure 1) after work-up for left-sided chest pain. The patient had a fever of 38°C, a pulse of 55 beats per minute, and a blood pressure of 140/50 mm Hg. Transesophageal echocardiography confirmed an aortic valve graft with abscess of the aortomitral fibrous trigone (Figure 2, Data Supplement Movie I) that complicated a stage IV rheumatic aortic insufficiency …