►On TEE:
very
thickened aortic valve.
►Severe
AR
►Hypoecogenic
mass at the base of aorta. (abscess?).
►Perivalvular
abscess
►Membranous
VSD
►Day 4:Transfer to
emergency valve replacement
Operation
results:
►huge
abscess at the root of aorta
►Septal
perforation (false VSD)