Fig. 1

Transesophageal echocardiography findings. Vegetative lesions are visualized at the right coronary cusp (3 × 12 mm) and the noncoronary cusp (6 × 12 mm) of the aortic valve with the presence of newly developed severe aortic regurgitation (a). An interatrial shunt, suggesting the presence of patent foramen ovale, as demonstrated on color Doppler ultrasonography (b). LA left atrium, LV left ventricle, Ao ascending aorta