Collapse of Aortic Tube Graft during Systole

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We present a case of a 61-year-old man with a history of an ascending aortic aneurysm repair who was found to have prosthetic valve endocarditis. On transthoracic and transesophageal echocardiography, we show a devastating complication of prosthetic valve endocarditis: valve dehiscence with paravalvular flow compressing the tube graft during systole and distal dehiscence of the graft as blood from outside the graft reenters the native aorta. These echocardiographic images highlight the virulent nature of prosthetic valve endocarditis and the value of echocardiography in the diagnosis and management of prosthetic valve endocarditis. (Echocardiography 2013;30:E108-E109).

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