A 47-year-old man presented with symptoms typical of infective endocarditis and history of streptococcal meningitis 8 months previously. Echocardiography showed a large aortic valve vegetation that was interpreted as disruption of the noncoronary cusp. This was ruled out by 64-slice cardiac computed tomography. Valve replacement was performed successfully.
CheitlinMDArmstrongWFAurigemmaGPBellerGABiermanFZDavisJL. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the (1997) Guidelines for the Clinical Application of Echocardiography). Circulation2003;108:1146–62.
2.
StillmanAEOudkerkMAckermanMBeckerCRBuszmanPEde FeyterPJ. Use of multidetector computed tomography for the assessment of acute chest pain: a consensus statement of the North American Society of Cardiac Imaging and the European Society of Cardiac Radiology. Eur Radiol2007;17:2196–207.
3.
FlohrTGSchoepfUJOhnesorgeBM. Chasing the heart: new developments for cardiac CT [Review]. J Thorac Imaging2007;22:4–16.
4.
RossDN. Replacement of the aortic and mitral valves with a pulmonary autograft. Lancet1967;2:956–8.
5.
SimonPAschauerCMoidlRMarxMKeznicklFPEigenbauerE. Growth of the pulmonary autograft after the Ross operation in childhood. Eur J Cardiothorac Surg2001;19:118–21.
6.
MoidlRSimonPAschauerCChevtchikOKupilikNRödlerS. Does the Ross operation fulfill the objective performance criteria established for new prosthetic heart valves?. J Heart Valve Dis2000;9:190–4.
7.
KouchoukosNTDavila-RomanVGSprayTLMurphySFPerrilloJB. Replacement of the aortic root with a pulmonary autograft in children and young adults with aortic-valve disease. N Engl J Med1994;330:1–6.
