Fig. 3

Images of transesophageal echocardiography (TEE). On the TEE, a vegetation (4.8 × 2.8 mm) on the noncoronary cusp (white arrow) and aneurysmal enlargement of noncoronary cusp with perforation (white arrow head) were identified (A). A severe aortic regurgitation from perforated noncoronary cusp was demonstrated by TEE with Color Doppler echocardiography (B)