Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis: A contemporary narrative review

Figure 5 Cardiac computed tomography in a patient with tricuspid valve replacement endocarditis with peri-valvular extension. Thirty-two year-old male with a history of intravenous drug abuse status post bioprosthetic tricuspid valve replacement presenting with methicillin-sensitive Staphylococcus Aureus due to relapsed drug abuse. Cardiac computed tomography demonstrated thickening of the valve leaflets (A: Arrow) and a 2.7 cm × 1.9 cm × 1.4 cm lobulated pocket of free-flowing blood/contrast interposed between the tricuspid annulus and the aortic annulus consistent with abscess/fistula (B: Arrow). Prominent pulmonary septic embolism was also detected (C: Arrow).