Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography

Figure 12  Infective endocarditis. A 73-year-old man hospitalized with infective endocarditis and acute ischemic stroke underwent cardiac computed tomography (CCT) to rule out obstructive coronary artery disease before urgent surgical aortic valve replacement. A: Diffusion-weighted brain magnetic resonance imaging shows hyperintense lesions in bilateral cerebral hemisphere (arrows). B: Left ventricular outflow tract long axis reformatted CCT image shows irregularly shaped aortic valve vegetations adherent to left coronary cusp (LCC); C: Surgically resected LCC of aortic valve with fragile vegetations. NCC: Noncoronary cusp.