replacement one year ago that was complicated by sternal osteomyelitis.

A transthoracic echocardiography (TTE) was done which demonstrated left ventricle ejection fraction 64%, hypo-akinesis of inferior, inferolateral walls and at least moderate mitral regurgitation. The AVR mean gradient measured 18 mmHg with a maximal velocity of 2.6 m/s.

Since the TTE parasternal acoustic window was poor, a transesophageal echocardiography (TEE) was performed:

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Case Studies in Infective Endocarditis an Update, part 2

Case 3