A 66‐year‐old woman who had a history of laparoscopic cholecystectomy 6 months prior presented with a high fever. ECG‐gated 64‐Slice MDCT showed a mobile vegetation (1.5 × 0.5 cm) attached to the aortic left coronary cusp (Figures 1 and 2) as demonstrated by comparing systole and diastole. Transthoracic and transesophageal echocardiography confirmed the existence of a very mobile aortic vegetation. A gentamicin‐sensitive and ampicillin‐sensitive single strain of Enterococcus feacalis was isolated from a culture of the patient's blood. Gentamicin and ampicillin were given intravenously for 4 weeks. After this period, blood cultures were persistently negative. There were no other complications, and the patient was discharged.
Figure 1.
ECG‐gated 64‐slice MDCT coronal images from end‐systolic (A) and mid‐diastolic (B) phase of the cardiac cycle. Serial images show the mobile vegetation (arrows) attached to the aortic left coronary cusp.
Figure 2.
Three‐dimensional virtual endoscopic view from end‐systolic phase of the cardiac cycle shows the large vegetation (arrows) on the left cusp of the aortic valve.