Case Presentation:
A 49 year old male with a history of type A aortic dissection complicated by
severe aortic regurgitation underwent insertion of a valved aortic conduit (Bentall
procedure) 9 years prior to admission. Six years later he developed infective
endocarditis necessitating replacement of the graft and valve. The patient did
well for an additional 3 years until he was re-admitted to the hospital with fever.
Blood cultures grew group B Streptococcus and he was referred for a
transesophageal echocardiogram .