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This video clip shows mid-transesophageal long-axis view of the aortic valve in a patient with aortic root abscess, vegetation, and perforation of aortic valve cusps. Color Doppler shows severe AR with evidence of color flow traversing through a cusp indicating perforation. (AO: Aortic; AO: Aorta; AR: Aortic regurgitation; AV: Aortic valve; LA: Left atrium; LVOT: Left ventricular outflow tract; RV: Right ventricle).
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