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Dehiscent aortic valve prosthesis

Imaging findings

Serial chest radiographs obtained hours apart show rocking motion (dehiscence) of a prosthetic aortic valve, hinged at a single point, associated with a large vegetation.

Key takeaways

Prosthetic valve dehiscence is a serious complication of infective endocarditis, characterized by physical disruption of the surgical sutures securing the valve, resulting in a visible rocking motion on imaging or fluoroscopy.

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