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Paravalvular Abscess

Imaging findings

In a patient undergoing TAVI evaluation, imaging demonstrated a focal collection of contrast along the aortic sinus, suggestive of a perivalvular abscess, despite the patient lacking overt systemic signs of infection.

Key takeaways

Focal contrast collections in the aortic root during pre-TAVI imaging should be treated with high suspicion for paravalvular abscess, even when clinical signs of infection are absent.

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