CTICasesInfective endocarditis with aortomitral curtain abscess (Commando procedure)
Imaging findings
CT angiogram shows bicuspid aortic valve calcification and a large vegetation, complicated by aortic root rupture/abscess, mitral valve perforation, and infiltration of the aortomitral curtain.
Key takeaways
Invasive infective endocarditis can extend beyond the valvular leaflets to destroy the fibrous skeleton of the heart, requiring a complex reconstruction (Commando procedure) to replace both the aortic and mitral valves and repair the aortomitral curtain.
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