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Figure 1 (A) Anatomic specimen of prosthetic aortic valve endocarditis. Several perivalvular pseudoaneurysms (*) can be observed. (B) Echocardiographic imaging by transesophageal echocardiography of the same patient as in A. The perivalvular pseudoaneurysms (*) are well seen. Aortic vegetations (arrow) can also be visualized. AD = right atrium; AI= left atrium; VD= right ventricle.