A 73-year-old man with a prior history of bioprosthetic aort | Figure 1

A 73-year-old man with a prior history of bioprosthetic aortic valve replacement for aortic stenosis now presents with fever, chills, and serial blood cultures positive for Streptococcus viridans. He has been successfully initiated on intravenous antibiotic therapy and a TEE is ordered. The following image is obtained (Fig. 14.22). Based on the data provided, you conclude that the patient has now developed which complication of endocarditis?

A. Paravalvular abscess
B. Prosthetic valve stenosis
C. Aortic pseudoaneurysm
D. Aortic regurgitation
E. Ventricular septal defect

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