FIGURE I: Pre-operative presentation
A: Intraoperative view. The arrow: Through the aortic valve it is possible to see the septum
B: Abscess and vegetation across interatrial- and interventricular- septum
1: Abscess and vegetation across interatrial- and interventricular- septum, 2: Shunt from aorta to right heart cavities
C: Preoperative Trans-Esophageal Echocardiogram. LA: Left Atrium, LV: Left Ventricle, RV: Right Ventricle, 1: Abscess