Figure Legends
Panel A. Apical 5-chamber view demonstrating both severe aortic regurgitation and turbulent tricuspid inflow caused by the obstruction of the hematoma. Panel B - D. Transesophageal echocardiogram in midesophageal view demonstrating dehiscence of prosthetic aortic valve, large pseudoaneurysm of noncoronary sinus of Valsalva (asterisk). Denote how the hematoma obstructs the tricuspid inflow (sharp sign). Panel E. Contrast-enhanced cardiac computed tomography confirms the hematoma causing right atrial collapse. Panel F. The flap in ascending aorta indicates aortic dissection (black arrow). Panel G. Coronal axis of CT scan shows the pseudoaneurysm and hematoma originating from sinus Valsalva (sharp sign). Panel H. Coronal axis of CT scan shows the pseudoaneurysm and hematoma collapsing the right ventricle. Panel I. 3D volume rendering of the CT scan makes the pseudoaneurysm more visible (sharp sign). Ao: aorta; LA: left atrium; LV: left ventricle; RV: right ventricle