Transesophageal echocardiograpy views. Panel A: Mid-esophageal RV inflow/outflow view shows a paravalvular abcess near the atrial septum and involvment of the tricuspid valve insertion (arrow). Panel B: Mide-Esophageal long axis view showing vegetation on the aortic valve prosthesis. Panel C: zoomed in on the atrial septum, showing the Gerbode like defect with turblent flow (arrow). Panel D: severe tricuspid insufficiency (arrow).