The Preoperative Evaluation of Infective Endocarditis via 3-Dimensional Transesophageal Echocardiography.

November 8, 2015 at 6:59 pm

Tex Heart Inst J. 2015 Aug 1;42(4):372-6.

Yong MS, Saxena P, Killu AM, Coffey S, Burkhart HM, Wan SH, Malouf JF.

Abstract

Transesophageal echocardiography continues to have a central role in the diagnosis of infective endocarditis and its sequelae. Recent technological advances offer the option of 3-dimensional imaging in the evaluation of patients with infective endocarditis. We present an illustrative case and review the literature regarding the potential advantages and limitations of 3-dimensional transesophageal echocardiography in the diagnosis of complicated infective endocarditis. A 51-year-old man, an intravenous drug user who had undergone bioprosthetic aortic valve replacement 5 months earlier, presented with prosthetic valve endocarditis. Preoperative transesophageal echocardiography with 3D rendition revealed a large abscess involving the mitral aortic intervalvular fibrosa, together with a mycotic aneurysm that had ruptured into the left atrium, resulting in a left ventricle-to-left atrium fistula. Three-dimensional transesophageal echocardiography enabled superior preoperative anatomic delineation and surgical planning. We conclude that 3-dimensional transesophageal echocardiography can be a useful adjunct to traditional 2-dimensional transesophageal echocardiography as a tool in the diagnosis of infective endocarditis.

PDF

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567119/pdf/i0730-2347-42-4-372.pdf

Entry filed under: Infecciones cardio-vasculares, Metodos diagnosticos, Sepsis, Update. Tags: .

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