Bacterial endocarditis, pericarditis and cardiac tamponade∗

Rose, Raymond L.; Higgins, Lawrence S.; Helgason, Agust H.

doi:10.1016/0002-9149(67)90460-2

Cited by 16 publications

(1 citation statement)

References 4 publications

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“…8) and may pro duce both micro-and macroabscesses within the ventric ular wall. Involvement of the pericardium and at times tamponade [5] may occur either by direct extension or by hematogenous spread.…”

Section: Pathology and Pathogenesismentioning

confidence: 99%

Noninvasive Detection of Cardiac Abscesses Complicating Infective Endocarditis

Enzler¹,

Wilson²,

Giuliani³

1987

Am J Noninvas Cardiol

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Cardiac abscesses are a major complication of infective endocarditis and contribute significantly to morbidity and mortality. The frequency of this complication is unknown. For this reason, the Mayo Clinic experience is reviewed. During a 10-year period from 1976 to 1985, 334 patients were diagnosed as having infective endocarditis. Of these, 39 (12%) had cardiac abscesses. Of the 39 patients with cardiac abscesses, 11 (28%) had variable degrees of A-V block not attributable to digitalis. Thirty of thirty-nine patients had 2-dimensional échocardiographie (2-DE) studies. Of the 30 patients with échocardiographie studies, a cardiac abscess was detected in 7 of 17 patients (41%) with native valve endocarditis and 2 of 13 patients (15%) with prosthetic valve endocarditis. Magnetic resonance imaging identified 1 case of cardiac abscess. The indications for surgical intervention are persistence of infection despite appropriate antimicrobial therapy or deterioration of the patient’s cardiovascular status.

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Section: Pathology and Pathogenesismentioning

confidence: 99%