Perivalvular cavities in endocarditis: Abscesses versus pseudoaneurysms? A transesophageal Doppler echocardiographic study in 118 patients with endocarditis

Tingleff, Jens; Egeblad, Henrik; Gøtzsche, Carl-Otto; Baandrup, Ulrik; Kristensen, Bent Bruun; Pilegaard, Hans K.; Pettersson, Gösta

doi:10.1016/0002-8703(95)90241-4

Cited by 82 publications

(31 citation statements)

References 19 publications

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“…Transthoracic echocardiography used in detecting valvular vegetations on native valves has been shown to have a sensitivity ranging from 40 to 80% and transesophageal echocardiography a sensitivity ranging from 86 to 100% [10,11].…”

Section: Discussionmentioning

confidence: 99%

Infective endocarditis, 1984 through 1993: a clinical and microbiological survey

Benn¹,

Hagelskjaer²,

Tvede

1997

Journal of Internal Medicine

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Objectives. To characterize the epidemiology and the clinical and microbiological spectrum of infective endocarditis in a Danish population. Design. A retrospective review. Setting. All episodes hospitalized of infective endocarditis from 1984 to 1993 in Viborg County were reviewed. The county is served by one general and four local hospitals. Subjects. One hundred and nine episodes of suspected infective endocarditis with 62 episodes in 59 patients fulfilling the diagnostic criteria by von Reyn.Results. An overall incidence of 27 episodes per million per year was found. The incidence was 17.4 episodes per million per year in the first part of the decade and 36.5 episodes per million per year in the second part (P Ͻ 0.001). Microscopic haematuria was found in 70.2% of the patients with infective endocarditis, compared to 16.7% of the patients in whom the diagnosis was rejected (P Ͻ 0.01). Staphylococcus aureus was found in 38.9%, non-␤-haemolytic streptococci in 24.1% and Enterococcus faecalis in 16.7%. The overall mortality was 35.5%. The mortality decreased significantly from 50.0% in the first part of the decade to 28.6% in the second part (P Ͻ 0.01). The mortality was 23.1% in patients in whom the diagnosis was established whilst they were alive. This finding was significantly lower than the overall mortality (P Ͻ 0.05). Conclusion. The incidence of infective endocarditis increased during the decade. The frequency of non-␤-haemolytic streptococci was lower than normally reported. Mortality is still high, with the main mortality within the first week in hospital, which stresses the importance of early case detection and treatment.

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Section: Discussionmentioning

confidence: 99%

Infective endocarditis, 1984 through 1993: a clinical and microbiological survey

Benn¹,

Hagelskjaer²,

Tvede

1997

Journal of Internal Medicine

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“…Pseudotętniaki i przetoki stanowią ciężkie powikłania IZW i często wiążą się z bardzo poważnym uszkodzeniem zastawek i tkanek okołozastawkowych [213,[231][232][233]. Częstość powstawania przetok w IZW ocenia się na 1,6%, a najczęściej występującym drobnoustrojem powodującym zakażenie jest w przypadku tego powikłania S. aureus (46%) [233].…”

Section: Okołozastawkowe Szerzenie Się Infekcyjnego Zapalenia Wsierdziaunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

147

212

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“…7 We also performed patch closure of the perivalvular pseudoaneurysm to prevent the pseudoaneurysm from rupturing. 8 But, because we did not resect the pseudoaneurysm, we were unable to investigate it pathologically and, therefore, this is a limitation of the study. …”

Section: Discussionmentioning

confidence: 99%