Two-dimensional echocardiographic recognition of aortic valve ring abscess

Neimann, J. L.; Danchin, Nicolás; Godenier, J. P.; Villemot, Jean‐Pierre; Faivre, G

doi:10.1093/eurheartj/5.suppl_c.59

Cited by 16 publications

(2 citation statements)

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“…Vegetations were seen in all and additional complications were identified in four (patients [5][6][7][8]. In eight patients the data were confirmed at operation.…”

Section: Resultsmentioning

confidence: 90%

Enhanced morphological diagnosis in infective endocarditis by transoesophageal echocardiography.

Taams

Gussenhoven

et al. 1990

Heart

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Thirty three consecutive patients with clinically suspected endocarditis were studied by both precordial cross sectional echocardiography and transoesophageal echocardiography. The diagnostic value of both techniques was assessed. The data were compared with findings at operation in 25 patients. In 21 patients with native valve endocarditis precordial echocardiography showed evidence of vegetations in six patients and suggested their presence in nine. Transoesophageal echocardiography identified vegetations in 18 patients. Complications were seen in four patients at precordial echocardiography and in nine patients at transoesophageal echocardiography. Precordial echocardiography did not show vegetations in any of the 12 patients with prosthetic valve endocarditis whereas transoesophageal echocardiography showed vegetations in four. Complications were seen in four patients at precordial echocardiography and in 10 at transoesophageal echocardiography. Echocardiographic findings were confirmed at operation in all 25 operated patients. In two patients both echocardiographic techniques had missed the perforation of the cusps of the aortic valve that was seen at operation, but this had no effect on patient management. Transoesophageal echocardiography is the best diagnostic approach when infective endocarditis is suspected in patients with either native or prosthetic valves.

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“…Vegetations were seen in all and additional complications were identified in four (patients [5][6][7][8]. In eight patients the data were confirmed at operation.…”

Section: Resultsmentioning

confidence: 90%

Enhanced morphological diagnosis in infective endocarditis by transoesophageal echocardiography.

Taams

Gussenhoven

et al. 1990

Heart

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show abstract

“…Aortic root and intracardiac abscesses are often missed or underestimated by transthoracic echocardiography 27 and overall transoesophageal imaging is superior. Daniel et al investigated 51 consecutive patients with proven endo- carditis.…”

Section: Improved Detection Of Abscesses By Transoesophageal Imagingmentioning

confidence: 99%

The Role of Echocardiography in the Diagnosis and Management of Infective Endocarditis

Cooke

Chambers

1992

Int J Clinical Practice

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SUMMARYThe echocardiographic appearance in suspected endocarditis must always be interpreted in the context of the clinical findings. Thus although echocardiography may contribute to the early diagnosis of infective endocarditis, it should rarely be used as a screening test. It is highly sensitive for the detection of complications such as abscesses or valvular regurgitation and can estimate their severity. Although transthoracic imaging will allow a complete study in many cases, the transoesophageal approach is superior for the detection of abscesses and the assessment of prosthetic mitral valves. Patients with large vegetations, particularly on the mitral valve, are at increased risk of embolism but there is no convincing evidence to support prophylactic surgery in these cases.

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The relationship between new cardiac conduction defects and extension of valve infection in native valve endocarditis

Weisse¹,

Khan

1990

Clinical Cardiology

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Summary: New conduction defects in the setting of native valve infective endocarditis (IE) are commonly believed to be associated with direct extension beyond the free valve area. At University Hospital in Newark, among 100 cases of IE, in none of five instances of associated conduction defects (excluding first-degree heart block) was this the case. In neither of two instances of direct extension of valve infection was this accompanied by a new conduction defect. To explore this relationship, autopsy, surgical, and echocardiographic findings from other institutions were combined with these data. Among 47 instances of new conduction defects in IE, only 60% could be related to direct extension of valve infection. The cause was coronary embolization in 4% and unknown in 36%. Among 119 cases of complicated valve lesions, significant conduction defects were documented by ECG in only I5 % . In IE the appearance of new conduction abnormalities may often result from causes other than extension of valve infection. Furthermore, complicated valve lesions may often be present without electrocardiographic evidence, indicating interruption of normal conduction path ways.

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Two-dimensional echocardiographic recognition of aortic valve ring abscess

Cited by 16 publications

References 0 publications

Enhanced morphological diagnosis in infective endocarditis by transoesophageal echocardiography.

Enhanced morphological diagnosis in infective endocarditis by transoesophageal echocardiography.

The Role of Echocardiography in the Diagnosis and Management of Infective Endocarditis

The relationship between new cardiac conduction defects and extension of valve infection in native valve endocarditis

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