Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings.
نویسندگان
چکیده
We evaluated the diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography (TTE and TEE, respectively) for assessing valvular perforation during active infective endocarditis by correlating the results of TTE and TEE with anatomic findings of 88 valves examined at surgery or autopsy. Compared with TEE, TTE has a low diagnostic sensitivity in the detection of this complication and, in the presence of hemodynamic instability, multiplane TEE should be performed directly.
منابع مشابه
Three-dimensional transesophageal echocardiographic imaging of mitral valve bioprosthesis leaflets perforation due to infective endocarditis.
Echocardiography, three-dimensional; echocardiography, transesophageal; heart valve prosthesis; endocarditis. Echogardiographic aspects have been added to the criteria used to investigate the diagnosis of infective endocarditis1. However, under some circumstances, the two-dimensional echocardiographic technique, whether transthoracic or transesophageal, fails to provide sufficient diagnostic in...
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In 105 patients with active infective endocarditis, disease-associated complications defined as severe heart failure (New York Heart Association class IV), embolic events and in-hospital death were correlated to the vegetation size determined by both transthoracic and transesophageal echocardiography. A detailed comparison between anatomic and echocardiographic findings, performed in a subgroup...
متن کاملInfective endocarditis; report from a main referral teaching hospital in Iran
Background/Objective: The aim of the present preliminary study was to assess the demographic, clinical, paraclinical, microbiological, echocardiographic, and therapeutic profile as well as in-hospital outcome of patients with infective endocarditis at a referral center for various infectious diseases in Iran.Methods: Required demographic, clinical, plausible complications and paraclinical data ...
متن کاملInfective endocarditis; report from a main referral teaching hospital in Iran
Background/Objective: The aim of the present preliminary study was to assess the demographic, clinical, paraclinical, microbiological, echocardiographic, and therapeutic profile as well as in-hospital outcome of patients with infective endocarditis at a referral center for various infectious diseases in Iran.Methods: Required demographic, clinical, plausible complications and paraclinical data ...
متن کامل[Transesophageal echocardiography in the diagnosis of infective endocarditis].
BACKGROUND The clinical implications of a negative multiplane transesophageal echocardiography (TEE) have not yet been reported. We aim to determine the negative predictive value (NPV) of a negative multiplane TEE in patients with suspected infective endocarditis (IE). METHODS AND RESULTS We identified 83 consecutive patients with suspected IE and negative multiplane TEE from our echocardiogr...
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ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 30 5 شماره
صفحات -
تاریخ انتشار 2000