The echocardiographic abnormalities in five cases of aortic valve endocarditis are described and are correlated with the anatomical appearance of the valve at the time of aortic valve replacement. These echocardiographic findings are compared with those which have been reported previously in this condition. Thickening of the aortic leaflets in systole or multiple linear or coalescent aortic val...

Aims/Objectives In the past, the diagnosis was often not made until postmortem examination. Several factors positively and negatively impact our ability to diagnose FE. Because of the rarity of IFE and the non-specific symptoms there is often a low index of suspicion for it. Blood cultures are less sensitive for fungi and commonly negative. However, the large vegetations that characterize this ...

Methods A 50 years old women who had underwent aortic valve replacement (19#HPsjm) + mitral valve replacement (29#sjm) and tricuspid DeVega anuloplasty at our department, was admitted to our hospital with fever. Echocardiography confirmed vegetations on aortic and mitral valves, abscess formation in aortic root, grade IV SEK in left atrium with pulmonary artery pressure of 60-65 mmHg. With posi...

The diagnosis of infective endocarditis has been notoriously difficult. Over the last decade, the modified Duke criteria have assumed an increasingly important role in the early detection of this often occult disease. Echocardiography has assumed increasing importance. Transesophageal echocardiography is recognized as more sensitive and specific than transthoracic echocardiography at detecting ...

Cross-sectional and M-mode echocardiograms were performed on 23 consecutive patients with infective endocarditis. Both M-mode and cross-sectional echocardiography identified vegetations in 18 patients, 10 of whom required valve replacement within 1 month of presentation. Cross-sectional echocardiography alone identified a vegetation in one patient with a prosthetic valve. Neither technique iden...

We report the case of a man affected by polymicrobial endocarditis developed on a St. Jude Medical Riata lead with a malfunction because of the outsourcing of conductors. The patient was treated with antibiotic targeted therapy and showed different bacteria at the blood cultures and then underwent transvenous leads extraction. Vegetations were highlighted on the caval, atrial, and ventricular t...