TY - JOUR
T1 - The preoperative evaluation of infective endocarditis
T2 - Via 3-dimensional transesophageal echocardiography
AU - Yong, Matthew S.
AU - Saxena, Pankaj
AU - Killu, Ammar M.
AU - Coffey, Sean
AU - Burkhart, Harold M.
AU - Wan, Siu Hin
AU - Malouf, Joseph F.
N1 - Publisher Copyright:
© 2015 by the Texas Heart ® Institute, Houston.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2015/8/3
Y1 - 2015/8/3
N2 - Transesophageal echocardiography continues to have a central role in the diagnosis of infective endocarditis and its sequelae. Recent technological advances offer the option of 3-dimensional imaging in the evaluation of patients with infective endocarditis. We present an illustrative case and review the literature regarding the potential advantages and limitations of 3-dimensional transesophageal echocardiography in the diagnosis of complicated infective endocarditis. A 51-year-old man, an intravenous drug user who had undergone bioprosthetic aortic valve replacement 5 months earlier, presented with prosthetic valve endocarditis. Preoperative transesophageal echocardiography with 3D rendition revealed a large abscess involving the mitral aortic intervalvular fibrosa, together with a mycotic aneurysm that had ruptured into the left atrium, resulting in a left ventricle-to-left atrium fistula. Threedimensional transesophageal echocardiography enabled superior preoperative anatomic delineation and surgical planning. We conclude that 3-dimensional transesophageal echocardiography can be a useful adjunct to traditional 2-dimensional transesophageal echocardiography as a tool in the diagnosis of infective endocarditis.
AB - Transesophageal echocardiography continues to have a central role in the diagnosis of infective endocarditis and its sequelae. Recent technological advances offer the option of 3-dimensional imaging in the evaluation of patients with infective endocarditis. We present an illustrative case and review the literature regarding the potential advantages and limitations of 3-dimensional transesophageal echocardiography in the diagnosis of complicated infective endocarditis. A 51-year-old man, an intravenous drug user who had undergone bioprosthetic aortic valve replacement 5 months earlier, presented with prosthetic valve endocarditis. Preoperative transesophageal echocardiography with 3D rendition revealed a large abscess involving the mitral aortic intervalvular fibrosa, together with a mycotic aneurysm that had ruptured into the left atrium, resulting in a left ventricle-to-left atrium fistula. Threedimensional transesophageal echocardiography enabled superior preoperative anatomic delineation and surgical planning. We conclude that 3-dimensional transesophageal echocardiography can be a useful adjunct to traditional 2-dimensional transesophageal echocardiography as a tool in the diagnosis of infective endocarditis.
KW - Abscess/ ultrasonography
KW - Echocardiography, threedimensional/ methods
KW - Echocardiography, transesophageal
KW - Endocarditis, bacterial/complications/ diagnosis/therapy/ ultrasonography
KW - Image enhancement/methods
KW - Imaging, three-dimensional/methods
UR - http://www.scopus.com/inward/record.url?scp=84938574206&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938574206&partnerID=8YFLogxK
U2 - 10.14503/THIJ-14-4375
DO - 10.14503/THIJ-14-4375
M3 - Article
C2 - 26413022
AN - SCOPUS:84938574206
VL - 42
SP - 372
EP - 376
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
SN - 0730-2347
IS - 4
ER -