The preoperative evaluation of infective endocarditis: Via 3-dimensional transesophageal echocardiography

Matthew S. Yong, Pankaj Saxena, Ammar M. Killu, Sean Coffey, Harold M. Burkhart, Siu Hin Wan, Joseph F. Malouf

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)372-376
Number of pages5
JournalTexas Heart Institute Journal
Volume42
Issue number4
DOIs
StatePublished - Aug 3 2015
Externally publishedYes

Keywords

  • Abscess/ ultrasonography
  • Echocardiography, threedimensional/ methods
  • Echocardiography, transesophageal
  • Endocarditis, bacterial/complications/ diagnosis/therapy/ ultrasonography
  • Image enhancement/methods
  • Imaging, three-dimensional/methods

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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