Article: Multimodality imaging in the diagnosis of bioprosthetic aortic valve endocarditis: A case report.
Annals of medicine and surgery (2012)
2022 Volume 80, Page(s) 104238
Abstract: Introduction: Prosthetic valve infective endocarditis (PVE) is a diagnostic challenge even in the era of multimodality cardiovascular imaging.: Case presentation: The patient was a 67-year-old male with a three-year history of bioprosthetic aortic ... ...
| Abstract | Introduction: Prosthetic valve infective endocarditis (PVE) is a diagnostic challenge even in the era of multimodality cardiovascular imaging. Case presentation: The patient was a 67-year-old male with a three-year history of bioprosthetic aortic valve replacement who presented with persistent fever and negative blood cultures. The initial transthoracic echocardiography revealed a thickened aortic root. An abscess formation was visualized upon subsequent three-dimensional transesophageal echocardiography and positron emission tomography/computerized tomography (PET/CT). The patient underwent an urgent necrotic tissue debridement and a redo Bentall surgery. The real-time polymerase chain reaction of excised tissues was positive for Clinical discussion: The diagnosis of PVE and its complications requires the integration of clinical, microbiological, and serial imaging data. Although advanced imaging modalities like PET/CT allow a timely diagnosis and management, their routine use in resource-limited scenarios is difficult. Conclusion: Multimodality cardiovascular imaging plays an important role in the diagnosis of PVE. Serial echocardiographic and clinical assessments are possible alternatives when the access to advanced cardiovascular imaging modalities is limited. |
|---|---|
| Language | English |
| Publishing date | 2022-07-31 |
| Publishing country | England |
| Document type | Case Reports |
| ZDB-ID | 2745440-X |
| ISSN | 2049-0801 |
| ISSN | 2049-0801 |
| DOI | 10.1016/j.amsu.2022.104238 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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