Infective Endocarditis: Diagnostic and Therapeutic Issues - Should Transesophageal Echocardiography be Performed in all Patients? - Position Con

Nicolosi GL

Nicolosi GL

Infective Endocarditis: Diagnostic and Therapeutic Issues - Should Transesophageal Echocardiography be Performed in all Patients? - Position Con

Journal of Clinical and Basic Cardiology 2001; 4 (2): 161-164

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Maximize View	Endokarditis - Diagnose - TEE Figure 1: Apical transthoracic 5 chamber view from a 59 year old male with fever, non-Hodgkin lymphoma and an echogenic mass, mobile in real time, at the base of the posterior leaflet of the mitral valve (m). This could be classified as a positive echocardiogram and a major Duke criteria for the diagnosis of IE (see text) Keywords: echocardiography, Echokardiographie, endocarditis, Endokarditis


Maximize View	Endokarditis - Diagnose - TEE Figure 2: Systolic frame from a 4 chamber transesophageal echocardiographic study in a patient with chronic renal failure and haemodyalisis. The unexpected oscillating mass on the submitral apparatus (arrows: left 2D, right M-mode derived echocardiogram) is consistent with vegetation (see text). LA = left atrium; LV = left ventricle. Keywords: echocardiography, Echokardiographie, endocarditis, Endokarditis


Maximize View	Endokarditis - Diagnose - TEE Figure 3: Transthoracic modified 4 chamber apical view in a patient with a mitral mechanical prosthetic valve, where the disease was only evident on the ventricular side of the valve itself (large arrow), which was masking its presence by the transoesophageal approach. The two small arrows indicate a spontaneous echo contrast small diastolic jet through the stenotic prosthetic valve, due to ingrowing tissue (see text). LV = left ventricle Keywords: echocardiography, Echokardiographie, endocarditis, Endokarditis


Maximize View	Endokarditis - Diagnose - TEE Figure 4: Two short axis transoesophageal views, 15 days apart, from an elderly patient with calcific aortic valve and infective endocarditis. In the first examination (top) a vegetation could not be identified since the echogenic nodularities were indistinguishable from fibrocalcific deposits (arrow). In the second examination (bottom) a vegetation was diagnosed on the aortic valve for the evident increase in size of one of the nodularities (arrow) which was still not mobile in real time (see text). A= aortic valve; LA= left atrium Keywords: echocardiography, Echokardiographie, endocarditis, Endokarditis