Which echocardiographically unrecognised complications of native aortic valve endocarditis may be found during operation?

The aim of the study was to determine the type and localisation of complications of aortic valve endocarditis, that have not been recognised on transthoracic (TTE) and/or transesophageal (TEE) echocardiographic study. The echocardiographic findings were retrospectively compared and contrasted with d...

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Published inPrzeglad lekarski Vol. 61; no. 6; p. 620
Main Authors Kuśmierczyk-Droszcz, Beata, Szaroszyk, Włodzimierz, Michałek, Piotr, Konka, Marek, Michalak, Ewa, Klisiewicz, Anna, Biederman, Andrzej, Rydlewska-Sadowska, Wanda, Hoffman, Piotr
Format Journal Article
LanguagePolish
Published Poland 2004
Subjects
Adult
Aged
Aortic Valve - diagnostic imaging
Aortic Valve - microbiology
Aortic Valve - pathology
Echocardiography
Echocardiography, Transesophageal
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - surgery
Female
Humans
Male
Middle Aged
Predictive Value of Tests
Retrospective Studies
Sensitivity and Specificity
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Summary:The aim of the study was to determine the type and localisation of complications of aortic valve endocarditis, that have not been recognised on transthoracic (TTE) and/or transesophageal (TEE) echocardiographic study. The echocardiographic findings were retrospectively compared and contrasted with direct surgical inspection in 156 consecutive adults operated on native aortic valve endocarditis in our institute during the last 8 years. We analysed recognition of abscess, pseudoaneurysm, fistula and cusp rupture. Periannular complications were detected at operation in 51 pts, cusp rupture in 97 pts. Sensitivity of TTE in recognition of abscesses was 55%, TEE--60%; pseudoaneurysm--TTE--64%, TEE--100%; fistula--TTE 60%, TEE 100%; cusp rupture--TTE 65%, TEE 81%. Both echocardiographic methods have some inherent limitations while diagnosing complications of aortic valve endocarditis. In particular, these include small abscesses and cusp rupture. Using both modalities in a complementary way seems to offer the best approach in overall definition of the extent of inflammation.
ISSN:0033-2240