Candida prosthetic valve endocarditis: The complementary role of multidetector computed tomography and transoesophageal echocardiography in preoperative evaluation

Eduard Ghersin, J. Lessick, Y. Agmon, A. Engel, A. Kophit, Z. Adler

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 72-year-old man with previous mitral valve replacement and single coronary bypass surgery was diagnosed with recurrent candida endocarditis by transoesophageal echocardiography and positive blood cultures. Preoperative electrocardiogram-gated multidetector CT (MDCT) was ordered to evaluate the patency and course of the mammary graft. In addition to verifying graft patency, MDCT demonstrated a mobile vegetation on the mitral prosthesis as well as a vegetation on the posterior left atrial wall which was not visible by transoesophageal echocardiography. Multidetector CT also revealed signs of osteomyelitis in the thoracic spine. Repeated surgery confirmed these findings and mitral valve replacement with resection of the left atrial vegetation were performed. This case illustrates the complementary role of MDCT and echocardiography in the preoperative evaluation of fungal endocarditis.

Original languageEnglish
JournalAustralasian Radiology
Volume51
Issue numberSUPPL. 4
DOIs
StatePublished - Dec 1 2007

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Multidetector Computed Tomography
Transesophageal Echocardiography
Endocarditis
Mitral Valve
Candida
Transplants
Osteomyelitis
Prostheses and Implants
Echocardiography
Electrocardiography
Breast
Spine
Thorax
Blood Culture

Keywords

  • Candida endocarditis
  • Echocardiography
  • Mitral valve
  • Mitral valve replacement
  • Multidetector CT

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Candida prosthetic valve endocarditis : The complementary role of multidetector computed tomography and transoesophageal echocardiography in preoperative evaluation. / Ghersin, Eduard; Lessick, J.; Agmon, Y.; Engel, A.; Kophit, A.; Adler, Z.

In: Australasian Radiology, Vol. 51, No. SUPPL. 4, 01.12.2007.

Research output: Contribution to journalArticle

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