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 language | English |
|---|---|
| Journal | Australasian Radiology |
| Volume | 51 |
| Issue number | SUPPL. 4 |
| DOIs | |
| State | Published - Dec 1 2007 |
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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 journal › Article
}
TY - JOUR
T1 - Candida prosthetic valve endocarditis
T2 - The complementary role of multidetector computed tomography and transoesophageal echocardiography in preoperative evaluation
AU - Ghersin, Eduard
AU - Lessick, J.
AU - Agmon, Y.
AU - Engel, A.
AU - Kophit, A.
AU - Adler, Z.
PY - 2007/12/1
Y1 - 2007/12/1
N2 - 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.
AB - 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.
KW - Candida endocarditis
KW - Echocardiography
KW - Mitral valve
KW - Mitral valve replacement
KW - Multidetector CT
UR - http://www.scopus.com/inward/record.url?scp=35949003289&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=35949003289&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1673.2007.01780.x
DO - 10.1111/j.1440-1673.2007.01780.x
M3 - Article
C2 - 17991072
AN - SCOPUS:35949003289
VL - 51
JO - Journal of Medical Imaging and Radiation Oncology
JF - Journal of Medical Imaging and Radiation Oncology
SN - 1754-9477
IS - SUPPL. 4
ER -