Multimodality imaging in infective endocarditis: the chicken-or-the-egg dilemma
DOI:
https://doi.org/10.37615/retic.n4a6Keywords:
endocarditis, pseudoaneurysm, vegetation.Abstract
In medicine the clinical context is essential to carry out a differential diagnosis, and thus it is important for the interpretation of the findings in the imaging techniques to be aware of the clinical history of the patient we are evaluating. We present a case of a patient derived to our hospital for the suspicious of endocarditis on the native mitral valve. However, in our hospital we found no compatible images with endocarditis, but a dissection in the ascending aorta with no signs of infection. Due to the chronology of the clinical case we concluded that the most likely diagnosis was a pseudoaneurysm secondary of an endocarditis.
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Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015; 36 (44): 3075-3128. DOI: https://doi.org/10.1093/eurheartj/ehv319
Gomes A, Glaudemans AW, Touw DJ, et al. Diagnostic value of imaging in infective endocarditis: A systematic review. Lancet Infect Dis 2016; pii: S1473- 3099(16)30141-4.
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Copyright (c) 2017 Ana Fernández Vega , Pedro Marcos-Alberca , Patricia Mahia Casado , David Vivas, Leopoldo Pérez de Isla
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