作者
Erwan Salaun, Laura Sportouch, Pierre-Antoine Barral, Sandrine Hubert, Cécile Lavoute, Anne-Claire Casalta, Julie Pradier, Daniel Ouk, Jean-Paul Casalta, Marc Lambert, Frederique Gouriet, Jean-Yves Gaubert, Aurélie Dehaene, Alexis Jacquier, Laetitia Tessonnier, Julie Haentjens, Alexis Theron, Alberto Riberi, Serge Cammilleri, Dominique Grisoli, Nicolas Jaussaud, Frederic Collart, Jean-Louis Bonnet, Laurence Camoin, Sebastien Renard, Thomas Cuisset, Jean-François Avierinos, Hubert Lepidi, Olivier Mundler, Didier Raoult, Gilbert Habib
发表日期
2018/1
期刊
JACC: Cardiovascular Imaging
卷号
11
期号
1
页码范围
143-146
出版商
American College of Cardiology Foundation
简介
DIAGNOSIS OF INFECTIVE ENDOCARDITIS (IE) AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) remains difficult to establish using modified Duke criteria. We present the value of multi-imaging approach (European Society of Cardiology [ESC]-2015 modified criteria)(1) in 16 patients referred for TAVRIE suspicion (Figures 1 to 4, Online Tables 1 and 2). The final diagnosis defined by an expert-team at 3 months of follow-up was definite-IE in 10, possible-IE in 1, and rejected-IE in 5. Echocardiography (n= 16) revealed major criteria in 5 patients (5 vegetations, 2 paravalvular lesions)(Online Table 3) and new regurgitation in only 1 of them (Online Figure 1). Leaflet thickening and increased mean gradient were observed respectively in 70% and 80% of definite-IE. Multislice computed tomography (CT)(n= 11) identified major criteria in 2 patients (1 abscess, 1 pseudoaneurysm, and 1 fistulae), but …
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E Salaun, L Sportouch, PA Barral, S Hubert, C Lavoute… - JACC: Cardiovascular Imaging, 2018