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Clin Infect Dis. 2000 May;30(5):825-6.

Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings.

Author information

1
Dipartimento di Medicina Clinica, Università La Sapienza, Viale del Policlinico, Roma, Italia. migliau@axcasp.caspur.it

Abstract

We evaluated the diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography (TTE and TEE, respectively) for assessing valvular perforation during active infective endocarditis by correlating the results of TTE and TEE with anatomic findings of 88 valves examined at surgery or autopsy. Compared with TEE, TTE has a low diagnostic sensitivity in the detection of this complication and, in the presence of hemodynamic instability, multiplane TEE should be performed directly.

PMID:
10816155
DOI:
10.1086/313762
[Indexed for MEDLINE]

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