Intracardiac echocardiogram to diagnose infective endocarditis after transcatheter aortic valve-in-valve implantation

Cheuk Bong Ho*, Niels G. Vejlstrup, Ole De Backer, Lars Søndergaard

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Abstract

A 70-year-old man with history of transcatheter aortic valve-in-valve implantation was admitted because of suspected infective endocarditis (IE). Transesophageal echocardiogram did not reveal any vegetations, as the metallic stent frames caused significant artifacts. Position emission tomography was also negative. Intracardiac echocardiogram (ICE) was performed retrogradely through the ascending aorta, which showed clear vegetations over the stent frame of the transcatheter heart valve. Endocarditis after transcatheter aortic valve implantation was not uncommon. With increasing use of valve-in-valve procedures, echocardiographic diagnosis of IE would be more challenging. This case demonstrated the advantage of ICE over conventional echocardiography in visualizing the neo-aortic valve complex for diagnosing IE.
OriginalsprogEngelsk
TidsskriftCatheterization and Cardiovascular Interventions
Vol/bind102
Udgave nummer1
Sider (fra-til)155-158
Antal sider4
ISSN1522-1946
DOI
StatusUdgivet - 2023

Bibliografisk note

Publisher Copyright:
© 2023 The Authors. Catheterization and Cardiovascular Interventions published by Wiley Periodicals LLC.

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