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European Heart Journal 1995 16(Supplement B):54-62; doi:10.1093/eurheartj/16.suppl_B.54
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Society of Cardiology

Use of transoesophageal echocardiography in the diagnosis of abscess in infective endocarditis

S. Rohmann, R. Erbel, S. Mohr-Kahaly and J. Meyer

2nd Medical Clinic, University of Mainz Germany

Correspondence: Sven Rohmann. MD, Quellenweg 9, 63303 Dreieich, Germany.

Transoesophageal echocardiography is invaluable clinically since it accurately images abscess cavities or aneurysms. It provides the information about the site and extension of abscesses which is needed by surgeons to time and define surgical intervention. Early diagnosis is advantageous, and abscesses should be expected in 5%–30% of patients with echocardiographically discernible vegetations. Since there is no ‘abscess typical’ organism, transoesophageal echocardiographic examination is helpful at the first indication of infective endocarditis, to identify high-risk patients. Involvement of the aortic valve, growth in the size of vegetations, and the presence of spontaneous echo contrast are echocardiographic indicators of high-risk endocarditis.

Key Words: Infective endocarditis • transoesophageal echocardiography • abscess formation • vegetations • spontaneous echo contrast • risk stratification


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