Active infective endocarditis: A clinicopathologic analysis of 137 necrosy patients

Arnett, Ernest N.; Roberts, William C.

doi:10.1016/0146-2806(76)90003-7

Cited by 56 publications

(10 citation statements)

References 152 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From there, infection and inflammation may spread into the membranous septum to produce heart block at the level of the AV node or His bundle or into the summit of the ventricular septum, usually left bundle branch block. 39 Because such complications usually arise in patients ill enough to require a physician and a diagnosis, such cases are not usually seen by medical examiners.…”

Section: Inflammatory Lesionsmentioning

confidence: 99%

Examination of the Cardiac Conduction System

Gulino¹

2003

The American Journal of Forensic Medicine and Pathology

View full text Add to dashboard Cite

Forensic pathologists may occasionally encounter cases of apparent sudden cardiac death without gross cardiac abnormality. In some of these cases, evaluation of the cardiac conduction system may reveal pathologic lesions which may act as the substrates for ventricular tachyarrhythmias and sudden death. Sample case studies are used to illustrate the suggested criteria and techniques for examination, and commonly-encountered pathologic lesions and normal variants are discussed.

show abstract

Section: Inflammatory Lesionsmentioning

confidence: 99%

Examination of the Cardiac Conduction System

Gulino¹

2003

The American Journal of Forensic Medicine and Pathology

View full text Add to dashboard Cite

show abstract

“…Attempts have been made to estimate the sensi tivity, specificity and diagnostic accuracy of this tech nique based on the presence or absence of valvular vege tations, their reported prevalence ranging from 13 to 78% [34][35][36]. These findings should be considered with the knowledge that macroscopic vegetations occur in approximately 53% of patients who die of active infec tive endocarditis [37,38]. The demonstration by 2-DE of a cardiac abscess, particularly of the valve ring, adds to its diagnostic accuracy.…”

Section: Echocardiographymentioning

confidence: 99%

Noninvasive Detection of Cardiac Abscesses Complicating Infective Endocarditis

Enzler¹,

Wilson²,

Giuliani³

1987

Am J Noninvas Cardiol

View full text Add to dashboard Cite

Cardiac abscesses are a major complication of infective endocarditis and contribute significantly to morbidity and mortality. The frequency of this complication is unknown. For this reason, the Mayo Clinic experience is reviewed. During a 10-year period from 1976 to 1985, 334 patients were diagnosed as having infective endocarditis. Of these, 39 (12%) had cardiac abscesses. Of the 39 patients with cardiac abscesses, 11 (28%) had variable degrees of A-V block not attributable to digitalis. Thirty of thirty-nine patients had 2-dimensional échocardiographie (2-DE) studies. Of the 30 patients with échocardiographie studies, a cardiac abscess was detected in 7 of 17 patients (41%) with native valve endocarditis and 2 of 13 patients (15%) with prosthetic valve endocarditis. Magnetic resonance imaging identified 1 case of cardiac abscess. The indications for surgical intervention are persistence of infection despite appropriate antimicrobial therapy or deterioration of the patient’s cardiovascular status.

show abstract

“…However, using the longitudinal plane a vegetation that had been missed in the transthoracic study was diag nosed. It is, however, important to remark that the pul monary valve is an unusual site to be involved in opiate addicts with right-sided endocarditis [11,12]. 165 Conclusions ations: (1) poor acoustic transthoracic window, (2) com plicated clinical course in the absence of an alternative diagnosis; (3) suspicion of pulmonary valve endocarditis when this valve has not been correctly characterized by the transthoracic approach, particularly if a biplane probe is available, and (4) left-sided endocardial involvement.…”

Section: Patients With Transvenous Permanent Pacemakersmentioning

confidence: 99%

Right-Sided Endocarditis: To TEE or Not to TEE?

Román¹,

Castillo²,

Vilacosta³

et al. 1994

Am J Noninvas Cardiol

View full text Add to dashboard Cite

Transesophageal echocardiography has been shown to be superior to transthoracic imaging in the detection of left-sided vegetations. However, its value to identify vegetations located elsewhere has not been established. This study was conducted to determine the usefulness of transesophageal echocardiography compared to transthoracic echocardiography in the assessment of patients with the suspicion of right-sided endocarditis. Transthoracic and transesophageal echocardiography were performed in 72 patients hospitalized for suspected right-sided endocarditis (62 were intravenous drug abusers and 10 had a permanent pacemaker). Vegetations were found in 32 (52%) with both techniques. There were 29 vegetations attached to the tricuspid valve, 3 to the pulmonic valve (1 was missed with transesophageal echocardiography and another with the transthoracic exam) and 1 to the eustachian valve. Pacemaker lead vegetations were echocardiographically visualized in 7 patients. Five of them had surgical confirmation. Transthoracic echocardiography detected only 2 patients with pacemaker lead vegetations whereas transesophageal echocardiography identified all 7 patients. Transesophageal echocardiography adds no diagnostic information to the transthoracic exam in the majority of intravenous drug abusers suspected of having right-sided endocarditis and it should not be performed as a routine examination. On the other hand, transthoracic echocardiography is a very limited technique for the detection of pacemaker lead vegetations and transesophageal echocardiography should be mandatory in most patients with a permanent pacemaker and clinical suspicion of an infected transvenous pacemaker.

show abstract

Active infective endocarditis: A clinicopathologic analysis of 137 necrosy patients

Cited by 56 publications

References 152 publications

Examination of the Cardiac Conduction System

Examination of the Cardiac Conduction System

Noninvasive Detection of Cardiac Abscesses Complicating Infective Endocarditis

Right-Sided Endocarditis: To TEE or Not to TEE?

Contact Info

Product

Resources

About