Case Report

Vegetation image in fluoroscopy: A case report

Volume: 42 Number: 2 July 21, 2020
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Cumhuriyet Medical Journal
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Vegetation image in fluoroscopy: A case report

Abstract

Imaging of the presence of vegetation is critical in the diagnosis of infective endocarditis. Guidelines recommend echocardiography, computed tomography (CT) and nuclear imaging methods for this purpose. In this paper, a case of fungal endocarditis is presented. Our case was a 45-year-old male patient who was connected to mechanical ventilator as a result of industrial accident and followed with central venous catheter. The patient had no previous history of valve disease. Echocardiography was performed on the patient with recurrent fever and dyspnea. Antifungal treatment was started for the patient who was diagnosed with fungal endocarditis, but valve surgery was planned since vegetation grew despite the treatment. During preoperative coronary angiography, vegetation on the aortic valve could also be monitored by fluoroscopy. The patient was operated four weeks after diagnosis and was discharged eight weeks after operation with complete recovery. In our literature review, there were no reports regarding vegetation monitored under fluoroscopy. According to the data we obtained, this paper is the first report showing that a vegetation is seen by fluoroscopy.

Keywords

Thanks

Verdiği manevi desteğinden dolayı Nurullah HATİPOĞLU' na teşekkür ederiz.

References

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  4. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. ESC Guidelines for the management of infective endocarditis:The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC)Endorsed by:European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015; 36(44): 3075–3128.
  5. Gahide G, Bommart S, Demaria R, Sportouch C, Dambia H, Albat B, et al. Preoperative evaluation in aortic endocarditis: findings on cardiac CT. AJRAm J Roentgenol. 2010; 194(3): 574–578.
  6. Chaosuwannakit N, Makarawate P. Value of cardiac computed tomography angiography in pre-operative assessment of infective endocarditis. J Cardiothorac Surg. 2019; 14: 56.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Publication Date

July 21, 2020

Submission Date

April 14, 2020

Acceptance Date

July 8, 2020

Published in Issue

Year 2020 Volume: 42 Number: 2

DOI

https://doi.org/10.7197/cmj.vi.720188

IZ

https://izlik.org/JA58EF23SU

Cite

RIS / Bibtex
AMA
1.Dindaş F, Ömür S, Gül İ. Vegetation image in fluoroscopy: A case report. CMJ. 2020;42(2):216-218. doi:10.7197/cmj.vi.720188