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Vegetation image in fluoroscopy: A case report

Cilt: 42 Sayı: 2 21 Temmuz 2020
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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

Teşekkür

Verdiği manevi desteğinden dolayı Nurullah HATİPOĞLU' na teşekkür ederiz.

Kaynakça

  1. Murdoch DR, Corey GR, Hoen B, Miró JM, Fowler VG Jr, Bayer AS, et al. Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med. 2009; 169(5): 463-473.
  2. Pierrotti LC, Baddour L M. Fungal Endocarditis, 1995–2000. Chest 2000; 122(1): 302–310.
  3. Rubinstein E, Lang R. Fungal endocarditis. Eur Heart J. 1995; 16: 84-89.
  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.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

21 Temmuz 2020

Gönderilme Tarihi

14 Nisan 2020

Kabul Tarihi

8 Temmuz 2020

Yayımlandığı Sayı

Yıl 2020 Cilt: 42 Sayı: 2

DOI

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

IZ

https://izlik.org/JA58EF23SU

Kaynak Göster

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