What does this research mean for the field?

64-slice cardiac computed tomography can accurately differentiate large aortic valve vegetations from valve disruption in cases where echocardiography is inconclusive. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Evaluate the clinical utility of emergency cardiac computed tomography in distinguishing an aortic valve vegetation from leaflet disruption in suspected infective endocarditis.

February 1, 2010Asian Cardiovascular and Thoracic AnnalsOpen Access

Emergency Computed Tomography for Aortic Valve Vegetation Mimicking Disruption

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Population

A 47-year-old man with symptoms of infective endocarditis and history of streptococcal meningitis 8 months…

Comparison

64-slice cardiac computed tomography vs Echocardiography

Design

Case_report

Authors

MWMarkus WeiningerUniversidade do Estado de Santa Catarina CYCagatay YildirimUniversity of Würzburg CRChristian RitterUniversity of Würzburg

Discussion

Member takes

Implication

May support CT to resolve equivocal echo findings in endocarditis; hypothesis-generating and should not yet change practice.

Key Points

Evaluate the clinical utility of emergency cardiac computed tomography in distinguishing an aortic valve vegetation from leaflet disruption in suspected infective endocarditis.
Assessed a 47-year-old male presenting with infective endocarditis symptoms and a history of streptococcal meningitis (N=1).
Performed transthoracic and transesophageal echocardiography followed by 64-slice cardiac computed tomography before surgical intervention.
Echocardiography revealed a large aortic valve vegetation that initially mimicked disruption of the noncoronary cusp.
Emergency 64-slice cardiac computed tomography successfully excluded cusp disruption, enabling uncomplicated and successful aortic valve replacement.

Structured PICO

Population

A 47-year-old man with symptoms of infective endocarditis and history of streptococcal meningitis 8 months previously

Intervention

64-slice cardiac computed tomography

Comparator

Echocardiography

Outcome

Diagnosis and ruling out of aortic valve disruption

Cardiac CT can be a valuable adjunct to echocardiography in clarifying complex valvular pathology such as vegetations mimicking cusp disruption in infective endocarditis.

Cite This Study

Weininger et al. (2010) studied this question.

synapsesocial.com/papers/6a1e5fee25b49a996c68ccdf https://doi.org/10.1177/0218492309343725

Topics

Infective endocarditis

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Emergency Computed Tomography for Aortic Valve Vegetation Mimicking Disruption

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Emergency Computed Tomography for Aortic Valve Vegetation Mimicking Disruption

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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