Key result
Multimodality imaging with 3D TEE successfully guides complex aortic root abscess repair in infective endocarditis.
Why the study?
While echocardiography remains crucial in infective endocarditis, multimodality cardiac imaging helps obtain additional information for managing complex cases such as prosthetic valve endocarditis.
Case Report (n=1)
Multimodality imaging, particularly intraoperative 3D TEE, is crucial for the precise evaluation and successful surgical management of complex infective endocarditis complicated by aortic root abscess.
Infective endocarditis (IE) is an infection of the endothelium of the heart, that typically affects heart valves. While echocardiography remains crucial in the diagnosis and management of IE, multimodality cardiac imaging helps obtain additional information for the management of complex cases. Alternative imaging modalities such as computed tomography (CT), computed tomography angiography (CTA), and magnetic resonance imaging (MRI) are playing an increasing role in the diagnosis and management of IE, especially for patients with prosthetic valve endocarditis (PVE). Here we present a case of a 60-year-old Caucasian male who was diagnosed with IE, complicated by aortic root abscess, and multiorgan failure. In this challenging case, multimodality cardiac imaging helped in the precise understanding of the extent of endocarditis, cannulation strategy, and direct the course of the surgical procedure that resulted in successful patient management.
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Kinthala et al. (2021) conducted a case report in Infective endocarditis complicated by aortic root abscess (n=1). Multimodality imaging (TTE, TEE, CTA) and surgical management was evaluated on Successful surgical management and patient outcome. Multimodality imaging, including intraoperative 3D transesophageal echocardiography, successfully guided the surgical management of a complex aortic root abscess in a patient with infective endocarditis.
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