Utility of transesophageal echocardiography in the conservative management of prosthetic valve endocarditis.
Prosthetic valve endocarditis is a formidable complication following cardiac valve replacement. Surgical intervention has resulted in a significant reduction in mortality when certain complications prevail. We report two such cases of prosthetic valve endocarditis in which the use of transesophageal echocardiography permitted close surveillance during medical therapy and thus avoided the need for surgical intervention. Therefore, with the improved ability to monitor disease progression with transesophageal echocardiography, nonsurgical management of prosthetic valve endocarditis remains an option.
Bruss
J
J
Department of Medicine, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia 19002.
Jacobs
L E
LE
Kotler
M N
MN
Ioli
A W
AW
D000328:Adult; D000368:Aged; D004452:Echocardiography / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016983:Enterococcus; D004947:Esophagus; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging / Q000188:drug therapy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy