Nonbacterial thrombotic endocarditis. Assessment by transesophageal echocardiography.
Nonbacterial thrombotic endocarditis (NBTE) is difficult to detect antemortem and is often not suspected until embolic events occur. Transthoracic echocardiography is useful in diagnosing NBTE, but it may be limited by suboptimal imaging and resolution. Herein we describe the first reported case of NBTE diagnosed by transesophageal echocardiography. As early detection and treatment may avert significant embolic complications, transesophageal echocardiography should be strongly considered if other techniques are nondiagnostic and clinical suspicion of NBTE remains high.
Blanchard
D G
DG
Department of Internal Medicine, University of California, San Diego School of Medicine.
Ross
R S
RS
Dittrich
H C
HC
D004452:Echocardiography / Q000379:methods*; D004696:Endocarditis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging*; D013927:Thrombosis / Q000000981:diagnostic imaging*