title: Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings.
abstract: We evaluated the diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography (TTE and TEE, respectively) for assessing valvular perforation during active infective endocarditis by correlating the results of TTE and TEE with anatomic findings of 88 valves examined at surgery or autopsy. Compared with TEE, TTE has a low diagnostic sensitivity in the detection of this complication and, in the presence of hemodynamic instability, multiplane TEE should be performed directly.
authors.affiliation: Dipartimento di Medicina Clinica, Università La Sapienza, Viale del Policlinico, Roma, Italia. migliau@axcasp.caspur.it
authors.forename: S
authors.initials: S
authors.lastname: De Castro
authors.forename: D
authors.initials: D
authors.lastname: Cartoni
authors.forename: G
authors.initials: G
authors.lastname: d'Amati
authors.forename: S
authors.initials: S
authors.lastname: Beni
authors.forename: J
authors.initials: J
authors.lastname: Yao
authors.forename: M
authors.initials: M
authors.lastname: Fiorell
authors.forename: P
authors.initials: P
authors.lastname: Gallo
authors.forename: F
authors.initials: F
authors.lastname: Fedele
authors.forename: N G
authors.initials: NG
authors.lastname: Pandian
mesh_terms: D000328:Adult; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006351:Heart Valves / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D012680:Sensitivity and Specificity