Emergency computed tomography for aortic valve vegetation mimicking disruption.
A 47-year-old man presented with symptoms typical of infective endocarditis and history of streptococcal meningitis 8 months previously. Echocardiography showed a large aortic valve vegetation that was interpreted as disruption of the noncoronary cusp. This was ruled out by 64-slice cardiac computed tomography. Valve replacement was performed successfully.
Weininger
Markus
M
University Hospital of Wuerzburg, Department of Radiology, Oberduerrbacher Strasse 6, 97080 Wuerzburg, Germany. weininger@roentgen.uni-wuerzburg.de
Yildirim
Cagatay
C
Ritter
Christian
C
Leyh
Rainer
R
Hahn
Dietbert
D
Beissert
Matthias
M
D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods*; D004696:Endocarditis / Q000175:diagnosis*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications; D008875:Middle Aged; D013290:Streptococcal Infections / Q000150:complications; D014057:Tomography, X-Ray Computed / Q000379:methods*