Contemporary Review of Multi-Modality Cardiac Imaging Evaluation of Infective Endocarditis

Author:

Arockiam Aro Daniela1,Agrawal Ankit1,El Dahdah Joseph1,Honnekeri Bianca1,Kafil Tahir S.1,Halablab Saleem1ORCID,Griffin Brian P.1,Wang Tom Kai Ming1ORCID

Affiliation:

1. Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH 44195, USA

Abstract

Infective endocarditis (IE) remains to be a heterogeneous disease with high morbidity and mortality rates, which can affect native valves, prosthetic valves, and intra-cardiac devices, in addition to causing systemic complications. The combination of clinical, laboratory, and cardiac imaging evaluation is critical for early diagnosis and risk stratification of IE. This can facilitate timely medical and surgical management to improve patient outcomes. Key imaging findings for IE include vegetations, valve perforation, prosthetic valve dehiscence, pseudoaneurysms, abscesses, and fistulae. Transthoracic echocardiography continues to be the first-line imaging modality of choice, while transesophageal echocardiography subsequently provides an improved structural assessment and characterization of lesions to facilitate management decision in IE. Recent advances in other imaging modalities, especially cardiac computed tomography and 18F-fluorodeox-yglucose positron emission tomography, and to a lesser extent cardiac magnetic resonance imaging and other nuclear imaging techniques, have demonstrated important roles in providing complementary IE diagnostic and prognostic information. This review aims to discuss the individual and integrated utilities of contemporary multi-modality cardiac imaging for the assessment and treatment guidance of IE.

Publisher

MDPI AG

Subject

Paleontology,Space and Planetary Science,General Biochemistry, Genetics and Molecular Biology,Ecology, Evolution, Behavior and Systematics

Reference92 articles.

Cited by 6 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Cardiac computed tomography in infective endocarditis: “bridging the detection gap”;Frontiers in Cardiovascular Medicine;2024-09-06

2. Tropheryma whipplei Endocarditis Presenting as Valvulopathy and Multiple Septic Emboli;Journal of General Internal Medicine;2024-02-08

3. Spectrum of Thoracic Imaging Findings in the Setting of Substance Abuse;Journal of Computer Assisted Tomography;2024-01-25

4. Multimodality Imaging Diagnosis in Infective Endocarditis;Life;2023-12-28

5. Pesadilla en la eco street;Revista de Ecocardiografía Práctica y Otras Técnicas de Imagen Cardíaca;2023-12-26

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