• Medicina · Dec 2021

    Review

    Three-Dimensional Transesophageal Echocardiography in the Diagnosis and Treatment of Mitral Prosthetic Valve Endocarditis-A Narrative Review.

    • Vedran Carević, Zorica Mladenović, Ružica Perković-Avelini, Tina Bečić, Mislav Radić, and Damir Fabijanić.
    • Department of Cardiology, Clinical Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia.
    • Medicina (Kaunas). 2021 Dec 23; 58 (1).

    AbstractDespite advances in diagnosis, imaging methods, and medical and surgical interventions, prosthetic valve endocarditis (PVE) remains an extremely serious and potentially fatal complication of heart valve surgery. Characteristic changes of PVE are more difficult to detect by transthoracic echocardiography (TTE) than those involving the native valve. We reviewed advances in transesophageal echocardiography (TEE) in the diagnosis of PVE. Three-dimensional (3D) TEE is becoming an increasingly available imaging method combined with two-dimensional TEE. It contributes to faster and more accurate diagnosis of PVE, assessment of PVE-related complications, monitoring effectiveness of antibiotic treatment, and determining optimal time for surgery, sometimes even before or without previous TTE. In this article, we present advances in the treatment of patients with mitral PVE due to 3D TEE application.

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