Endokarditis med udvikling af pseudoaneurisme trods klinisk kontrol af infektionen - Værdien af rutine-transøsofageal ekkokardiografi

Steen Zabell Abildstrøm; Peter Søgaard; Niels Eske Bruun

Endokarditis med udvikling af pseudoaneurisme trods klinisk kontrol af infektionen - Værdien af rutine-transøsofageal ekkokardiografi

Steen Zabell Abildstrøm, Peter Søgaard, Niels Eske Bruun

Publikation: Bidrag til tidsskrift › Artikel › Forskning › peer review

Abstrakt

European guidelines do not recommend transesophageal echocardiography (TEE) during the course of an apparent uncomplicated treatment of infective endocarditis (IE). We report two cases where routine TEE at the end of treatment showed formation of pseudoaneurysms despite lack of any symptoms or signs of infection. We suggest that our finding be explained by a local dissection in the weakened but sterile paravalvular tissue. Therefore, TEE should be considered as a routine procedure in IE before antibiotic treatment is stopped, irrespective of the patient's course.

Bidragets oversatte titel	Development of pseudoaneurysms in endocarditis despite clinically well- Controlled infection
Originalsprog	Dansk
Antal sider	1
Tidsskrift	Ugeskrift for laeger
Vol/bind	170
Udgave nummer	36
Status	Udgivet - 1 sep. 2008

Fingeraftryk Udforsk hvilke forskningsemner 'Endokarditis med udvikling af pseudoaneurisme trods klinisk kontrol af infektionen - Værdien af rutine-transøsofageal ekkokardiografi' indeholder.

Citationsformater

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abstract = "European guidelines do not recommend transesophageal echocardiography (TEE) during the course of an apparent uncomplicated treatment of infective endocarditis (IE). We report two cases where routine TEE at the end of treatment showed formation of pseudoaneurysms despite lack of any symptoms or signs of infection. We suggest that our finding be explained by a local dissection in the weakened but sterile paravalvular tissue. Therefore, TEE should be considered as a routine procedure in IE before antibiotic treatment is stopped, irrespective of the patient's course.",

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AB - European guidelines do not recommend transesophageal echocardiography (TEE) during the course of an apparent uncomplicated treatment of infective endocarditis (IE). We report two cases where routine TEE at the end of treatment showed formation of pseudoaneurysms despite lack of any symptoms or signs of infection. We suggest that our finding be explained by a local dissection in the weakened but sterile paravalvular tissue. Therefore, TEE should be considered as a routine procedure in IE before antibiotic treatment is stopped, irrespective of the patient's course.

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