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severe endocarditis of aortic-valve-prosthesis and suspicion of partial-avulsion of prosthesis

added by Emmel

severe endocarditis of aortic-valve-prosthesis and suspicion of partial-avulsion of prosthesis
Comments
Posted By: Emmel (1088 days ago)

You´re right, diego! The PLAX in this case has a poor quality, but in
this situation I couldn´t make a better fist of it!
Actually I
notice that "atypical" is the wrong word for a bad focussed PLAX
(sorry, "atypical" it is misleading). It was - in my opinion - a hard
TTE and a difficult TEE to visualise he aortic valve-prosthesis
(during TEE the patient becomes haemodynamic unstable)

Posted By: diego (1088 days ago)

hey when you say atipical PLAX you mean...Off axis PLAX ??? yes?

Posted By: diego (1088 days ago)

Such a nic clip Jorg ....Well I could agree with you with the
diagnosis . And why? because looking at the brightness of the tissue
glued on the prosthesis ..well It does depict a quite typical
endocarditis ( just for the brightness of that tissue )
Nice the
fact you combined color M mode in this evaluation . You really go Jorg


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Emmel

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Added: 01-12-2011
Runtime: 1m 13s
Views: 5194
Comments: 3

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Description

about 75 y old patient, admitted from another hospital to our ICU with new heart murmur and septic constellation. In clinical history there is a condition after aortic-valve-replacement (in the late 1990´s). In TTE we could see a distinct aortic insufficiency (verifiable in subclavian artery); for that reason we performed a TEE: it looks like a partial-avulsion of this prosthesis high suspicious for endocarditis of prosthesis. Do you confirm with this diagnosis?


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