Misdiagnosis of intact aortic valve vegetations
https://doi.org/10.24835/1607-0771-2019-1-45-52
Abstract
Two clinical cases of false positive diagnosis of intact aortic valve vegetations in patients with no signs of infective endocarditis are described in the article. The reason of misdiagnosing was ultrasound beam width artifact. The mechanism of these artefact arising was described. Methods of correct differentiation of ultrasound beam width artifact from real echogenic masses were discussed.
About the Authors
M. N. Alekhin
Central Clinical Hospital of the Presidential Administration of Russian Federation; Central State Medical Academy of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
E. R. Perova
Central Clinical Hospital of the Presidential Administration of Russian Federation
Russian Federation
Russian Federation
References
1. Otto C.M. Textbook of Clinical Echocardiography. 3rd ed. London: Saunders, 2004. 541 p.
2. Васильев А.Ю., Громов А.И., Ольхова Е.Б., Кубова С.Ю., Лежнев Д.А. Артефакты в ультразвуковой диагностике. М., 2006. 54 с.
3. Sun J.P., Asher C.R., Yang X.S., Cheng G.G., Scalia G.M., Massed A.G., Griffin B.P., Ratliff N.B., Stewart W.J., Thomas J.D. Clinical and echocardiographic characteristics of papillary fibro elastomas: a retrospective and prospective study in 162 patients // Circulation. 2001. V. 103. No. 22. P. 2687-2693.
4. Acar G., Akgungor M., Akkoyun M., Dirnak I. Aortic valve cusp prolapse mimicking endocarditis vegetation // Turk Kardiyol. Dern. Ars. 2012. V. 40. No. 8. P. 748. Doi: 10.5543/tkda.2012.45945.
5. Dutta T., Karas M.G., Segal A.Z., Kizer J.R. Yield of transesophageal echocardiography for nonbacterial thrombotic endocarditis and other cardiac sources of embolism in cancer patients with cerebral ischemia // Am. J. Cardiol. 2006. V. 97. No. 6. P. 894-898. Doi: 10.1016/j.amjcard.2005.09.140.
6. Asopa S., Patel A., Khan O.A., Sharma R., Ohri S.K. Non-bacterial thrombotic endocar - ditis // Eur. J. Cardiothorac. Surg. 2007. V. 32. No. 5. P. 696-701. Doi: 10.1016/j.ejcts.2007.07.029.
7. Jaffe W., Figueredo V.M. An example of Lambl’s excrescences by transesophageal echocardiogram: a commonly misinterpreted lesion // Echocardiography. 2007. V. 24. No. 10. P. 1086-1089. Doi: 10.1111/j.1540-8175.2007.00533.x.
8. Zampi G., Pergolini A., Tinti M.D., Alessi C., Sommariva L. Pitfall in Echocardiography: infective endocarditis or valvular strand? Case report // Med. Ultrason. 2015. V. 17. No. 2. P. 256-258. Doi: 10.11152/mu.2013.2066.172.echc.
9. Ho S.Y. Structure and anatomy of the aortic root // Eur. J. Echocardiogr. 2009. V. 10. No. 1. P. i3-i10. Doi: 10.1093/ejechocard/jen243.
10. Booth A.L., Li C.Q., Al-Dossari G.A., Stevenson H.L. Abundant dystrophic calcifications mimicking aortic valve abscess in a patient undergoing elective aortic valve replacement // BMJ Case Rep. 2017. Pii: bcr-2017-220368. Doi: 10.1136/bcr-2017-220368.
11. Шевченко Ю.Л. Хирургическое лечение инфекционного эндокардита и основы гнойносептической кардиохирургии. М.: Династия, 2015. 448 с.
Review
For citations:
Alekhin M.N., Perova E.R. Misdiagnosis of intact aortic valve vegetations. Ultrasound & Functional Diagnostics. 2019;(1):45-52. (In Russ.) https://doi.org/10.24835/1607-0771-2019-1-45-52
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