Cardiac Computed Tomography of Severe Aortic Endocarditis

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Presentation transcript:

Cardiac Computed Tomography of Severe Aortic Endocarditis by Thomas Caramella, Sebastien Novellas, and Eric Cua Circulation Volume 116(9):e312-e314 August 28, 2007 Copyright © American Heart Association, Inc. All rights reserved.

Figure 1. Computed tomography scan after intravenous contrast injection (coronal reconstruction) shows a hypodense defect of the spleen (black arrow) related to a splenic infarct. Figure 1. Computed tomography scan after intravenous contrast injection (coronal reconstruction) shows a hypodense defect of the spleen (black arrow) related to a splenic infarct. Thomas Caramella et al. Circulation. 2007;116:e312-e314 Copyright © American Heart Association, Inc. All rights reserved.

Figure 2. A, transesophageal echocardiography (long-axis view) shows the abscess (*) of the aortomitral fibrous trigone. Figure 2. A, transesophageal echocardiography (long-axis view) shows the abscess (*) of the aortomitral fibrous trigone. The white arrow indicates the aortic valve; the white arrowhead, the mitral valve; Ao, aorta; and LV, left ventricle. B, an abnormal flow inside the abscess on color Doppler (white arrow). Thomas Caramella et al. Circulation. 2007;116:e312-e314 Copyright © American Heart Association, Inc. All rights reserved.

Figure 3. Time motion mode and color Doppler measurements show severe aortic disease. Thomas Caramella et al. Circulation. 2007;116:e312-e314 Copyright © American Heart Association, Inc. All rights reserved.

Figure 4. ECG-gated computed tomography scans after intravenous contrast injection (long-axis view) reveal calcified vegetation (white arrow) on the left coronary cusp with partial destruction of the aortomitral fibrous trigone (black arrow, A and B). Figure 4. ECG-gated computed tomography scans after intravenous contrast injection (long-axis view) reveal calcified vegetation (white arrow) on the left coronary cusp with partial destruction of the aortomitral fibrous trigone (black arrow, A and B). AoV indicates aortic valve; LV, left ventricle; and MV, mitral valve. Thomas Caramella et al. Circulation. 2007;116:e312-e314 Copyright © American Heart Association, Inc. All rights reserved.

Figure 5. ECG-Gated computed tomography axial slice of the aortic valve emphasizes noncongruent and thickened leaflets consistent with rheumatic heart disease (A) and perfectly correlated to the transesophageal echocardiography (transversal view) (B). * indicates abscess; LA, left atrium. Figure 5. ECG-Gated computed tomography axial slice of the aortic valve emphasizes noncongruent and thickened leaflets consistent with rheumatic heart disease (A) and perfectly correlated to the transesophageal echocardiography (transversal view) (B). * indicates abscess; LA, left atrium. Thomas Caramella et al. Circulation. 2007;116:e312-e314 Copyright © American Heart Association, Inc. All rights reserved.