ISSN: 1859 - 2872
Diagnostic value of three-dimensional transesophageal echocardiography in infective endocarditis patients: Confirmation with surgical findings
Main Article Content
Keywords
Infective endocarditis, transthoracic echocardiography, two-dimensional transesophageal echocardiography, three-dimensional transesophageal echocardiography
Abstract
Objective: To study the value of 2D transthoracic echocardiography (2DTTE) and 2D/3D transesophageal echocardiography (2D/3DTEE) in the assessment of infective endocarditis (IE). Subject and method: From 7/2019 to 9/2020, 40 IE patients were included in the study, of which, 27 patients were operated and the lesions were confirmed by opened heart surgery. Result: Regarding the detection of vegetation, 3DTEE had sensitivity of 96.2%, specificity of sensitivity of 77.78%, specificity of 94.44%, agreement coefficient Kappa = 0.743. Regarding valve perforation, 3DTEE had sensitivity of 72.7%, specificity of 93%, Kappa = 0.658. Regarding chordae rupture, 3DTEE had sensitivity of 100%, specificity of 100%, Kappa = 1. Conclusion: 3DTEE did a better performance than 2DTTE and 2DTEE in the assessment of cardiac lesions in infective endocarditis.
Article Details
References
1. Cahill TJ, Prendergast BD (2016) Infective endocarditis. The Lancet 387(10021): 882-893. doi:10.1016/S0140-6736(15)00067-7.
2. Habib G, Lancellotti P, Antunes MJ et al (2015) 2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC) endorsed by: European association for cardio-thoracic Surgery (EACTS), the European association of nuclear medicine (EANM), Eur. Heart J. 36 (44): 3075-3128, https://doi.org/10.1093/ eurheartj/ehv319.
3. Nguyễn Thị Thu Hoài, Phạm Minh Tuấn, Trần Bá Hiếu, Phạm Mạnh Hùng, Đỗ Doãn Lợi, Dương Đức Hùng và cộng sự (2019) Viêm nội tâm mạc nhiễm khuẩn tại Bệnh viện Bạch Mai năm 2012-2017. Tạp chí Tim mạch học Việt Nam - số 87 năm 2019.
4. Vũ Kim Chi (2002) Nghiên cứu vai trò của siêu âm tim qua thực quản trong chẩn đoán bệnh viêm nội tâm mạc nhiễm khuẩn. Luận văn thạc sĩ y học. Trường Đại học Y Hà Nội 2002. Người hướng dẫn: GS.TS. Nguyễn Lân Việt.
5. Bui STT, Duong HD, Vu TT, Phan NT, Nguyen AV, Mai SH, Nguyen HTT (2022) Multimodality imaging in the diagnosis of bioprosthetic aortic valve endocarditis: A case report. Ann Med Surg (Lond) 80:104238. doi: 10.1016/j.amsu.2022.104238.
6. Nanda NC, Rahman SMA-E, Khatri G et al (1995) Incremental value of three-dimensional echocardiography over transesophageal multiplane two-dimensional echocardiography in qualitative and quantitative assessment of cardiac masses and defects. Echocardiography 12(6): 619-628. doi:10.1111/j.1540-8175.1995.tb00854.x.
7. Daniel WG, Mügge A, Martin RP et al (1991) Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography. New England Journal of Medicine. 324(12): 795-800. doi: 10.1056/NEJM 199103213241203.
8. Bhattacharyya S, Bahrami T et al (2014) Comprehensive assessment of complication of infective endocarditis. International Journal of Cardiology 174: 87-88.
9. Maurice A, Sherman J, Daley N, Collins K, Burstow D, et al (2013) The sensitivity and specificity of Modern-Era 2D/3D transoesophageal and transthoracic echocardiography for diagnosis of native and prosthetic valve left-sided infective endocarditis compared with surgical findings. Heart Lung and Circulation 22: 126-266
10. Carevic V, Mladenovic Z, Perkovic-Avelini R, Becic T, Radic M, Fabijanic D (2021) Three-dimensional transesophageal echocardiography in the diagnosis and treatment of mitral prosthetic valve endocarditis-A narrative review. Medicina (Kaunas) 58 (1) 23, https://doi.org/10.3390/medicina58010023.
11. Hansalia S, Biswas M, Dutta R et al (2009) The Value of Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment of Valvular Vegetations: 3DTEE and valvular vegetations. Echocardiography 26(10):1264-1273. doi: 10.1111/j.1540-8175.2009.01042.x
12. Lang RT, Badano LP et al (2015) Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. European Heart Journal - Cardiovascular Imaging 16(3): 233-271, https://doi.org/10.1093/ ehjci/ jev014.
13. Murdoch DR, Corey GR, Hoen B et al (2009) Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: The International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med 169(5): 463-473. doi:10.1001/archinternmed.2008.603
2. Habib G, Lancellotti P, Antunes MJ et al (2015) 2015 ESC guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC) endorsed by: European association for cardio-thoracic Surgery (EACTS), the European association of nuclear medicine (EANM), Eur. Heart J. 36 (44): 3075-3128, https://doi.org/10.1093/ eurheartj/ehv319.
3. Nguyễn Thị Thu Hoài, Phạm Minh Tuấn, Trần Bá Hiếu, Phạm Mạnh Hùng, Đỗ Doãn Lợi, Dương Đức Hùng và cộng sự (2019) Viêm nội tâm mạc nhiễm khuẩn tại Bệnh viện Bạch Mai năm 2012-2017. Tạp chí Tim mạch học Việt Nam - số 87 năm 2019.
4. Vũ Kim Chi (2002) Nghiên cứu vai trò của siêu âm tim qua thực quản trong chẩn đoán bệnh viêm nội tâm mạc nhiễm khuẩn. Luận văn thạc sĩ y học. Trường Đại học Y Hà Nội 2002. Người hướng dẫn: GS.TS. Nguyễn Lân Việt.
5. Bui STT, Duong HD, Vu TT, Phan NT, Nguyen AV, Mai SH, Nguyen HTT (2022) Multimodality imaging in the diagnosis of bioprosthetic aortic valve endocarditis: A case report. Ann Med Surg (Lond) 80:104238. doi: 10.1016/j.amsu.2022.104238.
6. Nanda NC, Rahman SMA-E, Khatri G et al (1995) Incremental value of three-dimensional echocardiography over transesophageal multiplane two-dimensional echocardiography in qualitative and quantitative assessment of cardiac masses and defects. Echocardiography 12(6): 619-628. doi:10.1111/j.1540-8175.1995.tb00854.x.
7. Daniel WG, Mügge A, Martin RP et al (1991) Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography. New England Journal of Medicine. 324(12): 795-800. doi: 10.1056/NEJM 199103213241203.
8. Bhattacharyya S, Bahrami T et al (2014) Comprehensive assessment of complication of infective endocarditis. International Journal of Cardiology 174: 87-88.
9. Maurice A, Sherman J, Daley N, Collins K, Burstow D, et al (2013) The sensitivity and specificity of Modern-Era 2D/3D transoesophageal and transthoracic echocardiography for diagnosis of native and prosthetic valve left-sided infective endocarditis compared with surgical findings. Heart Lung and Circulation 22: 126-266
10. Carevic V, Mladenovic Z, Perkovic-Avelini R, Becic T, Radic M, Fabijanic D (2021) Three-dimensional transesophageal echocardiography in the diagnosis and treatment of mitral prosthetic valve endocarditis-A narrative review. Medicina (Kaunas) 58 (1) 23, https://doi.org/10.3390/medicina58010023.
11. Hansalia S, Biswas M, Dutta R et al (2009) The Value of Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment of Valvular Vegetations: 3DTEE and valvular vegetations. Echocardiography 26(10):1264-1273. doi: 10.1111/j.1540-8175.2009.01042.x
12. Lang RT, Badano LP et al (2015) Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. European Heart Journal - Cardiovascular Imaging 16(3): 233-271, https://doi.org/10.1093/ ehjci/ jev014.
13. Murdoch DR, Corey GR, Hoen B et al (2009) Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: The International Collaboration on Endocarditis-Prospective Cohort Study. Arch Intern Med 169(5): 463-473. doi:10.1001/archinternmed.2008.603
Article Sidebar
Published
Feb 8, 2023
Issue
Section
Articles
How to Cite
HoàiN. T. T., & NụP. T. (2023). Diagnostic value of three-dimensional transesophageal echocardiography in infective endocarditis patients: Confirmation with surgical findings. Tạp Chí Y Dược lâm sàng 108, 18(1). https://doi.org/10.52389/ydls.v18i1.1607