Multimodality cardiovascular imaging in the diagnosis and management of prosthetic valve infective endocarditis in children report of two cases and brief review of the literature

Cardiol Young. 2019 Dec;29(12):1526-1529. doi: 10.1017/S1047951119002233. Epub 2019 Oct 8.

Abstract

Diagnosing prosthetic valve infective endocarditis in children is challenging. Transthoracic and transesophageal echocardiography can yield false-negative results. Data are lacking in paediatric multimodality imaging in prosthetic valve infective endocarditis. We present two children with repaired CHD where initial echocardiogram was non-diagnostic, while CT angiogram and 18F-fluorodeoxyglucose positron emission tomography in combination with CT angiography, respectively, confirmed the diagnosis of endocarditis affecting clinical management.

Keywords: Advanced cardiovascular imaging; CHD; FDG-positron emission tomography; computed tomography angiography; echocardiography; infective endocarditis; paediatrics; prosthetic valve.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Child
  • Endocarditis / diagnostic imaging*
  • Endocarditis / drug therapy
  • Endocarditis / microbiology*
  • Endocarditis / surgery
  • Female
  • Gemella / isolation & purification*
  • Gram-Positive Bacterial Infections / drug therapy
  • Heart Valve Prosthesis / microbiology*
  • Humans
  • Male
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Multimodal Imaging
  • Staphylococcal Infections / drug therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents