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Case Reports
. 2018 Apr-Jun;28(2):124-126.
doi: 10.4103/jcecho.jcecho_12_18.

Three-dimensional Transesophageal Echocardiographic Diagnosis of Catheter Endocarditis Hidden in Intracaval Stent

Rita Leonarda Musci  1 , Cataldo Girasoli  1 , Fabrizio Fumarola  1 , Carlo D'Agostino  2 , Paolo Colonna  2
Affiliations
Case Reports

Three-dimensional Transesophageal Echocardiographic Diagnosis of Catheter Endocarditis Hidden in Intracaval Stent

Rita Leonarda Musci et al. J Cardiovasc Echogr. 2018 Apr-Jun.

Abstract

In recent years, with an increasing number of central venous access procedures and cardiac implantable electronic device implantation, the incidence of infective endocarditis (IE) has become more prevalent. Two-dimensional transthoracic echocardiography (2D-TTE) and transesophageal echocardiography (TEE) are a key part of the evaluation of IE, but advances in three-dimensional echocardiography have enabled a better spatial resolution and visualization of cardiac structures, allowing the identification of any valvular vegetations, abscesses, or nodules. Herein, we report the usefulness of 3D-TEE in a difficult diagnosis of hemodialysis catheter endocarditis hidden in intracaval stent.

Keywords: Cardiac implantable electronic device; hemodialysis catheter endocarditis; infective endocarditis; lead-dependent infective endocarditis; three-dimensional transesophageal echocardiography.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Two-dimensional transthoracic echocardiography: apical 4-chamber view in systolic phase showing a rounded hyperechogenic mass (diameter 35 mm × 35 mm) of uncertain diagnosis at the right atrium roof (arrow)
Figure 2
Figure 2
Transesophageal echocardiography: 5-chamber view in systolic phase showing hemodialysis central venous catheter hidden in the intracaval stent (arrow) in the right atrium, rising from the superior vena cava
Figure 3
Figure 3
Three-dimensional transesophageal echocardiography: long axis view acquired around 105° showing the scaffold of the superior vena cava stent, partially dislocated in the right atrium, in which was placed the hemodialysis central venous catheter (arrow). RA = Right atrium
Figure 4
Figure 4
Three-dimensional transesophageal echocardiography: 4 chamber view acquired at 0° showing hemodialysis central venous catheter, placed inside the superior vena cava stent with an irregular and augmented thickness (14 mm) of its surface (arrow) referable to endocarditis vegetation. RV = Right ventricle; LA = Left atrium; LV = Left ventricle
See this image and copyright information in PMC

References

    1. Gonzalez YO, Ung R, Blackshear JL, Laman SM. Three-dimensional echocardiography for diagnosis of transcatheter prosthetic aortic valve endocarditis. Case. 2017;1:155–8. - PMC - PubMed
    1. Surratt RS, Picus D, Hicks ME, Darcy MD, Kleinhoffer M, Jendrisak M, et al. The importance of preoperative evaluation of the subclavian vein in dialysis access planning. AJR Am J Roentgenol. 1991;156:623–5. - PubMed
    1. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 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. 2015;36:3075–128. - PubMed
    1. Baddour LM, Epstein AE, Erickson CC, Knight BP, Levison ME, Lockhart PB, et al. Update on cardiovascular implantable electronic device infections and their management: A scientific statement from the American heart association. Circulation. 2010;121:458–77. - PubMed
    1. Thuny F, Grisoli D, Collart F, Habib G, Raoult D. Management of infective endocarditis: Challenges and perspectives. Lancet. 2012;379:965–75. - PubMed

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