A Misinterpreted Case of Aorta Prosthesis Endocarditis: Remember The Phenomenon of Microbubbles

A 17‐year‐old male with a history of newly implanted mechanical valve at the aortic position, presented with fever, rigors, and painful cutaneous abscesses on his lower extremities and was suspected for infective endocarditis. Transthoracic echocardiography (TTE) showed a vegetation‐like structure f...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2013-08, Vol.30 (7), p.E188-E191
Main Authors: Lerche, Christian Johann, Haugan, Ketil Jørgen, Reimers, Jesper Irving, Ihlemann, Nikolaj
Format: Article
Language:English
Subjects:
Adolescent
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
cavitation
Contrast Media
degassing
Diagnosis, Differential
Diagnostic Errors - prevention & control
endocarditis
Endocarditis - diagnostic imaging
False Positive Reactions
Heart Valve Prosthesis - adverse effects
Humans
Male
mechanical heart valve
microbubbles
Phospholipids
Prosthesis-Related Infections - diagnostic imaging
Prosthesis-Related Infections - etiology
Staphylococcal Infections - diagnostic imaging
Sulfur Hexafluoride
Ultrasonography
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Summary:A 17‐year‐old male with a history of newly implanted mechanical valve at the aortic position, presented with fever, rigors, and painful cutaneous abscesses on his lower extremities and was suspected for infective endocarditis. Transthoracic echocardiography (TTE) showed a vegetation‐like structure following the movement of the mechanical heart valve (MHV), which eventually proved to be a product of degassing microbubbles (MB). Mini‐ A 17‐year‐old male with a history of newly implanted mechanical valve at the aortic position, presented with fever, rigors, and painful cutaneous abscesses on his lower extremities and was suspected for infective endocarditis. Transthoracic echocardiography showed a vegetation‐like structure following the movement of the MHV, which eventually proved to be a product of degassing microbubbles.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.12224