Unusual Echolucency Seen After Bacterial Endocarditis

Unusual Echolucency Seen After Bacterial Endocarditis Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 1087–1089 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Diagnostic Dilemma Unusual Echolucency Seen After Bacterial Endocarditis Morgan Marino, MD, Christoforos Frangopoulos, Priya A. Kumar, MD, Meena Bhatia, MD Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, NC Key Words: Bacterial endocarditis; arteriovenous fistula; coronary sinus; right coronary artery A 52-YEAR-OLD, 169-cm, 99-kg man presented to the authors’ institution with dyspnea on exertion and progressive exercise intolerance. Three months before presentation, he was diagnosed with aortic valve endocarditis. The bacteria were identified as Viridans streptococci, and the patient underwent 6 weeks of antibiotic treatment, with resolution of his symptoms. The patient subsequently developed atrial fibrilla- tion, and transthoracic echocardiography demonstrated a dilated right atrium, an ejection fraction of 45% to 50%, and Fig 2. Midesophageal 2-chamber transesophageal echocardiographic image with color Doppler showing turbulent flow in the coronary sinus. Fig 1. A midesophageal 2-chamber transesophageal echocardiographic image showing enlarged coronary sinus. Address reprint requests to Meena Bhatia, MD, Department of Anesthe- siology, University of North Carolina School of Medicine, N2198 UNC Fig 3. Three-dimensional image obtained by advancing the probe from http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiothoracic and Vascular Anesthesia Elsevier

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Publisher
Elsevier
Copyright
Copyright © 2017 Elsevier Inc.
ISSN
1053-0770
D.O.I.
10.1053/j.jvca.2017.05.034
Publisher site
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Abstract

Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 1087–1089 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Diagnostic Dilemma Unusual Echolucency Seen After Bacterial Endocarditis Morgan Marino, MD, Christoforos Frangopoulos, Priya A. Kumar, MD, Meena Bhatia, MD Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, NC Key Words: Bacterial endocarditis; arteriovenous fistula; coronary sinus; right coronary artery A 52-YEAR-OLD, 169-cm, 99-kg man presented to the authors’ institution with dyspnea on exertion and progressive exercise intolerance. Three months before presentation, he was diagnosed with aortic valve endocarditis. The bacteria were identified as Viridans streptococci, and the patient underwent 6 weeks of antibiotic treatment, with resolution of his symptoms. The patient subsequently developed atrial fibrilla- tion, and transthoracic echocardiography demonstrated a dilated right atrium, an ejection fraction of 45% to 50%, and Fig 2. Midesophageal 2-chamber transesophageal echocardiographic image with color Doppler showing turbulent flow in the coronary sinus. Fig 1. A midesophageal 2-chamber transesophageal echocardiographic image showing enlarged coronary sinus. Address reprint requests to Meena Bhatia, MD, Department of Anesthe- siology, University of North Carolina School of Medicine, N2198 UNC Fig 3. Three-dimensional image obtained by advancing the probe from

Journal

Journal of Cardiothoracic and Vascular AnesthesiaElsevier

Published: Apr 1, 2018

References

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