Value of cardiac computed tomography angiography in pre-operative assessment of infective endocarditis

Substantial development of cardiac computed tomography angiography (CTA) technology in the last decade has commanded to increase usage of this modality for assessing infective endocarditis (IE). The objective of this study is to evaluate the sensitivity and specificity of preoperative cardiac CTA im...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2019-03, Vol.14 (1), p.56-56, Article 56
Main Authors: Chaosuwannakit, Narumol, Makarawate, Pattarapong
Format: Article
Language:English
Subjects:
Accuracy
Angiography
Cardiac compute tomography
Cardiology
Cardiovascular disease
CAT scans
Complications
Computation
Computed tomography
Computed tomography angiography
Coronary vessels
Dehiscence
Diagnostic imaging
Echocardiography
EKG
Electrocardiography
Endocarditis
Heart
Heart diseases
Heart valve diseases
Infective endocarditis
Ionizing radiation
Medical imaging
Patients
Prostheses
Prostheses and implants
Prosthetic valves
Pseudoaneurysm
Sensitivity
Sensitivity analysis
Surgery
Technology
Thoracic surgery
Three dimensional imaging
Tomography
Valvular heart disease
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Summary:Substantial development of cardiac computed tomography angiography (CTA) technology in the last decade has commanded to increase usage of this modality for assessing infective endocarditis (IE). The objective of this study is to evaluate the sensitivity and specificity of preoperative cardiac CTA imaging as opposed to transthoracic echocardiography (TTE) in the assessment of complications associated to IE, with comparison to surgical findings. Among 52 patients with surgically proven IE in our database, 24 underwent contrast-enhanced ECG cardiac CTA and were included in the study and all of them also underwent TTE. For the detection of pseudoaneurysm/abscess in both native and prosthetic valves, cardiac CTA demonstrated significantly higher sensitivity (91.5% vs. 15.8%, p 
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-019-0880-4