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      Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings.

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          Abstract

          We evaluated the diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography (TTE and TEE, respectively) for assessing valvular perforation during active infective endocarditis by correlating the results of TTE and TEE with anatomic findings of 88 valves examined at surgery or autopsy. Compared with TEE, TTE has a low diagnostic sensitivity in the detection of this complication and, in the presence of hemodynamic instability, multiplane TEE should be performed directly.

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          Author and article information

          Journal
          Clin. Infect. Dis.
          Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
          University of Chicago Press
          1058-4838
          1058-4838
          May 2000
          : 30
          : 5
          Affiliations
          [1 ] Dipartimento di Medicina Clinica, Università La Sapienza, Viale del Policlinico, Roma, Italia. migliau@axcasp.caspur.it
          Article
          CID990517
          10.1086/313762
          10816155
          244e5ddf-9464-4c7c-969d-73673368a83f
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