Prosthetic valve endocarditis: positron emission tomography/computed tomography as a new golden grail

Acta Cardiol. 2018 Apr;73(2):109-114. doi: 10.1080/00015385.2017.1351255. Epub 2017 Aug 22.

Abstract

Prosthetic valve endocarditis (PVE) is a serious infection with potentially fatal consequences. Early detection is crucial for successful management and outcome. The diagnosis of PVE is challenging and is based on the Duke criteria (DC) in which echocardiography plays a crucial role. However, transthoracic and transoesophageal echocardiography have less diagnostic value in PVE compared to native valve endocarditis. Combined computed tomography and fluorodeoxyglucose positron emission is a new technique providing improved diagnostic accuracy in PVE. This paper presents a case and reviews on the role of positron emission tomography/computed tomography in PVE.

Keywords: Positron emission tomography; endocarditis; prosthetic valve.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / surgery
  • Aortic Valve Insufficiency / surgery
  • Bioprosthesis / adverse effects*
  • Bioprosthesis / microbiology
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / microbiology
  • Fatal Outcome
  • Female
  • Heart Valve Prosthesis / adverse effects*
  • Heart Valve Prosthesis / microbiology
  • Humans
  • Positron Emission Tomography Computed Tomography / methods*
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / microbiology
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / isolation & purification