18F-FDG PET/CT in the diagnosis of prosthetic valve endocarditis

Abstract

Prosthetic valve endocarditis is a major diagnostic challenge in clinical practice, due to the lower sensitivity of the modified Duke criteria and a higher percentage of cases with negative or inconclusive echocardiography results. The delay in establishing medical and surgical treatment increases the morbidity/mortality rate. New imaging techniques and 18F-FDG PET/CT in particular have meant a significant advance in cases of high clinical suspicion and negative or inconclusive echocardiography, increasing the overall sensitivity of the modified Duke criteria. We report the case of a male patient with prosthetic valve endocarditis, where 18F-FDG PET/CT provided the diagnostic key, determining the origin of the endocarditis and avoiding treatment delay.

Keywords: 18F-FDG PET/CT; Cardiac imaging; Critérios de Duke modificados; Endocardite das próteses valvulares; Imagem cardíaca; Modified Duke criteria; Prosthetic valve endocarditis.