Summary

Echocardiography can, in conjuction with positive blood cultures, help establish the diagnosis of IE (Table 1). It is also important in assessing complications and guiding further management and follow-up of patients with this condition. Both transthoracic and transesophagel echocardiography play important roles— each with its own advantages and disadavantages. Echocardiographic findings, however, must always be

Echo Findings Aortic Root Fistula

Fig. 19. A 38-yr-old male with acute bacterial endocarditis requiring aortic root replacement surgery. This gravely ill 38-yr-old male suffered marked destruction of his aortic valve leaflets secondary to infective endocarditis (A-D). This led to severe aortic incompetence (B) and cardiac conduction disturbances. He underwent emergency aortic root and valve replacement surgery. The infection extended down to the membranous ventricular septum causing a ventricular septal defect (see Fig. 14 A,B).

Fig. 19. A 38-yr-old male with acute bacterial endocarditis requiring aortic root replacement surgery. This gravely ill 38-yr-old male suffered marked destruction of his aortic valve leaflets secondary to infective endocarditis (A-D). This led to severe aortic incompetence (B) and cardiac conduction disturbances. He underwent emergency aortic root and valve replacement surgery. The infection extended down to the membranous ventricular septum causing a ventricular septal defect (see Fig. 14 A,B).

interpreted within the clinical context and in close collaboration with the entire management team.

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