Two-dimensional echocardiographic assessment of vegetative endocarditis.

Journal Article (Journal Article)

Real-time, two-dimensional echocardiography was used to document the presence and assess the size and location of vegetative lesions of the cardiac valves and chambers in seven patients with bacterial endocarditis. Anatomic correlation (surgical or autopsy) was accurate in all patients. Two-dimensional echocardiography was shown to be of particular value in determining morphologic characteristics of the lesions since this technique provides spatial information concerning moving cardiac structures. The results of two-dimensional echocardiography were most helpful in determining selected aspects of the clinical care provided for each patient. These data demonstrate that real-time, two-dimensional echocardiography, in combination with M-mode imaging techniques, may be of great potential value in the detection of vegetative endocarditis. Furthermore, reliable assessment of lesion size and location may, in time, become a valuable method for following the morphologic changes that occur in vegetative lesions, and thus determine the efficacy of antibiotic therapy. This information may also provide a means for evaluating certain patients for surgical intervention.

Full Text

Duke Authors

Cited Authors

  • Gilbert, BW; Haney, RS; Crawford, F; McClellan, J; Gallis, HA; Johnson, ML; Kisslo, JA

Published Date

  • February 1, 1977

Published In

Volume / Issue

  • 55 / 2

Start / End Page

  • 346 - 353

PubMed ID

  • 832352

International Standard Serial Number (ISSN)

  • 0009-7322

Digital Object Identifier (DOI)

  • 10.1161/01.cir.55.2.346


  • eng

Conference Location

  • United States