Department of Cardiovascular Surgery, Hospital Clinic-IDIBAPS, University of Barcelona, Villarroel 170, 08036, Barcelona, Spain,
Curr Infect Dis Rep. 2010 Sep;12(5):321-8. doi: 10.1007/s11908-010-0124-1.
Infective endocarditis is a serious disease that carries significant morbidity and mortality. Adequate treatment is based on a high degree of clinical suspicion, accurate microbiologic diagnosis, and high-quality imaging. Echocardiography has been shown to be a fundamental tool for diagnosis and management. Currently accepted Duke criteria include blood cultures and echocardiography. Transthoracic and transesophageal echocardiography play a critical role in the decision-making process, especially when surgical treatment is contemplated. Because infective endocarditis is considered a medical and surgical disease, and considering that the current rate of surgery is about 50%, echocardiography has definite value in preoperative diagnosis and surgical planning, intraoperative confirmation of lesions and quality of repair or replacement before and after cardiopulmonary bypass, and postoperative assessment.
感染性心内膜炎是一种严重的疾病，具有显著的发病率和死亡率。充分的治疗基于高度的临床怀疑、准确的微生物学诊断和高质量的影像学。超声心动图已被证明是诊断和管理的基本工具。目前公认的杜克标准包括血培养和超声心动图。经胸超声心动图和经食管超声心动图在决策过程中起着关键作用，特别是在考虑手术治疗时。由于感染性心内膜炎被认为是一种内科和外科疾病，并且考虑到目前的手术率约为 50%，超声心动图在术前诊断和手术计划、体外循环前后手术中病变的确认以及修复或置换的质量方面具有明确的价值，以及术后评估。
