Chau Ariya, Renella Pierangelo, Arrieta Antonio
UCI/CHOC Pediatric Residency Program, Orange, CA, USA.
Division of Cardiology, CHOC Children's Hospital, Orange, CA, USA.
Cardiol Young. 2019 Dec;29(12):1526-1529. doi: 10.1017/S1047951119002233. Epub 2019 Oct 8.
Diagnosing prosthetic valve infective endocarditis in children is challenging. Transthoracic and transesophageal echocardiography can yield false-negative results. Data are lacking in paediatric multimodality imaging in prosthetic valve infective endocarditis. We present two children with repaired CHD where initial echocardiogram was non-diagnostic, while CT angiogram and 18F-fluorodeoxyglucose positron emission tomography in combination with CT angiography, respectively, confirmed the diagnosis of endocarditis affecting clinical management.
诊断儿童人工瓣膜感染性心内膜炎具有挑战性。经胸和经食管超声心动图可能会产生假阴性结果。目前缺乏关于人工瓣膜感染性心内膜炎的儿科多模态成像数据。我们报告了两名患有先天性心脏病修复术后的儿童,其最初的超声心动图检查未能确诊,而CT血管造影以及18F-氟脱氧葡萄糖正电子发射断层扫描与CT血管造影相结合,分别确诊了影响临床治疗的心内膜炎。