Rohmann S, Erbel R, Mohr-Kahaly S, Meyer J
2nd Medical Clinic, University of Mainz, Germany.
Eur Heart J. 1995 Apr;16 Suppl B:54-62. doi: 10.1093/eurheartj/16.suppl_b.54.
Transoesophageal echocardiography is invaluable clinically since it accurately images abscess cavities or aneurysms. It provides the information about the site and extension of abscesses which is needed by surgeons to time and define surgical intervention. Early diagnosis is advantageous, and abscesses should be expected in 5%-30% of patients with echocardiographically discernible vegetations. Since there is no 'abscess typical' organism, transoesophageal echocardiographic examination is helpful at the first indication of infective endocarditis, to identify high-risk patients. Involvement of the aortic valve, growth in the size of vegetations, and the presence of spontaneous echo contrast are echocardiographic indicators of high-risk endocarditis.
经食管超声心动图在临床上具有重要价值，因为它能准确成像脓肿腔或动脉瘤。它提供了外科医生进行手术干预所需的关于脓肿部位和范围的信息。早期诊断具有优势，在超声心动图可识别赘生物的患者中，5% - 30%的患者应考虑有脓肿。由于不存在“典型脓肿”病原体，经食管超声心动图检查在感染性心内膜炎的最初迹象出现时有助于识别高危患者。主动脉瓣受累、赘生物大小增大以及存在自发回声造影是高危心内膜炎的超声心动图指标。
