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Positron Emission Tomography in Infective Endocarditis of Bioprosthetic Aortic Valve


Authors: David Zogala 1;  Zuzana Hlubocká 3;  Jiří Beneš 2;  Jaroslav Lindner 4;  Jozef Kubinyi 1
Authors‘ workplace: Ústav nukleární medicíny VFN a 1. LF UK Praha 1;  Radiodiagnostická klinika VFN a 1. LF UK 2;  II. interní klinika - klinika kardiologie a angiologie VFN a 1. LF UK 3;  II. chirurgická klinika kardiovaskulární chirurgie VFN a 1. LF UK 4
Published in: NuklMed 2013;2:53-57
Category: Casuistry

Overview

We present a case of a female patient with early prosthetic valve endocarditis of bioprosthetic aortic valve, where positron emission tomography with 18F-fluorodeoxyglucose (PET) had substantial impact on its diagnostics and indication of subsequent reoperation.

We discuss current role of PET in the management of infective endocarditis.

Key Words:

FDG, PET/CT, infective endocarditis


Sources

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3. The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC) Guidelines on the prevention, diagnosis, and treatment of infective endokarditis (new version 2009). European Heart Journal 2009;30:2369–2413

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6. Wallner M, Steyer G, Krause R et al. Fungal endocarditis of a bioprosthetic aortic valve: Pharmacological treatment of a Candida parapsilosis endocarditis. Herz [online]. 2012. [cit. 2013-03-25]. Dostupné na: http://link.springer.com/article/10.1007%2Fs00059-012-3715-9

7. Sankatsing SU, Kolader ME, Bouma BJ et al. 18F-fluoro-2-deoxyglucose positron emission tomography-negative endocarditis lenta caused by Bartonella henselae. J Heart Valve Dis. 2011;20:100-2

8. Millar BC, Prendergast BD, Alavi A, Moore JE. (18)FDG-positron emission tomography (PET) has a role to play in the diagnosis and therapy of infective endocarditis and cardiac device infection. Int J Cardiology [online]. 2013. [cit. 2013-01-21]. Dostupné na http://www.sciencedirect.com/science/article/pii/S0167527312016336

9. Bertagna F, Bisleri G, Motta F et al. Possible role of F18-FDG-PET/CT in the diagnosis of endocarditis: preliminary evidence from a review of the literature. Int J Cardiovasc Imaging 2012;28:1417-25

10. Maurer AH, Burshteyn M, Adler LP, Steiner RM. How to differentiate benign versus malignant cardiac and paracardiac 18F FDG uptake at oncologic PET/CT. Radiographics 2011;31:1287-305

11. Williams G, Kolodny GM. Suppression of myocardial 18F-FDG uptake by preparing patients with a high-fat, low-carbohydrate diet. AJR Am J Roentgenol 2008;190:W151-6

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