Serial echocardiographic appearance of healing bacterial vegetations

Andy Stafford, L. Samuel Wann, James C. Dillon, Arthur E. Weyman, Harvey Feigenbaum

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Serial M mode and cross-sectional echocardiograms were obtained from six patients who had been treated with antibiotic drugs for infectious endocarditis. Three to six M mode echocardiograms and one to six cross-sectional echocardiograms were obtained from each patient over a follow-up period averaging 50 weeks (range 10 to 108 weeks). On echocardiography, vegetations were observed to have become smaller and more echo-reflective with healing. A dramatic change was seen in two patients after peripheral embolization. M mode echocardiography was particularly helpful in determining the quality of echo reflection by vegetations; cross-sectional echocardiography was more helpful in judging the size and shape of a vegetation. Echocardiography is ideally suited for the serial visualization of healing vegetations in patients who do not require early valve replacement. It may prove helpful to examine serially valve vegetations with both M mode and cross-sectional echocardiography when following up patients with infectious endocarditis treated with antibiotic agents.

Original languageEnglish (US)
Pages (from-to)754-760
Number of pages7
JournalThe American journal of cardiology
Volume44
Issue number4
DOIs
StatePublished - Oct 1 1979

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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