Eustachian valve endocarditis: Is it worth searching for?
Background Only a few cases of eustachian valve endocarditis have been reported. Whether the eustachian valve is an uncommon site for a vegetation to be attached or whether the disease is missed because a systematic approach to this valve is not routinely performed in the search for vegetations is n...
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| Veröffentlicht in: | The American heart journal 2001-12, Vol.142 (6), p.1037-1040 |
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| container_title | The American heart journal |
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| creator | Román, José Alberto San Vilacosta, Isidre Sarriá, Cristina Garcimartín, Isabel Rollán, María Jesús Fernández-Avilés, Francisco |
| description | Background Only a few cases of eustachian valve endocarditis have been reported. Whether the eustachian valve is an uncommon site for a vegetation to be attached or whether the disease is missed because a systematic approach to this valve is not routinely performed in the search for vegetations is not known. Methods Every patient suspected of having endocarditis undergoes a specific approach, which includes a systematic study of the eustachian valve. In 10 patients with large valves but without signs and symptoms of endocarditis, we identified 2 specific findings: width |
| doi_str_mv | 10.1067/mhj.2001.119125 |
| format | Article |
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Whether the eustachian valve is an uncommon site for a vegetation to be attached or whether the disease is missed because a systematic approach to this valve is not routinely performed in the search for vegetations is not known. Methods Every patient suspected of having endocarditis undergoes a specific approach, which includes a systematic study of the eustachian valve. In 10 patients with large valves but without signs and symptoms of endocarditis, we identified 2 specific findings: width <3 mm and a regular oscillating movement. A blinded evaluation in the 10 control subjects and 30 patients with right-sided endocarditis, including the 5 with eustachian valve endocarditis, showed an agreement of 97% (39/40). Results Five of 152 patients with right-sided endocarditis were found to have eustachian valve vegetations (3.3%). Patients were young (age range 22-34 years) and all had predisposing factors (3 intravenous drug abusers, 2 central venous lines), fever, and septic pulmonary embolism. Staphylococcus aureus was cultured in all cases. Tricuspid involvement was found in 4 patients, and only 1 patient had isolated eustachian valve endocarditis. All patients did well with culture-guided antibiotics. Conclusions Our results suggest that eustachian valve endocarditis may be more frequent than is believed. Thus a systematic interrogation of the eustachian valve should be included in the echocardiographic examination of a patient suspected of having endocarditis. (Am Heart J 2001;142:1037-40.)</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1067/mhj.2001.119125</identifier><identifier>PMID: 11717609</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Cardiology. Vascular system ; Echocardiography, Transesophageal ; Endocardial and cardiac valvular diseases ; Endocarditis, Bacterial - classification ; Endocarditis, Bacterial - diagnosis ; Female ; Heart ; Humans ; Male ; Medical sciences ; Reproducibility of Results ; Staphylococcal Infections - diagnosis ; Staphylococcus aureus - isolation & purification ; Vena Cava, Inferior - diagnostic imaging ; Vena Cava, Inferior - microbiology</subject><ispartof>The American heart journal, 2001-12, Vol.142 (6), p.1037-1040</ispartof><rights>2001 Mosby, Inc.</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-95144b6e1d0b15b94c999d98f26a02af377451e8168d6a0d2284ddf4076325b63</citedby><cites>FETCH-LOGICAL-c373t-95144b6e1d0b15b94c999d98f26a02af377451e8168d6a0d2284ddf4076325b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mhj.2001.119125$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13383543$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11717609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Román, José Alberto San</creatorcontrib><creatorcontrib>Vilacosta, Isidre</creatorcontrib><creatorcontrib>Sarriá, Cristina</creatorcontrib><creatorcontrib>Garcimartín, Isabel</creatorcontrib><creatorcontrib>Rollán, María Jesús</creatorcontrib><creatorcontrib>Fernández-Avilés, Francisco</creatorcontrib><title>Eustachian valve endocarditis: Is it worth searching for?</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Only a few cases of eustachian valve endocarditis have been reported. Whether the eustachian valve is an uncommon site for a vegetation to be attached or whether the disease is missed because a systematic approach to this valve is not routinely performed in the search for vegetations is not known. Methods Every patient suspected of having endocarditis undergoes a specific approach, which includes a systematic study of the eustachian valve. In 10 patients with large valves but without signs and symptoms of endocarditis, we identified 2 specific findings: width <3 mm and a regular oscillating movement. A blinded evaluation in the 10 control subjects and 30 patients with right-sided endocarditis, including the 5 with eustachian valve endocarditis, showed an agreement of 97% (39/40). Results Five of 152 patients with right-sided endocarditis were found to have eustachian valve vegetations (3.3%). Patients were young (age range 22-34 years) and all had predisposing factors (3 intravenous drug abusers, 2 central venous lines), fever, and septic pulmonary embolism. Staphylococcus aureus was cultured in all cases. Tricuspid involvement was found in 4 patients, and only 1 patient had isolated eustachian valve endocarditis. All patients did well with culture-guided antibiotics. Conclusions Our results suggest that eustachian valve endocarditis may be more frequent than is believed. Thus a systematic interrogation of the eustachian valve should be included in the echocardiographic examination of a patient suspected of having endocarditis. (Am Heart J 2001;142:1037-40.)</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Echocardiography, Transesophageal</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Endocarditis, Bacterial - classification</subject><subject>Endocarditis, Bacterial - diagnosis</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Reproducibility of Results</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Staphylococcus aureus - isolation & purification</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><subject>Vena Cava, Inferior - microbiology</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M9LwzAUwPEgipvTszfpRW_d8pI0abyIjKmDgRc9hzRJXUZ_zKSb-N_b0cFOnkLC5z3CF6FbwFPAXMzq9WZKMIYpgASSnaExYClSLhg7R2OMMUlzgekIXcW46a-c5PwSjQAECI7lGMnFLnbarL1ukr2u9i5xjW2NDtZ3Pj4my5j4LvlpQ7dOotOhl81XUrbh6RpdlLqK7uZ4TtDny-Jj_pau3l-X8-dVaqigXSozYKzgDiwuICskM1JKK_OScI2JLqkQLAOXA89t_2IJyZm1JcOCU5IVnE7Qw7B3G9rvnYudqn00rqp049pdVIIQSYEd4GyAJrQxBleqbfC1Dr8KsDrUUn0tdailhlr9xN1x9a6onT35Y54e3B-BjkZXZdCN8fHkKM1pxmjv5OBcH2LvXVDReNcYZ31wplO29f9-4g_1L4OF</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Román, José Alberto San</creator><creator>Vilacosta, Isidre</creator><creator>Sarriá, Cristina</creator><creator>Garcimartín, Isabel</creator><creator>Rollán, María Jesús</creator><creator>Fernández-Avilés, Francisco</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011201</creationdate><title>Eustachian valve endocarditis: Is it worth searching for?</title><author>Román, José Alberto San ; Vilacosta, Isidre ; Sarriá, Cristina ; Garcimartín, Isabel ; Rollán, María Jesús ; Fernández-Avilés, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-95144b6e1d0b15b94c999d98f26a02af377451e8168d6a0d2284ddf4076325b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Echocardiography, Transesophageal</topic><topic>Endocardial and cardiac valvular diseases</topic><topic>Endocarditis, Bacterial - classification</topic><topic>Endocarditis, Bacterial - diagnosis</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Reproducibility of Results</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Staphylococcus aureus - isolation & purification</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><topic>Vena Cava, Inferior - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Román, José Alberto San</creatorcontrib><creatorcontrib>Vilacosta, Isidre</creatorcontrib><creatorcontrib>Sarriá, Cristina</creatorcontrib><creatorcontrib>Garcimartín, Isabel</creatorcontrib><creatorcontrib>Rollán, María Jesús</creatorcontrib><creatorcontrib>Fernández-Avilés, Francisco</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Román, José Alberto San</au><au>Vilacosta, Isidre</au><au>Sarriá, Cristina</au><au>Garcimartín, Isabel</au><au>Rollán, María Jesús</au><au>Fernández-Avilés, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eustachian valve endocarditis: Is it worth searching for?</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>142</volume><issue>6</issue><spage>1037</spage><epage>1040</epage><pages>1037-1040</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Only a few cases of eustachian valve endocarditis have been reported. Whether the eustachian valve is an uncommon site for a vegetation to be attached or whether the disease is missed because a systematic approach to this valve is not routinely performed in the search for vegetations is not known. Methods Every patient suspected of having endocarditis undergoes a specific approach, which includes a systematic study of the eustachian valve. In 10 patients with large valves but without signs and symptoms of endocarditis, we identified 2 specific findings: width <3 mm and a regular oscillating movement. A blinded evaluation in the 10 control subjects and 30 patients with right-sided endocarditis, including the 5 with eustachian valve endocarditis, showed an agreement of 97% (39/40). Results Five of 152 patients with right-sided endocarditis were found to have eustachian valve vegetations (3.3%). Patients were young (age range 22-34 years) and all had predisposing factors (3 intravenous drug abusers, 2 central venous lines), fever, and septic pulmonary embolism. Staphylococcus aureus was cultured in all cases. Tricuspid involvement was found in 4 patients, and only 1 patient had isolated eustachian valve endocarditis. All patients did well with culture-guided antibiotics. Conclusions Our results suggest that eustachian valve endocarditis may be more frequent than is believed. Thus a systematic interrogation of the eustachian valve should be included in the echocardiographic examination of a patient suspected of having endocarditis. (Am Heart J 2001;142:1037-40.)</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11717609</pmid><doi>10.1067/mhj.2001.119125</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Cardiology. Vascular system Echocardiography, Transesophageal Endocardial and cardiac valvular diseases Endocarditis, Bacterial - classification Endocarditis, Bacterial - diagnosis Female Heart Humans Male Medical sciences Reproducibility of Results Staphylococcal Infections - diagnosis Staphylococcus aureus - isolation & purification Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - microbiology |
| title | Eustachian valve endocarditis: Is it worth searching for? |
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