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Ann Thorac Surg 2009;87:1585-1587. doi:10.1016/j.athoracsur.2008.09.015
© 2009 The Society of Thoracic Surgeons

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Salvatore Lentini
Francesco Monaco
Roberto Gaeta
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Case Reports

Aortic Valve Infective Endocarditis: Could Multi-Detector CT Scan Be Proposed for Routine Screening of Concomitant Coronary Artery Disease Before Surgery?

Salvatore Lentini, MD*, Francesco Monaco, MD, Fabrizio Tancredi, MD, Marcello Savasta, MD, Roberto Gaeta, MD

Cardiac Surgery Unit, Policlinic Hospital, University of Messina, Messina, Italy

Accepted for publication September 3, 2008.

* Address correspondence to Dr Lentini, UOC di Cardiochirurgia, Pad H, AOU Policlinico Universitario, Viale Gazzi, Messina, 98100, Italy (Email: salvolentini{at}alice.it).

Usefulness of the coronary artery study has been questioned in patients with infective valve endocarditis. Fatal events are reported in the literature due to embolization of endocarditic vegetations during cardiac catheterization. For this reason, many authors do not recommend preoperative invasive coronary studies in these patients. We report the case of a 56-year-old patient with prosthetic valve endocarditis with vegetations, and concomitant risk factors for coronary disease. We did preoperative coronary screening using multi-detector computed tomographic scan imaging, which may be useful for noninvasive imaging of the coronary arteries in these patients with high risk of embolization.




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Interact CardioVasc Thorac SurgHome page
V. W. S. Kung, O. A. Jarral, A. R. Shipolini, and D. J. McCormack
Is it safe to perform coronary angiography during acute endocarditis?
Interact CardioVasc Thorac Surg, August 1, 2011; 13(2): 158 - 167.
[Abstract] [Full Text] [PDF]




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