The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis

Infective endocarditis (IE) represents an important medical challenge, particularly in patients with congenital heart diseases (CHD). Its early and accurate diagnosis is crucial for effective management to improve patient outcomes. Multimodality imaging is emerging as a powerful tool in the diagnosi...

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Main Authors: Sara Moscatelli, Isabella Leo, Francesco Bianco, Elena Surkova, Théo Pezel, Natasha Alexandra Donald, Elizabeth Katherine Anna Triumbari, Pier Paolo Bassareo, Akshyaya Pradhan, Andrea Cimini, Marco Alfonso Perrone
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/24/3638
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author Sara Moscatelli
Isabella Leo
Francesco Bianco
Elena Surkova
Théo Pezel
Natasha Alexandra Donald
Elizabeth Katherine Anna Triumbari
Pier Paolo Bassareo
Akshyaya Pradhan
Andrea Cimini
Marco Alfonso Perrone
author_facet Sara Moscatelli
Isabella Leo
Francesco Bianco
Elena Surkova
Théo Pezel
Natasha Alexandra Donald
Elizabeth Katherine Anna Triumbari
Pier Paolo Bassareo
Akshyaya Pradhan
Andrea Cimini
Marco Alfonso Perrone
author_sort Sara Moscatelli
collection DOAJ
description Infective endocarditis (IE) represents an important medical challenge, particularly in patients with congenital heart diseases (CHD). Its early and accurate diagnosis is crucial for effective management to improve patient outcomes. Multimodality imaging is emerging as a powerful tool in the diagnosis and management of IE in CHD patients, offering a comprehensive and integrated approach that enhances diagnostic accuracy and guides therapeutic strategies. This review illustrates the utilities of each single multimodality imaging, including transthoracic and transoesophageal echocardiography, cardiac computed tomography (CCT), cardiovascular magnetic resonance imaging (CMR), and nuclear imaging modalities, in the diagnosis of IE in CHD patients. These imaging techniques provide crucial information about valvular and intracardiac structures, vegetation size and location, abscess formation, and associated complications, helping clinicians make timely and informed decisions. However, each one does have limitations that influence its applicability.
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spelling doaj.art-6df8e91f398b4cddb401ea2f2e50e9542023-12-22T14:03:09ZengMDPI AGDiagnostics2075-44182023-12-011324363810.3390/diagnostics13243638The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective EndocarditisSara Moscatelli0Isabella Leo1Francesco Bianco2Elena Surkova3Théo Pezel4Natasha Alexandra Donald5Elizabeth Katherine Anna Triumbari6Pier Paolo Bassareo7Akshyaya Pradhan8Andrea Cimini9Marco Alfonso Perrone10Inherited Cardiovascular Diseases, Great Ormond Street Hospital, Children NHS Foundation Trust, London WC1N 3JH, UKDepartment of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, ItalyCardiovascular Sciences Department, AOU “Ospedali Riuniti”, 60126 Ancona, ItalyDepartment of Echocardiography, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 5NP, UKDépartement de Cardiologie, Université Paris-Cité, Hôpital Universitaire de Lariboisière, Assistance Publique des Hôpitaux de Paris (APHP), Inserm UMRS 942, 75010 Paris, FranceInherited Cardiovascular Diseases, Great Ormond Street Hospital, Children NHS Foundation Trust, London WC1N 3JH, UKDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalySchool of Medicine, University College of Dublin, Mater Misericordiae University Hospital, Children’s Health Ireland Crumlin, D07 R2WY Dublin, IrelandDepartment of Cardiology, King George’s Medical University, Lucknow 226003, IndiaNuclear Medicine Unit, St. Salvatore Hospital, 67100 L’Aquila, ItalyDivision of Cardiology and CardioLab, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyInfective endocarditis (IE) represents an important medical challenge, particularly in patients with congenital heart diseases (CHD). Its early and accurate diagnosis is crucial for effective management to improve patient outcomes. Multimodality imaging is emerging as a powerful tool in the diagnosis and management of IE in CHD patients, offering a comprehensive and integrated approach that enhances diagnostic accuracy and guides therapeutic strategies. This review illustrates the utilities of each single multimodality imaging, including transthoracic and transoesophageal echocardiography, cardiac computed tomography (CCT), cardiovascular magnetic resonance imaging (CMR), and nuclear imaging modalities, in the diagnosis of IE in CHD patients. These imaging techniques provide crucial information about valvular and intracardiac structures, vegetation size and location, abscess formation, and associated complications, helping clinicians make timely and informed decisions. However, each one does have limitations that influence its applicability.https://www.mdpi.com/2075-4418/13/24/3638infective endocarditiscongenital heart diseasemultimodality imagingcardiac magnetic resonance imagingnuclear imagingechocardiography
spellingShingle Sara Moscatelli
Isabella Leo
Francesco Bianco
Elena Surkova
Théo Pezel
Natasha Alexandra Donald
Elizabeth Katherine Anna Triumbari
Pier Paolo Bassareo
Akshyaya Pradhan
Andrea Cimini
Marco Alfonso Perrone
The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
Diagnostics
infective endocarditis
congenital heart disease
multimodality imaging
cardiac magnetic resonance imaging
nuclear imaging
echocardiography
title The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
title_full The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
title_fullStr The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
title_full_unstemmed The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
title_short The Role of Multimodality Imaging in Patients with Congenital Heart Disease and Infective Endocarditis
title_sort role of multimodality imaging in patients with congenital heart disease and infective endocarditis
topic infective endocarditis
congenital heart disease
multimodality imaging
cardiac magnetic resonance imaging
nuclear imaging
echocardiography
url https://www.mdpi.com/2075-4418/13/24/3638
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