Echocardiography

Cover image for Vol. 28 Issue 3

March 2011

Volume 28, Issue 3

Pages 253–370, E46–E71

  1. Original Investigations

    1. Top of page
    2. Original Investigations
    3. Case Reports
    4. Image Section
    5. Echo Rounds
    6. Letters to the Editor
    1. Allometric Model Improves Scaling of Left Atrial Size in Obese Population: The Use of Body Weight Containing Variables Is Challenged (pages 253–260)

      Gui-Hua Yao, Neelima Vallurupalli, Jiang Cui, William L. Hiser, James R. Cook and Leng Jiang

      Version of Record online: 3 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01337.x

    2. Early Right Cardiac Dysfunction in Patients with Schistosomiasis Mansoni (pages 261–267)

      Vinicius T. Carvalho, Marcia M. Barbosa, Maria Carmo P. Nunes, Yuri S. Cardoso, Isaías M. de Sá Filho, Flávia R. Oliveira, Carlos Maurício F. Antunes and José R. Lambertucci

      Version of Record online: 17 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01330.x

    3. Early Left Ventricular Longitudinal Systolic Dysfunction and Cardiovascular Risk Factors in 1,371 Asymptomatic Subjects with Normal Ejection Fraction: A Tissue Doppler Study (pages 268–275)

      Giovanni Di Salvo, Vitantonio Di Bello, Alessandro Salustri, Francesco Antonini-Canterin, Salvatore La Carrubba, Carlo Materazzo, Luigi Badano, Pio Caso, Antonio Pezzano, Raffaele Calabrò, Scipione Carerj and On behalf of the Research Group of the Italian Society of Cardiovascular Echography (SIEC)

      Version of Record online: 14 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01327.x

    4. Assessment of the Left Ventricular Chamber Stiffness in Athletes (pages 276–287)

      Dejana Popovic, Miodrag C. Ostojic, Milan Petrovic, Bosiljka Vujisic-Tesic, Bojana Popovic, Ivana Nedeljkovic, Aleksandra Arandjelovic, Branko Jakovljevic, Vesna Stojanov and Svetozar Damjanovic

      Version of Record online: 26 SEP 2010 | DOI: 10.1111/j.1540-8175.2010.01311.x

    5. Continuing Medical Education Activity in Echocardiography (page 288)

      Pohoey Fan, Hirohiko Motoki, Jun Koyama, Takeshi Tomita, Kazunori Aizawa, Hiroki Kasai, Megumi Koshikawa, Atsushi Izawa, Setsuo Kumazaki, Masafumi Takahasi and Uichi Ikeda

      Version of Record online: 16 MAR 2011 | DOI: 10.1111/j.1540-8175.2011.01416.x

    6. CME

      Transient Pseudorestrictive Pattern of Transmitral Flow Velocity Curve in Patients with Paroxysmal Atrial Fibrillation (pages 289–297)

      Hirohiko Motoki, Jun Koyama, Takeshi Tomita, Kazunori Aizawa, Hiroki Kasai, Megumi Koshikawa, Atsushi Izawa, Setsuo Kumazaki, Masafumi Takahashi and Uichi Ikeda

      Version of Record online: 12 NOV 2010 | DOI: 10.1111/j.1540-8175.2010.01312.x

    7. Prognostic Value of Tissue Doppler Echocardiographic Imaging in Elderly Patients with Acute Myocardial Infarction (pages 298–302)

      Grażyna Snopek, Wojciech Drewniak, Marcin Borys and Marek Dabrowski

      Version of Record online: 7 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01336.x

    8. Supernormal Diastolic Function and Role of Left Atrial Myocardial Deformation Analysis by 2D Speckle Tracking Echocardiography in Elite Soccer Players (pages 320–326)

      Flavio D’Ascenzi, Matteo Cameli, Valerio Zacà, Matteo Lisi, Amato Santoro, Andrea Causarano and Sergio Mondillo

      Version of Record online: 3 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01338.x

    9. Chronic Mitral Regurgitation: Left Atrial Deformation Analysis by Two-Dimensional Speckle Tracking Echocardiography (pages 327–334)

      Matteo Cameli, Matteo Lisi, Elisa Giacomin, Maria Caputo, Romina Navarri, Angela Malandrino, Piercarlo Ballo, Eustachio Agricola and Sergio Mondillo

      Version of Record online: 17 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01329.x

    10. Early Diastolic Flow Propagation Velocity Detects Induced Diastolic Dysfunction during Dobutamine Stress Echocardiography (pages 335–341)

      Takahiro Ohara, Yuji Hashimoto, Makoto Suzuki, Akihiko Matsumura and Mitsuaki Isobe

      Version of Record online: 17 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01328.x

    11. Qualitative and Quantitative Real Time Myocardial Contrast Echocardiography for Detecting Hibernating Myocardium (pages 342–349)

      Daniela Ribeiro Aleixo Fernandes, Jeane Mike Tsutsui, Edimar Alcides Bocchi, Luiz Antônio Machado César, João César Nunes Sbano, José Antonio Franchini Ramires and Wilson Mathias Jr

      Version of Record online: 14 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01317.x

    12. Effect of Intravenous Dipyridamole on Coronary Flow Parameters in Patients with Isolated Coronary Artery Ectasia: Assessment by Transesophageal Echocardiography (pages 350–357)

      Khaled Hossam, Tarek M.K. AbdelDayem, Mohamed Gamal, Mohamed Ismail, Wail Nammas and M. Khairy Abdel-Dayem

      Version of Record online: 23 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01316.x

  2. Case Reports

    1. Top of page
    2. Original Investigations
    3. Case Reports
    4. Image Section
    5. Echo Rounds
    6. Letters to the Editor
    1. Online only

      “Carcinoid-Like” Tricuspid Valvulopathy Associated with Nephrogenic Systemic Fibrosis (pages E46–E49)

      S. Michael Gharacholou, Joseph J. Maleszewski, Barry A. Borlaug, Fernando G. Cosio, Joseph A. Dearani, Sudhir S. Kushwaha and Naser M. Ammash

      Version of Record online: 3 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01320.x

      Nephrogenic systemic fibrosis (NSF) is a recently recognized clinical disorder associated with fibrotic changes in multiple organ systems occurring primarily in patients with renal failure who have had exposure to gadolinium-containing contrast agents used for magnetic resonance imaging. Although pathologic specimens from NSF patients have shown involvement of the heart, the echocardiographic appearance of valvular disease in a patient with NSF has not been reported. We present the case of a patient with NSF who developed new abnormalities of the tricuspid valve, which resulted in severe tricuspid regurgitation and right ventricular dysfunction prompting surgical valve replacement.

    2. Endocardial Blood Cyst: A Rare Site and Age of Presentation (pages E50–E52)

      Fabio Mori, Andrea Oddo, Valentina Fabbri, Alessandro Paoletti Perini, Pier Luigi Stefano and Gian Luigi Taddei

      Version of Record online: 26 SEP 2010 | DOI: 10.1111/j.1540-8175.2010.01306.x

      Cardiac blood cysts are rare findings in clinical practice. They usually involve the valves and are very uncommon in adult age. We report a case of a newly developed cyst of the atrial septum, incidentally detected by transthoracic echocardiography in a 69-year-old asymptomatic patient. The diagnosis was confirmed by postsurgery histopathological examination.

    3. Elongated Eustachian Valve Dividing the Right Atrium (pages E53–E55)

      Dylan E. Wessman, Daniel G. Blanchard and Andrew M. Kahn

      Version of Record online: 14 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01297.x

      A 64-year-old man underwent transthoracic echocardiography after a syncopal event. Two-dimensional imaging demonstrated a linear density that appeared to divide the right atrium. Color doppler imaging demonstrated that infl ow from the inferior vena cava, but not from the superior vena cava, was obstructed by this density. Injection of agitated saline through an upper extremity vein demonstrated that the linear density did create a functional separation of the right atrium. The contrast material also crossed the interatrial septum within two cardiac cycles. This constellation of findings is consistent with an elongated eustachian valve and a patent foramen ovale.

    4. Esophageal Perforation, the Most Feared Complication of TEE: Early Recognition by Multimodality Imaging (pages E56–E59)

      Nisha Bavalia, Ather Anis, Michael Benz, Pierre Maldjian, Paul J. Bolanowski and Muhamed Saric

      Version of Record online: 3 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01291.x

      Esophageal perforation is the most feared complication of transesophageal echocardiography (TEE). We report a case of TEE-related esophageal perforation in a 77-year old woman with no known contraindications to TEE. The perforation was fortuitously recognized promptly after the patient was asked to ingest a carbonated beverage to rule out a hiatal hernia suspected during subsequent transthoracic echocardiography. The incidence of esophageal perforation in our series (1 in 5000 TEEs, 0.02%) is similar to that reported in the literature. Early recognition and prompt surgical repair of the esophageal perforation in our patient led to favorable outcome.

    5. A Sinus of Valsalva Aneurysm: More Complicated Than Imagined (pages E60–E63)

      Kamil Tuluce, Hakan Posacioglu, Naim Ceylan, Selcen Yakar Tuluce, Cemil Gurgun and Sanem Nalbantgil

      Version of Record online: 3 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01305.x

      Sinus of Valsalva aneurysms mostly remain silent. Here, we report a case with sinus of Valsalva aneurysm which caused right ventricular outfl ow obstruction and ruptured into the main pulmonary artery in the setting of DeBakey type I aortic dissection.

    6. Three-Dimensional Echocardiography-Guided Repair of Residual Shunt after Percutaneous Atrial Septal Defect Closure (pages E64–E67)

      Antonio L. Gámez López, Juan L. Bonilla Palomas, Dolores Mesa Rubio and Martin Ruiz Ortiz

      Version of Record online: 26 SEP 2010 | DOI: 10.1111/j.1540-8175.2010.01307.x

      A 28-year-old woman was referred to closure of a residual shunt produced through a percutaneous device previously implanted in the atrial septum. Real time 3D (RT3D) transesophageal echocardiography (TEE) facilitated the evaluation of the defect morphology, and the relationship with the previous device, allowing a proper understanding of the mechanism responsible for the residual shunt. It was a useful tool for guiding device deployment, providing intraprocedural information about catheter position and the spatial relationship with the previous device. In conclusion, RT3D TEE and 2D TEE are complementary techniques for the evaluation and guidance of transcatheter closure of complex atrial septal defects.

  3. Image Section

    1. Top of page
    2. Original Investigations
    3. Case Reports
    4. Image Section
    5. Echo Rounds
    6. Letters to the Editor
    1. Online only

      A Large Thrombus Incarcerated in the Chordae Tendinae of the Mitral Valve (pages E68–E69)

      Ling Li, Li-gang Fang, Chao-ji Zhang and Quan Fang

      Version of Record online: 17 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01335.x

      A male was admitted to our hospital for transient unconsciousness with pain and cool of left thoracic limb. He has rheumatic heart disease and atrial fibrillation. Echocardiography revealed severe mitral stenosis, and a mobile and lobulated mass in chordae tendineae of posterior mitral valve. Cardiac surgery procedure was performed for the patient. During operation some thrombi were found in left auricle, and a large thrombus was in chordae tendineae of mitral valve. We presume that thrombi in the left auricle might fall out and become incarcerated in chordae tendineae of mitral valve by chance. To our knowledge such a case has not been reported.

    2. When an Unidentified Foreign Object Appears in the Inferior Vena Cava: Recognizing the Presence of TIPS Stent on Transthoracic Echocardiographic Imaging (pages E70–E71)

      George Nijmeh, Leon J. Frazin and Allan Zelinger

      Version of Record online: 23 FEB 2011 | DOI: 10.1111/j.1540-8175.2010.01342.x

      We describe the case of 65-year-old female with a history of hypertension, diabetes, and cirrhosis. In the subcostal view on a routine transthoracic echocardiogram (TTE), she is found to have an unidentified round prosthetic appearing object in the inferior vena cava (IVC). Upon further investigation, the object was identified as a transjugular intrahepatic portosystemic shunt (TIPS) stent, which was seen in cross section in a hepatic vein draining into the IVC. Most echocardiographers are unfamiliar with the appearance of a TIPS on TTE. Being able to recognize this will help avoid misdiagnosis and unnecessary further imaging.

  4. Echo Rounds

    1. Top of page
    2. Original Investigations
    3. Case Reports
    4. Image Section
    5. Echo Rounds
    6. Letters to the Editor
  5. Letters to the Editor

    1. Top of page
    2. Original Investigations
    3. Case Reports
    4. Image Section
    5. Echo Rounds
    6. Letters to the Editor
    1. Aortic Tumor or Mobile Thrombus: Detection by Multislice Computed Tomography (page 369)

      Motonobu Murai, Masaaki Hoshiga, Toshiaki Hanafusa and Nobukazu Ishizaka

      Version of Record online: 16 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01375.x

    2. Reply (page 370)

      Andrea Loiselle and Hari P. Chaliki

      Version of Record online: 16 MAR 2011 | DOI: 10.1111/j.1540-8175.2010.01376.x

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