Echocardiography

Cover image for Vol. 29 Issue 9

October 2012

Volume 29, Issue 9

Pages 1017–1141, E218–E254, i–iv

  1. Original Investigations

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Prediction of Significant Conduction Disease through Noninvasive Assessment of Cardiac Calcification (pages 1017–1021)

      Sumeet K. Mainigi, Lakshmi Hima Bindu Chebrolu, Abel Romero-Corral, Vinay Mehta, Rodolfo Rozindo Machado, Tomas Konecny and Gregg S. Pressman

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01752.x

    2. Left Ventricular Hypertrophy in Turner Syndrome: A Prospective Echocardiographic Study (pages 1022–1030)

      Kristian Havmand Mortensen, Claus Højbjerg Gravholt, Britta Eilersen Hjerrild, Kirstine Stochholm and Niels Holmark Andersen

      Article first published online: 4 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01754.x

    3. Relation of Mitral Annular Dilation with Dynamic Mitral Regurgitation in Patients with Rheumatic Mitral Regurgitation (pages 1031–1037)

      Caglar Emre Cagliyan, Vedat Davutoglu, Ibrahim Sari, Serdar Turkmen, Orhan Ozer, Ibrahim Halil Tanboga, Kamuran Tekin, Mehmet Balli, Rabia Eker Akilli and Mehmet Aksoy

      Article first published online: 12 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01765.x

    4. Left Atrial Systolic Force and Outcome in Asymptomatic Mild to Moderate Aortic Stenosis (pages 1038–1044)

      Giovanni Cioffi, Dana Cramariuc, Morten Dalsgaard, Einar S. Davidsen, Kenneth Egstrup, Anne B. Rossebø, Giovanni de Simone and Eva Gerdts

      Article first published online: 7 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01744.x

    5. Progression of Subclinical Myocardial Dysfunction in Type 2 Diabetes after 5 years Despite Improved Glycemic Control (pages 1045–1053)

      Vlad Damian Vintila, Aled Roberts, Dragos Vinereanu and Alan Gordon Fraser

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01748.x

    6. Ventricular Function in Patients with End-Stage Renal Disease Starting Dialysis Therapy: A Tissue Doppler Imaging Study (pages 1054–1059)

      Karim Said, Mohamed Hassan, Essam Baligh, Bahaa Zayed and Khaled Sorour

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01749.x

    7. The Impact of Mitral Stenosis on Left Atrial Function Assessed by Two-Dimensional Speckle Tracking Echocardiography (pages 1064–1070)

      Sait Demirkol, Ugur Kucuk, Oben Baysan, Sevket Balta, Turgay Celik, Ibrahim Halil Kurt, Hilal Olgun Kucuk, Uygar Cagdas Yuksel, Murat Unlu and Mehmet Yokusoglu

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01751.x

    8. Impact of Obstructive Sleep Apnea on the Global Myocardial Performance Beyond Obesity (pages 1071–1080)

      Kyoung Im Cho, Jae Hwan Kwon, Seong Man Kim, Tae Jung Park, Hyeon Gook Lee and Tae Ik Kim

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01762.x

    9. Assessment of Left Ventricular Hemodynamics and Function of Patients with Uremia by Vortex Formation Using Vector Flow Mapping (pages 1081–1090)

      Ran Chen, Bo-Wen Zhao, Bei Wang, Hai-Lin Tang, Peng Li, Mei Pan and Li-Long Xu

      Article first published online: 14 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01737.x

    10. Comparison of Left Ventricular Stroke Volume Assessment by Two- and Three-Dimensional Echocardiography in a Swine Model of Acute Myocardial Infarction Validated by Thermodilution Method (pages 1091–1095)

      Yuichi J. Shimada, Kiyotake Ishikawa, Yoshiaki Kawase, Dennis Ladage, Lisa Tilemann, Takahiro Shiota and Roger J. Hajjar

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01753.x

    11. Left Atrial Function during Pregnancy: A Three-Dimensional Echocardiographic Study (pages 1096–1101)

      Chaim Yosefy, Simon Shenhav, Viktor Feldman, Yair Sagi, Amos Katz and Eyal Anteby

      Article first published online: 14 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01745.x

    12. Continuing Medical Education Activity in Echocardiography (page 1102)

      Carlo Vigna, Nicola Marchese, Mario Zanchetta, Massimo Chessa, Vincenzo Inchingolo, Michele Antonio Pacilli, Cesare Amico, Mario Fanelli, Raffael Fanelli and Francesco Loperfido

      Article first published online: 11 OCT 2012 | DOI: 10.1111/echo.12022

    13. CME

      Echocardiographic Guidance of Percutaneous Patent Foramen Ovale Closure: Head-to-Head Comparison of Transesophageal versus Rotational Intracardiac Echocardiography (pages 1103–1110)

      Carlo Vigna, Nicola Marchese, Mario Zanchetta, Massimo Chessa, Vincenzo Inchingolo, Michele Antonio Pacilli, Cesare Amico, Mario Fanelli, Raffaele Fanelli and Francesco Loperfido

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01750.x

    14. Carotid IMT Variability (IMTV) and Its Validation in Symptomatic versus Asymptomatic Italian Population: Can This Be a Useful Index for Studying Symptomaticity? (pages 1111–1119)

      Luca Saba, Kristen M. Meiburger, Filippo Molinari, Giuseppe Ledda, Michele Anzidei, U. Rajendra Acharya, Guang Zeng, Shoaib Shafique, Andrew Nicolaides and Jasjit S. Suri

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01763.x

    15. Prognostic Value of Echocardiographic-Derived Calcium Index in Coronary Artery Disease Diagnosed by 64-Multidetector Computed Tomography (pages 1120–1127)

      Juan Lacalzada, Alejandro de la Rosa, Juan José Jiménez, Rubén Juárez, Antonio Barragán, Gabriela Blanco, José Luis Iribarren, Juan Alfonso Bonilla and Ignacio Laynez

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01755.x

  2. Research from the University of Alabama at Birmingham

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Atrial Septal Occluder Device Embolization to an Iliac Artery: A Case Highlighting the Utility of Three-Dimensional Transesophageal Echocardiography during Percutaneous Closure (pages 1128–1131)

      Jeng Wei, Ming C. Hsiung, Shen Kou Tsai, Wei-Hsian Yin, Ching-Huei Ou, Cevdet Donmez, Elif Bicer, David D. Daly Jr., Bhavin Dumaswala, Komal Dumaswala, Joshua McKay and Navin C. Nanda

      Article first published online: 29 AUG 2012 | DOI: 10.1111/j.1540-8175.2012.01793.x

  3. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
  4. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Eroded Valves, Recurrent Pleural Effusions, and Ultimately Heart–Liver Transplant (pages 1139–1141)

      Alamelu Ramamurthi, Natesa G. Pandian, Michael S. Kiernan, Hannah Lee and David DeNofrio

      Article first published online: 7 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01811.x

  5. Case Reports

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Online only: These articles can be accessed in the electronic version of this issue at wileyonlinelibrary.com.

      Pitfalls in Interpreting Bioprosthetic Aortic Valve Pressure Gradients: A Cautionary Tale! (pages E218–E220)

      Stefan Buchholz, Daniel Robaei, Neil H. Jacobs and Michael P. Feneley

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01775.x

      Mini-Abstract

      We present a case of elevated pressure gradients across an aortic valve bioprosthesis in the setting of complete heart block. After permanent pacemaker insertion and consideration of the hemodynamic profi le of the specifi c prosthesis and the presence of patient-prosthesis mismatch, only a mild degree of stenosis was found to be attributable to degeneration of the prosthesis. There is no literature quantifying the hemodynamic effect of complete heart block on the pressure gradients across bioprosthetic aortic valves. In the case presented, the transvalvular peak and mean pressure gradients were reduced by 41% and 39%, respectively, following insertion of a permanent pacemaker.

    2. Loss of Left Ventricular Torsion as the Predominant Mechanism of Left Ventricular Systolic Dysfunction in a Patient with Tubercular Cardiomyopathy (pages E221–E225)

      Manish Bansal, Rahul Mehrotra and Ravi R. Kasliwal

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01768.x

      Mini-Abstract

      A patient presented with cardiac tuberculosis manifesting as predominantly right-sided cardiomyopathy. He also had mild left ventricular systolic dysfunction. On two-dimensional speckle tracking, myocardial strain was largely preserved (except for segmental abnormalities in circumferential strain) but the left ventricular torsion was markedly impaired as a result of the tethering produced by the right ventricle. These myocardial mechanical abnormalities almost completely recovered with adequate antitubercular treatment. Thus, this case proved to be a unique demonstration of the significant, independent role played by torsion in maintenance of normal left ventricular systolic function.

    3. A Primary Left Atrial Leiomyosarcoma Mimicking Myxoma: Echocardiographic Findings (pages E226–E229)

      Soe Hee Ann, Soo-Yeon Jung, Jeong Eun Yi, Jung Yeon Chin, Tae-Seok Kim, Hae-Ok Jung and Ho-Joong Youn

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01758.x

      Mini-Abstract

      We present a case of primary left atrial leiomyosarcoma masquerading as myxoma preoperatively and discuss the echocardiographic features of hemodynamic consequences, mobility, consistency and base of the tumor. And this case report reviewed the trasesophageal echocardiography and CT findings suggesting malignancy. Finally, we emphasizes the necessity of multimodality images for the more accurate diagnosis.

    4. Three-Dimensional Contrast Echocardiography in Assessing Left Ventricular Diverticulum (pages E230–E232)

      Sang-Don Park, Sung-Hee Shin, Dae-Hyeok Kim, Jun Kwan and Sung-Il Woo

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01759.x

      Mini-Abstract

      Congenital left ventricular (LV) diverticulum is a rare malformation that can be alone or in association with other congenital abnormalities. Since the several complications have been reported in association with LV diverticulum, as cardiac rupture, heart failure, and endocarditis, patients with LV diverticulum who are managed with conservative treatment would require regular checkups to ascertain the absence of such complications. We report a case of LV diverticulum in a 47-year-old man. He took the serial three-dimensional contrast echocardiography, which was reliable and readily available tool for defining LV diverticulum and monitoring the presence of complications.

    5. Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment of Aortic Root Patch Dehiscence (pages E233–E236)

      Sheng-Yuan Chen, Kuo-Chen Lee, Ming-Chon Hsiung and Wei-Hsian Yin

      Article first published online: 5 JUN 2012 | DOI: 10.1111/j.1540-8175.2012.01760.x

      Mini-Abstract

      We report a 66-year-old man who underwent partial reconstruction of the aortic root and presented with heart failure 2 months after the procedure. We used live/real time three-dimensional transesophageal echocardiography (3DTEE) to detect the exact site of the dehiscence flap and extent of the leakage. This information could be valuable to surgeons.

    6. Identification of Left Ventricular “Rigid Body Rotation” by Three-Dimensional Speckle-Tracking Echocardiography in a Patient with Noncompaction of the Left Ventricle: A Case from the MAGYAR-Path Study (pages E237–E240)

      Attila Nemes, Anita Kalapos, Péter Domsik and Tamás Forster

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01767.x

      Mini-Abstract

      Noncompaction of the left ventricular (LV) myocardium is characterized by the presence of numerous prominent trabeculations and deep intertrabecular recesses within the LV. The aim of this report was to confirm LV “rigid body rotation,” the near absence of LV twist in a patient with left ventricular noncompaction by three-dimensional speckle-tracking echocardiography.

  6. Image Section Section Editor: Ivan D'Cruz, M.D.

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Online only: These articles can be accessed in the electronic version of this issue at wileyonlinelibrary.com.

      Mitral Leaflet Perforation: A Rare Complication of Mitral Annular Calcification (pages E241–E242)

      Pablo Rengifo-Moreno, Rajesh Movva, Thomas D. Tulenko and Gregg S. Pressman

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01771.x

      A 42-year-old dialysis patient presented with congestive heart failure. A large, calcified mass on the posterior mitral leaflet with an opposing anterior leaflet perforation, and a diastolic jet extending into the left ventricular outflow tract was noted on Doppler echocardiography. The patient underwent mechanical mitral valve replacement and surgical specimen confirmed these findings with no evidence of endocarditis.

    2. Right Atrial Thrombus as a Complication of Supraventricular Tachycardia Ablation Resolved by Anticoagulation (pages E243–E244)

      Efstathios D. Pagourelias, Nikolaos Fragakis, Konstantinos Rossios, Athanasia Avramidou and Paraschos Geleris

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01772.x

      We present the case of a 40-year-old man who was found on routine echocardiography to have a right atrioventricular thrombus, 24 hours after succesful supraventricular trachycardia ablation he had undergone. With the patient being asymptomatic, coumarin anticoagulants were started, leading to complete clot resolution two weeks later. In this case, we stress the importance of routine echocardiography to identify thrombotic complications after ablation and we describe the course of a large right atrioventricular thrombus which was successfully treated with Vit K antagonists.

    3. A Unique Case of Parachute Mitral Valve in an Adult: An Abnormally Long Chorda Tendinea (pages E245–E246)

      Zafer Isılak, Onur Sinan Deveci, Murat Yalcın, Omer Uz, Mehmet Dogan and Mehmet Uzun

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01778.x

      A 24-year-old man referred to our department for echocardiographic examination after a 2/6 precordial holosystolic murmur is being heard on routine physical examination. Transthoracic echocardiography in the parasternal long-and short-axis and apical views demonstrated an abnormally long chorda tendinea in the left ventricle and the chordal insertions of both of the mitral valve leafl ets were to a single large papillary muscle, creating a parachute valve. Doppler assessment yielded neither signifi cant mitral stenosis nor left ventricular out flow tract obstruction. Finally, no medical or surgical therapy was planned and an annual control examination with an echocardiography was recommended to the patient.

    4. An Incomplete Heart with Incomplete Lungs (pages E247–E249)

      Can Y. Karabay, Ahmet Guler, Soe M. Aung, Arzu Kalayci, Ozkan Candan, Yeliz Guler and Cevat Kirma

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01776.x

      Mini-Abstract

      Congenital mitral valve anomaly is a very rare condition. It is sometimes seen together with other congenital anomalies. We report an 18-year-old male presenting with posterior mitral leafl et hypoplasia accompanied by congenital lungs anomaly

    5. Mitral Anterolateral Papillary Muscle Rupture in an Asymptomatic Patient with Mitral Stenosis after Percutaneous Mitral Balloon Valvuloplasty (pages E250–E252)

      Sait Demirkol, Murat Unlu, Sevket Balta, Uygar Cagdas Yuksel and Turgay Celik

      Article first published online: 1 AUG 2012 | DOI: 10.1111/j.1540-8175.2012.01794.x

      Percutaneous mitral valvuloplasty is the procedure of choice for the treatment of patients with mitral stenosis and suitable valve anatomy. Papillary muscle rupture is the most worrisome complication of this procedure. Three-dimensional transesophageal echocardiography (3D TTE) is additive to conventional two-dimensional imaging in these patients in terms of three-dimensional perspective and anatomically correct examination. We herein present a case of anterolateral papillary rupture in an asymptomatic patient after percutaneous mitral balloon valvuloplasty demonstrated by 3D TEE.

    6. Double Orifice Mitral Valve with Bicuspid Aortic Valve in Real Time Three-Dimensional Transesophageal Echocardiographic Examination (pages E253–E254)

      Ga Yeon Lee, Sung-A Chang and Seung Woo Park

      Article first published online: 2 JUL 2012 | DOI: 10.1111/j.1540-8175.2012.01770.x

      A 41-year-old male patient visited our hospital for the evaluation of the recently aggravated palpitation and the cardiomegaly detected on chest x-ray examination. He was diagnosed with moderate mitral stenosis by transthoracic echocardiography. Real time three-dimensional transesophageal echocardiographic examination was performed and successfully demonstrated double orifice of mitral valve and its subvalvular structure with a chorda attached to the bridging structures of mitral valve.

  7. ISCU News

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. ISCU News (pages i–ii)

      Article first published online: 11 OCT 2012 | DOI: 10.1111/echo.12038

  8. Announcement of Future Meetings

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    5. Challenging Cases Beyond the Guidelines Section Editor: Natesa G. Pandian, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. ISCU News
    9. Announcement of Future Meetings
    1. Announcement of Future Meetings (pages iii–iv)

      Article first published online: 11 OCT 2012 | DOI: 10.1111/echo.12039

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