Echocardiography

Cover image for Vol. 30 Issue 1

January 2013

Volume 30, Issue 1

Pages 1–119, E1–E29, i–iv

  1. Original Investigations

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. The Syndrome of Degenerative Calcific Aortic Stenosis: Prevalence of Multiple Pathophysiologic Disorders in Association with Valvular Stenosis and Their Implications (pages 1–7)

      Alamelu Ramamurthi, Natesa G. Pandian, Dakshin Gangadharamurthy, Jose A. Urbano-Moral, Jeffrey T. Kuvin, Ayan R. Patel and Andrew R. Weintraub

      Article first published online: 11 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01799.x

    2. Continuing Medical Education Activity in Echocardiography (page 8)

      Ronald Mastouri, Yasir Batres, Adam Lenet, Irmina Gradus-Pizlo, Jacqueline O'Donnell, Harvey Feigenbaum and Stephen G. Sawada

      Article first published online: 8 JAN 2013 | DOI: 10.1111/echo.12111

    3. CME

      Frequency, Time Course, and Possible Causes of Right Ventricular Systolic Dysfunction after Cardiac Transplantation: A Single Center Experience (pages 9–16)

      Ronald Mastouri, Yasir Batres, Adam Lenet, Irmina Gradus-Pizlo, Jacqueline O'Donnell, Harvey Feigenbaum and Stephen G. Sawada

      Article first published online: 7 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01807.x

    4. Right Ventricular Function Predicts Clinical Response to Specific Vasodilator Therapy in Patients with Pulmonary Hypertension (pages 17–26)

      Sorin Giusca, Ruxandra Jurcut, Ioan Mircea Coman, Ioana Ghiorghiu, Daniela Catrina, Bogdan A. Popescu, Laura Dima and Carmen Ginghina

      Article first published online: 18 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01809.x

    5. The Evolution of Intraventricular Vortex during Ejection Studied by Using Vector Flow Mapping (pages 27–36)

      Haibin Zhang, Liwen Liu, Lulu Chen, Na Ma, Liping Zhou, Ying Liu, Zhiguo Li, Chengguo Liu, Rui Hou and Suyang Zhu

      Article first published online: 18 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01806.x

    6. Early Improvement of the Regional and Global Ventricle Function Estimated by Two-Dimensional Speckle Tracking Echocardiography after Percutaneous Aortic Valve Implantation Speckle Tracking after CoreValve Implantation (pages 37–44)

      Mónica Delgado, Martín Ruiz, Dolores Mesa, José Suárez de Lezo Cruz Conde, Manuel Pan, José López, Elena Villanueva and Laura Cejudo

      Article first published online: 18 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01808.x

    7. Incremental Value of Perfusion over Wall-Motion Abnormalities with the Use of Dobutamine–Atropine Stress Myocardial Contrast Echocardiography and Magnetic Resonance Imaging for Detecting Coronary Artery Disease (pages 45–54)

      Sandra Nivea dos Reis Saraiva Falcão, Carlos Eduardo Rochitte, Wilson Mathias Junior, Luiz Quaglia, Pedro Alves Lemos, João César Nunes Sbano, José Antonio Franchini Ramires, Roberto Kalil Filho and Jeane Mike Tsutsui

      Article first published online: 25 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01820.x

    8. Does Two-Dimensional Image Reconstruction from Three-Dimensional Full Volume Echocardiography Improve the Assessment of Left Ventricular Morphology and Function? (pages 55–63)

      Mihaela Silvia Amzulescu, Massimo Slavich, Anca Florian, Kaatje Goetschalckx and Jens-Uwe Voigt

      Article first published online: 11 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01800.x

    9. Atorvastatin Treatment Improves Myocardial and Peripheral Blood Flow in Familial Hypercholesterolemia Subjects without Evidence of Coronary Atherosclerosis (pages 64–71)

      Fabio C. Lario, Marcio H. Miname, Jeane M. Tsutsui, Raul D. Santos, Ingrid Kowatsch, João C.N. Sbano, Jose A.F. Ramires, Roberto Kalil Filho and Wilson Mathias Jr.

      Article first published online: 7 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01810.x

    10. Intracardiac Echocardiographic Diagnosis of Thrombus Formation in the Left Atrial Appendage: A Complementary Role to Transesophageal Echocardiography (pages 72–80)

      Jian-Fang Ren, Francis E. Marchlinski, Gregory E. Supple, Mathew D. Hutchinson, Fermin C. Garcia, Michael P. Riley, David Lin, Erica S. Zado, David J. Callans and Victor A. Ferrari

      Article first published online: 25 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01819.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. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. Two- and Three-Dimensional Speckle Tracking Echocardiography: Clinical Applications and Future Directions (pages 88–105)

      Monodeep Biswas, Selvin Sudhakar, Navin C. Nanda, Gerald Buckberg, Manish Pradhan, Asad Ullah Roomi, Willem Gorissen and Helene Houle

      Article first published online: 8 JAN 2013 | DOI: 10.1111/echo.12079

  3. Review Article

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. Intramyocardial Dissecting Hematoma and Postinfarction Cardiac Rupture (pages 106–113)

      Jesús Vargas-Barrón, Francisco-Javier Roldán, Ángel Romero-Cárdenas and Clara-Andrea Vázquez-Antona

      Article first published online: 20 NOV 2012 | DOI: 10.1111/echo.12017

  4. 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. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. Persistent Hypoxia: Where Is the Shunt? (pages 114–117)

      Nazmul Huda, Rajesh Movva, Gregg S. Pressman and Vincent M. Figueredo

      Article first published online: 21 NOV 2012 | DOI: 10.1111/echo.12036

  5. Case Reports

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

      The Important but Underappreciated Transgastric Right Ventricular Inflow View for Transesophageal Echocardiographic Evaluation of Cardiac Implantable Device Infections (pages E1–E3)

      Clint Allred, Mark Crandall and Alex Auseon

      Article first published online: 12 NOV 2012 | DOI: 10.1111/echo.12018

      Mini-Abstract

      Device infection is a potential complication of cardiovascular implantable electronic devices. We report a case of a 40-year-old man with nonischemic cardiomyopathy, status post biventricular implantable cardiac defilbrillator placement on continuous home dobutamine, who presented with methicillin-resistant Staphylococcus aureus bacteremia. Transesophageal echocardiography showed a 2.4 cm vegetation near the right ventricular (RV) apex that was only seen in the transgastric RV inflow view. This case demonstrates an atypical distal location for a vegetation and illustrates the importance of obtaining multiple views, including the transgastric RV inflow view, when evaluating for device wire vegetations.

    2. Constrictive Pericarditis with a Calcific Mass Invading into the Right Ventricular Myocardium (pages E4–E6)

      Bryan Ahlgren, Brett Reece, Ernesto Salcedo and Tamas Seres

      Article first published online: 28 NOV 2012 | DOI: 10.1111/echo.12031

      Mini Abstract

      We present a rare and unique case of calcific constrictive pericarditis with a calcified pericardial mass invading the right ventricular myocardium. Perioperative 2-dimensional and 3-dimensional transesophageal echocardiography revealed the extent and structure of the pericardial mass and led to the repair of the right ventricular free wall as a surgical intervention.

    3. An Unusual Mediastinal Mass in a Patient with Myocardial Infarction (pages E7–E9)

      Saktheeswaran Mahesh Kumar and Anees Thajudeen

      Article first published online: 24 OCT 2012 | DOI: 10.1111/echo.12007

      Mini-Abstract

      Mediastinal mass which may be incidentally detected during evaluation of heart disease can alter its management. We present the case of an elderly gentleman, who had achalasia incidentally detected by transthoracic echocardiography during evaluation of coronary artery disease.

    4. Neovascularized Myxoma-Causing Abnormal Blood Flow in the Left Atrium Diagnosed by Transesophageal Echocardiography (pages E10–E12)

      Xiaobing Wang, Weidong Ren and Jun Yang

      Article first published online: 25 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01822.x

      Mini-Abstract

      In this case report, we present a left atrial myxoma in a 44-year-old woman with atypical angina. Transesophageal echocardiography (TEE) revealed abnormal blood flow spurting from the surface of massively vascularized myxoma into the left atrium. This case demonstrated that TTE might be helpful for confirming the neovascularization of myxoma in the left atrium and finding the abnormal blood flow that spurts from the neovascularized myxoma. We speculate that the abnormal blood flow spurting from the neovascularized myxoma into the left atrium may have caused coronary steal phenomenon thus resulting in myocardial ischemia.

    5. Primary Cardiac Lymphoma: Echocardiography and F-18-Fluorodeoxyglucose Positron Emission Tomography in Selection of a Biopsy Site (pages E13–E15)

      Satoshi Okayama, Yoko Dote, Yukiji Takeda, Shiro Uemura, Shinichi Fujimoto and Yoshihiko Saito

      Article first published online: 24 OCT 2012 | DOI: 10.1111/echo.12006

      Mini-Abstract

      A 63-year-old man was referred to our hospital because of a cardiac tumor. Transthoracic echocardiography revealed a mobile tumor in the dilated right atrium, and transesophageal echocardiography showed that the tumor consisted of botryoidal masses. Catheter-based biopsy carried a high risk of embolism. F-18-fluorodeoxyglucose positron emission tomography (FDG-PET) revealed an abnormal accumulation in the right cervical lymph nodes as well as in the heart. We safely performed biopsy of the lymph nodes and diagnosed the patient with primary cardiac lymphoma, showing that echocardiography and FDG-PET are useful for selecting an appropriate biopsy site in cardiac lymphoma.

    6. Added Value of Real Time Three-Dimensional Echocardiography in the Diagnosis of an Apical Right Ventricular Metastasis from Malignant Melanoma (pages E16–E20)

      Antonella Fontana, Davide Corsi, Elena Viganò, Giuseppe Trocino and Felice Achilli

      Article first published online: 21 NOV 2012 | DOI: 10.1111/echo.12008

      Mini-Abstract

      We present the case of a man with a history of malignant melanoma of the skin operated years before, in whom a space-occupying lesion was found inside the right ventricle with computed tomography and confirmed with two-dimensional echocardiography. Three-dimensional echocardiography and magnetic resonance imaging were performed for better characterization of the mass, and other diagnostic imaging modalities for disease staging. Metastases from primitive melanoma were found in several distant organs, so the intracardiac mass was suspected to be a metastasis according to patient's history. Biopsy was excluded because of bad clinical conditions and the worse prognosis of the patient.

  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. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. Online only: These articles can be accessed in the electronic version of this issue at wileyonlinelibrary.com.

      Doppler Echocardiography Unraveling Lewis and Wiggers Diagrams (pages E21–E22)

      Daniel Saura, María J. Oliva, Pablo Peñafiel and Gonzalo de la Morena

      Article first published online: 24 OCT 2012 | DOI: 10.1111/echo.12009

      Mini-Abstract

      In a patient with complete atrioventricular block and junctional escape rhythm that showed near-isorrhythmic atrioventricular dissociation, the characteristic pattern of Doppler spectra of mitral inflow, pulmonary veins flow, and tricuspid regurgitation profile could help to analyze heart activation sequence and its related hemodynamics to confirm a somewhat doubtful electrocardiographic diagnosis.

    2. Echocardiographic Diagnosis of Hodgkin's Lymphoma in a Patient with Suspected Endocarditis (pages E23–E24)

      Katarzyna Wdowiak-Okrojek, Ewa Szymczyk, Konrad Szymczyk and Jarosław D. Kasprzak

      Article first published online: 21 NOV 2012 | DOI: 10.1111/echo.12011

      Mini-Abstract

      A 30-year-old patient was admitted to cardiology because of a worsening exercise tolerance, with night sweats and chest pain. Echocardiography showed pericardial fluid and additional pathological masses invading left atrium, with high probability of intracardiac position. No vegetations were visualized. The patient underwent computed tomography of the chest, which showed the enlargement of mediastinal lymph nodes. Detailed oncological assessment was initiated, leading to definitive diagnosis of Hodgkin's lymphoma. The patient received chemotherapy and peripheral-blood progenitor cells transplantation. Control positron emission tomography showed a complete regression of neoplasm, and the patient is uneventful over 30-month follow-up.

    3. An Unusual Case of Left Atrial Myxoma and Papillary Fibroelastoma (page E25)

      Suresh Challa, Hari P. Chaliki, Mohammad Q. Najib, Jhansi L. Ganji and Roger L. Click

      Article first published online: 24 OCT 2012 | DOI: 10.1111/echo.12010

      Mini-Abstract

      We present a case of a 76-year-old woman with new-onset atrial flutter who underwent transesophageal echocardiography, which demonstrated a large left atrial mass consistent with myxoma and a “shimmering” mobile mass on the aortic side of the right coronary cusp, with fronds consistent with a papillary fibroelastoma. Such concurrent primary cardiac tumors of different histology are a rare occurence.

    4. Delayed Rupture of Left Ventricular Apex After Heart Transplantation: Diagnosis by Two- and Three-Dimensional Transthoracic Echocardiography (pages E26–E27)

      Ming-Chon Hsiung, Wei-Hsin Yin, Yang-Tsai Lee and Jen Wei

      Article first published online: 21 NOV 2012 | DOI: 10.1111/echo.12019

      Mini-Abstract

      We describe an adult patient who developed left ventricular apex rupture 3 weeks following cardiac transplantation. To the best of our knowledge, this complication of cardiac transplantation has not been reported previously. The mechanism responsible for this event in our patient is not clear, but may be related to the motion of the stiff vent canula during each heartbeat eventually resulting in rupture of the cardiac musculature in the region of the apex several days after surgery.

    5. Dynamic Migration of a Mobile Plaque from the Brachiocephalic Artery Detected by Ultrasonography (pages E28–E29)

      Mari Watari, Makoto Nakajima, Megumi Nishitomi-Izumida, Yuichiro Inatomi, Toshiro Yonehara and Teruyuki Hirano

      Article first published online: 25 SEP 2012 | DOI: 10.1111/j.1540-8175.2012.01823.x

      Mini-Abstract

      A 72-year-old woman with a history of radiation therapy on the right neck and thorax developed multiple brain embolism. Transthoracic ultrasonography demonstrated a mobile plaque attached to the beginning of the brachiocephalic artery. Over a week, we detected the plaque that had migrated to the beginning of the left external carotid artery without any neurological symptoms. Ultrasonography was very useful to observe the course of the mobile plaque.

  7. Letter to the Editor

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
  8. Reply

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
  9. ISCU News

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. ISCU News (pages i–ii)

      Article first published online: 8 JAN 2013 | DOI: 10.1111/echo.12113

  10. Announcement of Future Meetings

    1. Top of page
    2. Original Investigations
    3. Research from the University of Alabama at Birmingham
    4. Review Article
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports
    7. Image Section Section Editor: Ivan D'Cruz, M.D.
    8. Letter to the Editor
    9. Reply
    10. ISCU News
    11. Announcement of Future Meetings
    1. Announcement of Future Meetings (pages iii–iv)

      Article first published online: 8 JAN 2013 | DOI: 10.1111/echo.12114

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