Echocardiography

Cover image for Vol. 31 Issue 7

August 2014

Volume 31, Issue 7

Pages i–iii, 799–912, E200–E233

  1. ISCU News

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. ISCU News (pages i–ii)

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12729

  2. Editorial

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Mobitz Type II Second-Degree Atrioventricular Block during Dobutamine Stress Echocardiography. True or False? (pages 799–801)

      S. Serge Barold, Frederic E. Van Heuverswyn, Liesbeth Timmers and Roland X. Stroobandt

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12577

  3. Original Investigations

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Severity of Coronary Artery Disease and Echocardiographic Parameters of Ventricular Diastolic Function (pages 809–813)

      Gülcan Abalı, Onur Akpınar, Vedat Nisanoğlu and Tevfik Fikret İlgenli

      Article first published online: 17 DEC 2013 | DOI: 10.1111/echo.12479

    2. Continuing Medical Education Activity in Echocardiography (page 814)

      Pohoey Fan, Yasunobu Hayabuchi, Miho Sakata and Shoji Kagami

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12728

    3. CME

    4. The Feasibility of the Initial Postsystolic to Systolic Strain Rate Ratio as a Predictor of the Viability of Ischemic Myocardium with Acute Myocardial Infarction (pages 825–832)

      Soon Chang Park, Ki-Woon Kang, Hyeon Soo Yoon, Jin Cheol Myung, Yu Jeong Choi, Sang Hyun Park, Kyung Tae Jung and Jung Yeon Chin

      Article first published online: 17 DEC 2013 | DOI: 10.1111/echo.12476

    5. Left Ventricular and Atrial Functions in Hypertrophic Cardiomyopathy Patients with Very High LVOT Gradient: A Speckle Tracking Echocardiographic Study (pages 833–841)

      Kursat Tigen, Murat Sunbul, Tansu Karaahmet, Cihan Dundar, Beste Ozben, Ahmet Guler, Altug Cincin, Mustafa Bulut, Ibrahim Sari and Yelda Basaran

      Article first published online: 17 DEC 2013 | DOI: 10.1111/echo.12482

    6. Left Ventricular Endocardial Dysfunction in Patients with Preserved Ejection Fraction after Receiving Anthracycline (pages 848–857)

      Tatsuya Miyoshi, Hidekazu Tanaka, Akihiro Kaneko, Kazuhiro Tatsumi, Kensuke Matsumoto, Hironobu Minami, Hiroya Kawai and Ken-ichi Hirata

      Article first published online: 20 DEC 2013 | DOI: 10.1111/echo.12473

    7. Does Accessory Pathway Significantly Alter Left Ventricular Twist/Torsion? A Study in Wolff-Parkinson-White Syndrome by Velocity Vector Imaging (pages 872–878)

      Farimah Aminian, Maryam Esmaeilzadeh, Hassan Moladoust, Majid Maleki, Soraya Shahrzad, Zahra Emkanjoo and Anita Sadeghpour

      Article first published online: 24 DEC 2013 | DOI: 10.1111/echo.12470

    8. Feasibility and Prognostic Value of Stress Echocardiography in Obese, Morbidly Obese, and Super Obese Patients Referred for Bariatric Surgery (pages 879–885)

      Azhar Supariwala, Harikrishna Makani, Jonathan Kahan, Matthew Pierce, Farhan Bajwa, Sai Sreenija Dukkipati, Julio Teixeira and Farooq A. Chaudhry

      Article first published online: 17 DEC 2013 | DOI: 10.1111/echo.12481

    9. Echocardiographic Particle Image Velocimetry for the Evaluation of Diastolic Function in Hypertrophic Nonobstructive Cardiomyopathy (pages 886–894)

      Christian Prinz, Roman Lehmann, Douglas Brandao da Silva, Barbara Jurczak, Thomas Bitter, Lothar Faber and Dieter Horstkotte

      Article first published online: 20 DEC 2013 | DOI: 10.1111/echo.12487

  4. Research from or in Collaboration with the University of Alabama at Birmingham

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Live/Real Time Three-Dimensional Transesophageal Echocardiographic Assessment of the Spinal Cord (pages 895–898)

      Mustafa I. Ahmed, William A. Crosland, Gulay Gok, Burcu Yuzbas, Mostafa Elguindy, Ahmed Hesham Esmat Ahmed, Benjamin C. Tuck, Oluseun O. Alli, William S. McMahon and Navin C. Nanda

      Article first published online: 30 JUN 2014 | DOI: 10.1111/echo.12669

  5. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Role of Echocardiography in the Treatment of Cardiac Tamponade (pages 899–910)

      P. A. N. Chandraratna, Dilbahar S. Mohar and Peter F. Sidarous

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12605

  6. Case Reports Section Editor: Brian D. Hoit, M.D.

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Isolated Left Ventricular Diastolic Collapse in Pericardial Tamponade: An Uncommon Echocardiographic Finding (pages E200–E203)

      Vikas Singh, Sudhanshu K. Dwivedi, Sharad Chandra, Ritesh Sanguri and Ram Kirti Saran

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12642

      Mini-Abstract

      A case of circumferential moderate pericardial effusion causing isolated collapse of left ventricular cavity on two-dimensional echocardiography is reported. Pericardial effusion, mostly of infective etiology, is relatively common in this part of the world. When large enough to cause tamponade, collapse of right atrium, right ventricle, and uncommonly left atrium can be seen. Left ventricular collapse is rare, both due to the larger muscle mass and higher chamber pressure.

    2. Echocardiography and Cardiac MRI in Mutation-Negative Hypertrophic Cardiomyopathy in an Older Patient: A Case Defining the Need for ICD (pages E204–E206)

      Fatima Rodriguez, Kathleen O. Degnan, Christine E. Seidman and Judy R. Mangion

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12614

      Mini-Abstract

      We report the case of a 67-year-old man with hypertrophic cardiomyopathy who presented for a second opinion about implantable cardio-defibrillator (ICD) placement after a witnessed syncopal episode. Despite his older age, being mutation-negative, and having a maximal septal thickness of 2.2 cm on echocardiography, he demonstrated rapid progression of myocardial fibrosis on cardiac MRI, correlating to ventricular tachyarrhythmias and syncope. We review the role of echocardiography and cardiac MRI in optimizing medical care for such patients who may not otherwise meet criteria for an ICD placement or further interventions.

    3. Large Unruptured Sinus of Valsalva Aneurysm Dissecting into Interventricular Septum and Presenting as a Complex Myocardial Cystic Mass (pages E207–E211)

      Nagamani Alur Chikkabasavaiah, Soumya Patra, Ramesh Basavappa, Beeresh Puttegowda, Syed Tanveer Akmal Khateeb and Manjunath Cholenahally Nanjappa

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12616

      Mini-Abstract

      Unruptured aneurysm of sinus of Valsalva (SOV) is extremely rare. They may be asymptomatic and diagnosed incidentally or can present with either fatal outcome following rupture or manifest acutely with compression of surrounding structures. Dissection of unruptured aneurysm of left SOV into interventricular septum (IVS) and presenting as intramyocardial mass is not reported in the literature. We are reporting a case of 21-year male who was referred to us following a seizure episode and was incidentally diagnosed with aneurysm of left SOV dissecting into IVS. Multimodality imaging confirmed the diagnosis. He successfully underwent surgical repair and was asymptomatic during follow-up.

    4. Unique Sail-Like Structure of Cor Triatriatum Dexter in Three-Dimensional Echocardiogram (pages E212–E214)

      Ting Ting Low, Celia Catherine C. Uy and Raymond Ching Chiew Wong

      Article first published online: 10 AUG 2013 | DOI: 10.1111/echo.12315

      Mini-Abstract

      Cor triatriatum dexter (CTD) is an extremely rare congenital condition arising from the persistence of the right valve of the sinus venosus. It divides the right atrium (RA) into 2 separate chambers. We report a case of a 50-year-old man who had an incidental finding of CTD on transesophageal echocardiogram. An incomplete membrane of the RA was seen, and three-dimensional echocardiogram delineated the structure clearly as a triangular sail-like structure with multiple orifices and a fenestration.

    5. Isolated Supravalvular Pulmonary Stenosis: A Rare Echocardiographic Finding (pages E215–E217)

      Stefano Maffè, Pierfranco Dellavesa, Paola Paffoni, Franco Zenone, Lorenzo Cucchi, Anna Maria Paino, Luca Bergamasco, Lara Baduena, Nicolò Franchetti Pardo, Marco Zanetta and Umberto Parravicini

      Article first published online: 5 APR 2014 | DOI: 10.1111/echo.12612

      Mini-Abstract

      Here, we report a case of a 76-year-old patient with isolated, severely obstructive, pulmonary supravalvular stenosis. The peculiarity of the present case is the paucity of symptoms and lack of changes in right heart sections, despite of the importance of stenosis. The report confirms the utility of transthoracic two- and three-dimensional echocardiography and transesophageal echocardiography in the detection and quantification of this rare anomaly.

    6. Fetal Echocardiographic Characteristics of Fused Heart in Thoracopagus Conjoined Twins (pages E218–E221)

      Yu Wu, Qing Lv, Ming-Xing Xie, Lin-Yuan Wan, Ping-Ping Ren, Andrew Ge and Shuping Ge

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12622

      Mini-Abstract

      Conjoined twins (CT) are rare with possible serious malformations in which soft tissue, bone, or some organs are joined in utero. The extent of cardiac fusion and intracardiac anatomy of CT determine the viability, natural history, and outcome of potential surgical intervention. Early prenatal diagnosis and assessment may provide a window of opportunity to counsel the family for their informed decision on the pregnancy and to plan for prenatal and perinatal care. In this report, we describe a case of thoracopagus twins diagnosed by fetal echocardiography at 23-week gestation. The 2 hearts fused at the atrial and ventricular levels. The outcome and review of literature on fetal echocardiographic characteristics of this malformation are discussed.

  7. Image Section Section Editor: Brian D. Hoit, M.D.

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. A Vanishing Left Ventricular Outflow Tract Mass: An Uncommon Manifestation of Systemic Lupus Erythematosus (pages E222–E223)

      Rajiv Ananthakrishna, Nagaraja Moorthy, Prabhavathi Bhat and Manjunath C Nanjappa

      Article first published online: 25 MAR 2014 | DOI: 10.1111/echo.12598

      Mini-Abstract

      A 27-year-old female with a history of second trimester abortion was referred for evaluation of transient ischemic attack. Echocardiography revealed a large, irregular, mobile mass attached to the right coronary cusp of aortic valve. Investigations were consistent with antiphospholipid antibody syndrome, secondary to systemic lupus erythematosus. She was started on oral anticoagulation. Serial echocardiography showed regression of the mass, with complete resolution at 2 months. We highlight an uncommon manifestation of systemic lupus erythematosus, in the setting of a prothrombotic milieu. Prompt recognition is essential for appropriate therapy and averts the need for surgery.

    2. An Unusual Cause of Bioprosthetic Mitral Valve Obstruction: Calcified Septum of Cor Triatriatum Sinister (pages E224–E226)

      Macit Kalcik, M. Ozan Gursoy, Cüneyt Toprak, Mahmut Yesin, Suleyman Karakoyun, M. Altuğ Tuncer and Mehmet Ozkan

      Article first published online: 5 APR 2014 | DOI: 10.1111/echo.12607

      Mini-Abstract

      Cor triatriatum sinister is a rare congenital cardiac anomaly in which the left atrium is divided into 2 chambers by a fibromuscular septum. Although the disease is generally diagnosed in early childhood, some patients remain asymptomatic until adulthood. Here, we present an unusual presentation of cor triatriatum sinister as a unique cause of mitral bioprosthetic valve obstruction. The calcified septum of the cor triatriatum sinister was delineated with the utility of two-dimensional and real time three-dimensional transesophageal echocardiography.

    3. Posterior Mitral Leaflet Left Atrial Anomalous Chord in the Absence of Surgical Mitral Regurgitation (page E227)

      Julie W. Martin and David S. Bach

      Article first published online: 25 MAR 2014 | DOI: 10.1111/echo.12582

      Mini-Abstract

      Aberrant left atrial mitral valve chords are rare causes of mitral regurgitation (MR). An aberrant chord to the posterior mitral valve leaflet has not been reported. Transesophageal echocardiogram demonstrated a chord-like structure from the left atrium to the middle (P2) scallop of the posterior mitral leaflet, causing focal P2 prolapse without typical myxomatous degeneration. Three-dimensional images revealed that the chord terminated on a papillary muscle-like structure within the left atrium. There was mild MR. Focal mitral leaflet prolapse without typical myxomatous change may herald the presence of an aberrant chord.

    4. Unroofed Coronary Sinus Atrial Septal Defect: Diagnosis by Multimodality Cardiac Imaging (pages E228–E229)

      Ahmed Aljizeeri, Carole J. Dennie, Kwan-Leung Chan and Luc M. Beauchesne

      Article first published online: 25 MAR 2014 | DOI: 10.1111/echo.12588

      Mini-Abstract

      Unroofed coronary sinus is a rare congenital cardiac anomaly. It is a communication between the coronary sinus and the left atrium. The associated interatrial shunt can cause right atrial volume overload and possible paradoxical embolization. It is classified into four subtypes on the basis of the extent of the roof absence and the presence of persistent left superior vena cava. Although the diagnosis can be suspected by two-dimensional echocardiography, three-dimensional echocardiography and computerized cardiac tomography provide incremental value in delineating the precise anatomy of this condition.

    5. Three-Dimensional Transesophageal Echocardiography for Guiding Percutaneous Fontan Fenestration Closure (pages E230–E231)

      George Giannakoulas and Vasilios Thanopoulos

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12606

      Mini Abstract

      The presented case highlights the important complementary role of real time 3D transesophageal echocardiography in the guidance of transcatheter closure of a surgically created fenestration after Fontan operation.

    6. Intracardiac Echocardiography of Ebstein's Anomaly (pages E232–E233)

      Claire Dauphin, Aurélie Chalard and Jean-René Lusson

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12599

      Mini-Abstract

      We report the case of a 9-year-old girl with a severe form of Ebstein's anomaly. Intracardiac echocardiography used for guidance in closure of the atrial septal defect (ASD) showed a clear picture of nondelamination of the septal and posterior leaflets of the tricuspid valve.

  8. Letters to the Editor

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. The importance of echocardiography in Transcatheter Aortic Valve Implantation : TAVI: A Multimodality Approach (page 911)

      María Martín, Luis H. Luyando, Jesús M. de la Hera, Cecilia Corros, Ana García Campos, María Luisa Rodríguez, José Manuel García Ruíz, Raquel del Valle, Pablo Avanzas and César Morís

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12633

  9. Reply

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Reply (page 912)

      Cenk Sari, Emine Bilen, Serdal Baştuğ, Tahir Durmaz, Telat Keleş, Nihal Akar Bayram, Murat Akçay, Hüseyin Ayhan, Hacı Ahmet Kasapkara and Engin Bozkurt

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12637

  10. Announcement of Future Meetings

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Research from or in Collaboration with the University of Alabama at Birmingham
    6. ECHO Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    7. Case Reports Section Editor: Brian D. Hoit, M.D.
    8. Image Section Section Editor: Brian D. Hoit, M.D.
    9. Letters to the Editor
    10. Reply
    11. Announcement of Future Meetings
    1. Announcement of Future Meetings (page iii)

      Article first published online: 1 AUG 2014 | DOI: 10.1111/echo.12730

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