Echocardiography

Cover image for Vol. 31 Issue 8

September 2014

Volume 31, Issue 8

Pages i–ii, 913–1029, E234–E270

  1. ISCU News

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. ISCU News (page i)

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12753

  2. Editorial

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
  3. Original Investigations

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. Educational Intervention to Reduce Inappropriate Transthoracic Echocardiograms: The Need for Sustained Intervention (pages 916–923)

      Rajan Sacha Bhatia, David M. Dudzinski, Creagh E. Milford, Michael H. Picard and Rory B. Weiner

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12505

    2. Value of Certain Echocardiographic Findings in the Initial Suspicion of Behçet's Disease (pages 924–930)

      Heba Farouk, Karim El Chilali, Karim Said, Basma Sakr, Hania Salah, Geilan Mahmoud and Khaled Sorour

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12601

    3. Double Jeopardy in the Echocardiography Laboratory: Coexistence of Two Distinct Cardiomyopathies? (pages 931–935)

      Timothy E. Paterick, Alix J. Tercius, Anushree Agarwal, Shannon C. Treiber, Bijoy K. Khandheria and A. Jamil Tajik

      Article first published online: 21 JAN 2014 | DOI: 10.1111/echo.12502

    4. Left Atrial Remodeling and Recurrence of Congestive Heart Failure in Patients Initially Diagnosed with Heart Failure (pages 936–940)

      Kazuto Yamaguchi, Hiroyuki Yoshitomi, Shimpei Ito, Saki Ito, Tomoko Adachi, Hirotomo Sato, Nobuhide Watanabe, Nobuhiro Kodani, Takashi Sugamori, Akihiro Endo, Nobuyuki Takahashi and Kazuaki Tanabe

      Article first published online: 24 DEC 2013 | DOI: 10.1111/echo.12497

    5. Epicardial Adipose Tissue Thickness in Hemodialysis Patients (pages 941–946)

      Burak Altun, Hakan Tasolar, Necmi Eren, Emine Binnetoğlu, Mehzat Altun, Ahmet Temiz, Emine Gazi, Ahmet Barutcu, Orcun Altunoren, Yucel Colkesen and Fatma Uysal

      Article first published online: 24 DEC 2013 | DOI: 10.1111/echo.12498

    6. New Universal Strain Software Accurately Assesses Cardiac Systolic and Diastolic Function Using Speckle Tracking Echocardiography (pages 947–955)

      Theodore J. Kolias, Peter G. Hagan, Stanley J. Chetcuti, Diane L. Eberhart, Nicole M. Kline, Sean D. Lucas and James D. Hamilton

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12512

    7. Chronic Kidney Disease is Independently Associated with Alterations in Left Atrial Function (pages 956–964)

      Krishna K. Kadappu, Ario S. Kuncoro, Leia Hee, Anathakrishnapuram Aravindan, Stephen T. Spicer, Govindarajan Suryanarayanan, Wei Xuan, Anita Boyd, John K. French and Liza Thomas

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12503

    8. High Plasma Human Atrial Natriuretic Peptide and Reduced Transthoracic Left Atrial Appendage Wall-Motion Velocity Are Noninvasive Surrogate Markers for Assessing Thrombogenesis in Patients with Paroxysmal Atrial Fibrillation (pages 965–971)

      Naoyasu Yoshida, Mitsunori Okamoto, Hidekazu Hirao, Kazuyoshi Suenari, Kiyomi Nanba, Mio Uchida, Ryo Yamazato, Yuichiro Watari, Yukihiro Fukuda and Hironori Ueda

      Article first published online: 28 DEC 2013 | DOI: 10.1111/echo.12501

    9. Relation between QRS Duration and Atrial Synchronicity in Patients with Systolic Heart Failure (pages 972–979)

      Osman Turak, Fırat Özcan, Uğur Canpolat, Fatma Nurcan Başar, Ahmet Işleyen, Erdoğan Sökmen, Omaç Tüfekçioğlu, Kumral Çağli and Sinan Aydoğdu

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12504

    10. Hemodynamic Benefit of Rest and Exercise Optimization of Cardiac Resynchronization Therapy (pages 980–988)

      Tony Stanton, Brian A. Haluska, Rodel Leano, Thomas H. Marwick and On behalf ofthe CORE Investigators

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12506

    11. Nonsymmetric Myocardial Contribution to Supranormal Right Ventricular Function in the Athlete's Heart: Combined Assessment by Speckle Tracking and Real Time Three-Dimensional Echocardiography (pages 996–1004)

      Roberta Esposito, Maurizio Galderisi, Vincenzo Schiano-Lomoriello, Alessandro Santoro, Daniela De Palma, Renato Ippolito, Riccardo Muscariello, Ciro Santoro, Germano Guerra, Matteo Cameli, Sergio Mondillo and Giovanni De Simone

      Article first published online: 24 DEC 2013 | DOI: 10.1111/echo.12499

    12. Continuing Medical Education Activity in Echocardiography (page 1005)

      Pohoey Fan, Barbara E. Stähli, Amr Abouelnour, Thi Dan Linh Nguyen, Alessandra Vecchiati, Willibald Maier, Thomas F. Lüscher, Thomas Frauenfelder and Felix C. Tanner

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12749

    13. CME

      Impact of Three-Dimensional Imaging and Pressure Recovery on Echocardiographic Evaluation of Severe Aortic Stenosis: A Pilot Study (pages 1006–1016)

      Barbara E. Stähli, Amr Abouelnour, Thi Dan Linh Nguyen, Alessandra Vecchiati, Willibald Maier, Thomas F. Lüscher, Thomas Frauenfelder and Felix C. Tanner

      Article first published online: 22 JAN 2014 | DOI: 10.1111/echo.12509

    14. Doppler-Derived Strain Imaging Detects Left Ventricular Systolic Dysfunction in Children with Turner Syndrome (pages 1017–1022)

      Fahrettin Oz, Ahmet Y. Cizgici, Ahmet Ucar, Ekrem B. Karaayvaz, Mehmet Kocaaga, Zehra Bugra, Fehmi Mercanoglu, Aytac Oncul, Kemal Nisli and Huseyin Oflaz

      Article first published online: 24 DEC 2013 | DOI: 10.1111/echo.12500

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

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
  5. Case Reports Section Editor: Brian D. Hoit, M.D.

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. Exacerbation of Pulmonic Regurgitation by Diastolic Tricuspid Regurgitation (pages E234–E239)

      Dali Fan, John N. Makaryus, Bishoy Wassef, Valentin Suma, Mina Masry and Amgad N. Makaryus

      Article first published online: 4 JUL 2014 | DOI: 10.1111/echo.12673

      Mini-Abstract

      Few cases of diastolic mitral regurgitation (MR) and tricuspid regurgitation (TR) have been reported in the world literature. We report the case of a 63-year-old woman admitted for syncope, with a permanent pacemaker following complete heart block. Echocardiography revealed that the timing of the diastolic TR (and noted MR) coincided with the second phase of the pulmonic insufficiency (PI) jet. The uniqueness of this case is the rare occurrence of the exacerbation of PI as the result of diastolic TR.

    2. Recurrent Right Ventricular Takotsubo Cardiomyopathy in a Patient with Recurrent Aspiration (pages E240–E242)

      Aditya Chandorkar, J. Nicolás Codolosa, Michael L. Lippmann, Gregg S. Pressman and Joanna P. Sta Cruz

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12686

      Mini-Abstract

      We describe a case of a 28-year-old male with recurrent episodes of aspiration. On two separate occasions, during episodes of respiratory failure, he developed right ventricular wall motion abnormalities (basal hyperkinesis with apical hypokinesis) without left ventricular involvement. This case is consistent with recurrent right ventricular Takotsubo cardiomyopathy, which has not been described previously.

    3. Intracardiac Mass as Initial Cardiac Manifestation of Behçet's Disease: Think before You Cut (pages E243–E246)

      David Leibowitz, Maya Korem, Dan M. Livovsky, Hagit Peleg, Tova Chajek-Shaul and Nurith Hiller

      Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12653

      Mini-Abstract

      Behçet's disease (BD) is a chronic multisystemic inflammatory disorder. Cardiac abnormalities including intracardiac thrombi have been described in up to 16% of cases. The clinical presentation of cardiac complications in BD may include fever, dyspnea, chest pain, hemoptysis, and edema. As intracardiac masses may be the presenting manifestation of BD, it is crucial for echocardiographers to consider BD in the differential diagnosis. A careful history and physical exam looking for signs and symptoms of BD is critical before considering surgical excision of unexplained intracardiac masses. If the final diagnosis is BD anti-inflammatory therapy should be considered the basis of treatment.

    4. A Serendipitous Identification of a Lead Extraction Complication (pages E247–E249)

      George Madden, Omar Farrukh, Stavros Stavrakis and C. A. Sivaram

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12651

      Mini-Abstract

      A 57-year-old male with a dual chamber pacemaker and atrial fibrillation (AF) presented for transesophageal echocardiography (TEE)-guided cardioversion. TEE revealed a large 2.5 cm × 2.3 cm, mobile mass on the right atrial lead. Following device and lead extraction, he developed progressive shortness of breath. Serial TEE revealed a 1.8 cm × 1.6 cm mass in the distal left pulmonary artery, which was corroborated by a 1.4 cm × 2.5 cm filling defect in the descending left pulmonary artery on magnetic resonance angiography (MRA). This case illustrates the risk of pulmonary embolism (PE) in patients with large endocardial lead vegetations undergoing transvenous lead extraction.

    5. Role of Three-Dimensional Echocardiography in Management of Acquired Intracardiac Shunts (pages E250–E253)

      Tuncay Taskesen, Steven L. Goldberg and Edward Allen Gill

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12682

      Mini-Abstract

      Gerbode defect and sinus of Valsalva aneurysm fistula are congenital and acquired forms of intracardiac shunt. The increasing prevalence of invasive cardiovascular procedures has led to more iatrogenic and acquired cases of predominantly congenital shunt. We report 2 cases of acquired intracardiac fistula precisely defined by Real time 3-dimensional transesophageal echocardiography. The first case is a 70-year-old male with Gerbode defect after second aortic valve replacement surgery due to prosthetic valve endocarditis and the other case is a 41-year-old male with sinus of Valsalva aneurysm fistula between aorta and right atrium post subclinical infective endocarditis.

    6. Multimodality Imaging of Cor Triatriatum Sinister in an Octagenerian (pages E254–E256)

      Tahir Bezgin, Yiğit Çanga, Ali Karagöz, Fatih Yılmaz, Cem Doğan, Ali Elveran and Cihangir Kaymaz

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12660

      Mini-Abstract

      Cor triatriatum sinister (CTS) is a rare congenital cardiac anomaly in which a fibromuscular membrane divides the atrium into two chambers. As CTS can occur as an isolated anomaly, it is frequently associated with other cardiac anomalies. We herein, present an 82-year-old patient with a typical late diagnosis of asymptomatic CTS.

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

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. An Unusual Appearance of Fibrin Sheaths after Implantable Cardioverter-Defibrillator Removal Because of Infective Endocarditis (pages E257–E258)

      Juan Lacalzada, Martín J. García-González, Alejandro de la Rosa, Esther González, Francisco J. Díaz and Ignacio Laynez

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12628

      Mini-Abstract

      The radiological detection of “fibrin sheaths” after removing central catheters is a well-known delayed complication. “Fibrin sheaths” after implantable cardioverter-defibrillator (ICD) removal because of infective endocarditis is unusual. We report the case of a 26-year-old woman with an ICD who developed infective endocarditis. A transesophageal echocardiography showed an image of “fibrin sleeve” on the superior vena cava (SVC). The patient had no history of SVC central catheter placement. The coexistence of vegetation and “fibrin sheaths” at different moments, as in our case, requires an awareness of this situation for differential diagnosis and treatment.

    2. Peri-Aortic Fluid: A Critical Finding in Acute Aortic Syndrome (pages E259–E260)

      Walid Barake, Zardasht Oqab, Syed Samir Najib, Andrew Hamilton and Amer M. Johri

      Article first published online: 11 MAY 2014 | DOI: 10.1111/echo.12640

      Mini-Abstract

      A case of acute aortic syndrome (AAS) in a 70-year-old patient is described. Peri-aortic fluid on echocardiography was a key for early diagnosis and surgical intervention. Peri-aortic fluid, even in the absence of dissection on imaging, is a critical finding in AAS which has been underappreciated in the literature.

    3. Large Pseudoaneurysm of the Mitral Annulus as an Infective Endocarditis Complication: A 3D Echocardiography Role in Diagnosis and Surgical Procedure (pages E261–E263)

      Nuno Moreno, Cristina Sánchez-Enrique, Pedro Marcos-Alberca, José Alberto de Agustín, Pablo Luengo, Luis Maroto, Leopoldo Pérez de Isla and Carlos Macaya

      Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12644

      Mini-Abstract

      In this report, we present the case of an 85-year-old patient with a recent history of an infective endocarditis (IE) referred to our hospital for severe mitral regurgitation. After closer observation, echocardiography showed a large pseudoaneurysm in the posterior mitral annulus opening into the left ventricle. Anatomical assessment by 2D and 3D transesophageal echocardiogram (TEE) was essential for a detailed morphologic characterization and surgical procedure delineation. This type of IE mitral periannular extension is uncommon and early surgical intervention is critical, however the outcome is still often adverse.

    4. Echocardiographic Analysis of an Extracellular Matrix Tricuspid Valve (pages E264–E266)

      Clifford L. Cua, Kevin Kollins and Patrick I. McConnell

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12650

      Mini-Abstract

      Tricuspid valve construction using extracellular matrix (ECM) is a relatively new procedure. In this case, a 26-year-old woman with a history of severe tricuspid valve regurgitation secondary to congenital valve dysplasia underwent tricuspid valve surgery. Tricuspid valve repair was unsuccessful and thus a 34-mm extracellular matrix cylinder valve (ECM-CV) was constructed for valve replacement. The ECM-CV is clearly imaged using echocardiography, especially three-dimensional imaging that can help define valve function. As the use of ECM for valve construction increases, echocardiography will play an essential role in evaluating the function and mechanics of these novel valves.

    5. Persistent Left and Absent Right Superior Vena Cava: Combined Functional and Anatomic Assessment with Transthoracic Echocardiography and Computed Tomography (pages E267–E268)

      Christopher Naoum, Vincent Khoury, Lloyd Ridley and Seymour Maze

      Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12654

      Mini-Abstract

      We present the case of a 42-year-old man with incidentally noted dilatation of the coronary sinus who underwent bilateral upper limb agitated saline injection to confirm a diagnosis of persistent left and absent right superior vena cava. The case highlights the ability of selective bilateral upper limb agitated saline injection during transthoracic echocardiography to conclusively characterize venous return patterns. Anatomical confirmation of the diagnosis was subsequently made by thoracic computed tomography.

    6. Real Time Three-Dimensional Transthoracic Echocardiography of a Supracristal Ventricular Septal Defect Associated with a Bicuspid Aortic Valve (pages E269–E270)

      Alexis Théron, Benjamin Obadia, Guillaume Bonnet, Johan Pinto, Loïc Mace and Frederic Collart

      Article first published online: 11 MAY 2014 | DOI: 10.1111/echo.12630

      Mini-Abstract

      A 21-year-old man was referred to our department for surgical treatment of a nonrestrictive supracristal ventricular septal defect (VSD) associated with a Sievers' type 0 bicuspid aortic valve (type 0, ap, I) (BAV). Cardiac catheterization revealed a significant left-to-right ventricular shunt (Qp/Qs 3:1) with pulmonary hypertension. Surgical intervention was performed to close the VSD through the pulmonary artery trunk using a Gore-Tex patch. Live 3D transthoracic echocardiography (TTE) was performed before and after the intervention. We compared the live 3DTTE features with the surgical findings.

  7. Letters to the Editor

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. Anatomic versus Effective Orifice Area in a Bicuspid Aortic Valve (page 1028)

      Clara Seaman and Philippe Sucosky

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12720

    2. Reply (page 1029)

      Chad M. House, Katie A. Moriarty and William B. Nelson

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12719

  8. Announcement of Future Meetings

    1. Top of page
    2. ISCU News
    3. Editorial
    4. Original Investigations
    5. Echo Rounds Section Editor: Edmund Kenneth Kerut, M.D.
    6. Case Reports Section Editor: Brian D. Hoit, M.D.
    7. Image Section Section Editor: Brian D. Hoit, M.D.
    8. Letters to the Editor
    9. Announcement of Future Meetings
    1. Announcement of Future Meetings (page ii)

      Article first published online: 11 SEP 2014 | DOI: 10.1111/echo.12754

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