Cover image for Vol. 31 Issue 7

Early View (Online Version of Record published before inclusion in an issue)

Edited By: Navin C. Nanda

Impact Factor: 1.254

ISI Journal Citation Reports © Ranking: 2013: 89/125 (Cardiac & Cardiovascular Systems)

Online ISSN: 1540-8175


  1. 1 - 100
  2. 101 - 150
  1. ECHO ROUNDS Section Editor: Edmund Kenneth Kerut, M. D.

    1. The Role of Jet Eccentricity in Generating Disproportionately Elevated Transaortic Pressure Gradients in Patients with Aortic Stenosis

      Amr E. Abbas, Laura M. Franey, Steven Lester, Gilbert Raff, Michael J. Gallagher, George Hanzel, Robert D. Safian and Philippe Pibarot

      Article first published online: 20 AUG 2014 | DOI: 10.1111/echo.12712

  2. Original Investigations

    1. Cardiac Strain during Upright Cycle Ergometry in Adolescent Males

      Viswanath B. Unnithan, Thomas Rowland, Martin R. Lindley, Denise M. Roche, Max Garrard and Piers Barker

      Article first published online: 12 AUG 2014 | DOI: 10.1111/echo.12708

    2. Different Implication of Elevated B-Type Natriuretic Peptide Level in Patients with Heart Failure with Preserved Ejection Fraction and in Those with Reduced Ejection Fraction

      Takako Ishigaki, Takashi Yoshida, Hiromi Izumi, Yoshihisa Fujisawa, Shoko Shimizu, Kasumi Masuda, Toshihiko Asanuma, Hidetoshi Okabe and Satoshi Nakatani

      Article first published online: 12 AUG 2014 | DOI: 10.1111/echo.12707

    3. Assessment of Atrial Electromechanical Delay and Left Atrial Mechanical Functions in Patients with Psoriasis Vulgaris

      Gökhan Aksan, Gökay Nar, Korhan Soylu, Sinan İnci, Serkan Yuksel, Hande Serra Ocal, Esra Pancar Yuksel and Okan Gulel

      Article first published online: 12 AUG 2014 | DOI: 10.1111/echo.12706

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

    1. Bad Company: Supracristal VSD Presenting with Ruptured Sinus of Valsalva Aneurysm. A Case Presentation with Echocardiographic Depiction and an Analysis of Contemporary Literature

      Gregory R. Hartlage, Michelle A. Consolini, Maria A. Pernetz, B. Robinson Williams III, Stephen D. Clements, Edward P. Chen and S. Tanveer Rab

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12718

  4. Original Investigations

    1. Effects of Frame Rate on Two-Dimensional Speckle Tracking–Derived Measurements of Myocardial Deformation in Premature Infants

      Aura A. Sanchez, Philip T. Levy, Timothy J. Sekarski, Aaron Hamvas, Mark R. Holland and Gautam K. Singh

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12716

    2. Utility of Intracardiac Echocardiography for Catheter Ablation of Complex Cardiac Arrhythmias in a Medium-Volume Training Center

      David Filgueiras-Rama, Fernando de Torres-Alba, Sergio Castrejón-Castrejón, Alejandro Estrada, Jorge Figueroa, Óscar Salvador-Montañés, Teresa López, Mar Moreno-Yanguela, José L. López Sendón and José L. Merino

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12714

  5. Case Reports

    1. Three-Dimensional Echocardiography-Based Prediction of Posterior Leaflet Resection

      Yonghoon Rim, Ahnryul Choi, Susan T. Laing, David D. McPherson and Hyunggun Kim

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12717


      Clinical long-term outcomes have shown that partial leaflet resection followed by ring annuloplasty is a reliable and reproducible surgical repair technique for treatment of mitral valve (MV) leaflet prolapse. We report a 61-year-old male for three-dimensional transesophageal echocardiography (3DTEE)-based virtual posterior leaflet resection and ring annuloplasty. Severe mitral regurgitation was found and computational evaluation demonstrated substantial leaflet malcoaptation and high stress concentration. Following virtual resection and ring annuloplasty, posterior leaflet prolapse markedly decreased, sufficient leaflet coaptation was restored, and high stress concentration disappeared. Virtual MV repair strategies using 3DTEE have the potential to help optimize MV repair.

  6. Doppler Hemodynamics

    1. Spectral Doppler Interrogation of the Patent Foramen Ovale–A Window to Left Heart Hemodynamics

      Bahaa M. Fadel, Aysha Husain, Hatem Bakarman, Ziad Dahdouh, Giovanni Di Salvo and Dania Mohty

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12723

  7. Original Investigations

    1. Two-Dimensional Speckle Tracking Echocardiography for the Prediction of Reversible Myocardial Dysfunction after Acute Myocardial Infarction: Comparison with Magnetic Resonance Imaging

      Makoto Orii, Kumiko Hirata, Takashi Tanimoto, Yasutsugu Shiono, Kunihiro Shimamura, Kohei Ishibashi, Takashi Yamano, Yasushi Ino, Hironori Kitabata, Tomoyuki Yamaguchi, Takashi Kubo, Toshio Imanishi and Takashi Akasaka

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12726

  8. Case Reports

    1. Evolutionary Change Mimicking Apical Hypertrophic Cardiomyopathy in a Patient with Takotsubo Cardiomyopathy

      Hui-Jeong Hwang, Hyae-Min Lee, In-Ho Yang, Dong-Hee Kim, Jong-Kyu Byun and Il Suk Sohn

      Article first published online: 11 AUG 2014 | DOI: 10.1111/echo.12722


      In this report, we introduce a case of thickening of the involved left ventricular apical segment on echocardiography and deep T wave inversions in precordial leads on electrocardiography transiently seen in the course of recovery from biventricular Takotsubo cardiomyopathy, mimicking apical hypertrophic cardiomyopathy. This result suggests that the echocardiographic finding of transient myocardial edema can be identified by cardiac magnetic resonance imaging in Takotsubo cardiomyopathy. Additionally it persisted a few weeks after full functional recovery. We believe that this case will contribute in part towards clarifying the pathophysiology of Takotsubo cardiomyopathy.

  9. Review Articles

  10. Original Investigations

    1. Influence of Pulmonary Vascular Reserve on Exercise-Induced Pulmonary Hypertension in Patients with Systemic Sclerosis

      Kengo Suzuki, Masaki Izumo, Ryo Kamijima, Kei Mizukoshi, Manabu Takai, Keisuke Kida, Kihei Yoneyama, Sachihiko Nobuoka, Hidehiro Yamada and Yoshihiro J. Akashi

      Article first published online: 8 AUG 2014 | DOI: 10.1111/echo.12690

  11. Image Sections

    1. A Case of Carcinoid Heart Disease with Desaturation and No Liver Metastases

      Annelies Requilé, Alexander Van De Bruaene, Veerle Reenaers and Paul Dendale

      Article first published online: 5 AUG 2014 | DOI: 10.1111/echo.12713


      In 95% of cases of carcinoid heart disease, the primary tumor is located in the gastrointestinal tract and hepatic inactivation of serotonin prevent symptoms from occurring until liver metastases are present. Ovarian carcinoid tumors are an unusual cause of carcinoid heart disease in the absence of liver metastases. Rarely, carcinoid heart disease is associated with desaturation due to right-to-left shunting through a patent foramen ovale. We present the case of a 64-year-old female with carcinoid heart disease without liver metastases and hypoxemia due to right-to-left shunting.

  12. Original Investigations

    1. Thromboembolic Risk in Atrial Fibrillation: Association between Left Atrium Mechanics and Risk Scores. A Study Based on 3D Wall-Motion Tracking Technology

      Fabián Islas, Carmen Olmos, Catarina Vieira, José A. De Agustín, Pedro Marcos-Alberca, Adriana Saltijeral, Carlos Almería, José L. Rodrigo, Miguel A. García Fernández, Carlos Macaya and Leopoldo Pérez de Isla

      Article first published online: 5 AUG 2014 | DOI: 10.1111/echo.12711

  13. Doppler Hemodynamics

    1. Spectral Doppler of the Hepatic Veins in Pulmonary Hypertension

      Bahaa M. Fadel, Aysha Husain, Nader Alassoussi, Ziad Dahdouh and Dania Mohty

      Article first published online: 5 AUG 2014 | DOI: 10.1111/echo.12710

  14. Image Sections

    1. Embolization of an Atrial Septal Occluder Device in the Mitral Valve Apparatus

      Ashenafi Tamene, Selome Gezahegn, Ann Coumbe, Kozhuvattasseri Madhusoodanan and Emil Missov

      Article first published online: 5 AUG 2014 | DOI: 10.1111/echo.12709


      Ostium secundum atrial septal defect is a common congenital anomaly. Treatment is indicated in patients with hemodynamically significant shunt and right ventricular failure. The Amplatzer septal occluder is one of the most commonly used devices for percutaneous closure of this type of defects. Embolization of the device to the systemic circulation is a rare but serious complication. We present a case of fatal embolization and entrapment of an Amplatzer atrial septal occluder device in the mitral valve apparatus in an elderly woman 4 days after implantation.

  15. Original Investigations

    1. Footprints of Cardiac Mechanical Activity as Expressed in Lung Doppler Signals

      Yoram Palti, Rachel Schatzberger, Majd Zreik, Emma Solter and Itzhak Kronzon

      Article first published online: 5 AUG 2014 | DOI: 10.1111/echo.12689

  16. Case Reports

    1. Lateral Left Ventricular Wall Rupture Following Acute Myocardial Infarction: Pathophysiological Interpretation by Multimodality Imaging Approach

      Gustavo Avegliano, Diego Conde, María Isabel González Ruiz, Paola Kuschnir, Agustina Sciancalepore, Florencia Castro and Ricardo Ronderos

      Article first published online: 3 AUG 2014 | DOI: 10.1111/echo.12727


      Lateral left ventricular wall rupture (LVWR) is a rare complication following acute myocardial infarction (AMI) less than 1%. After cardiogenic shock, LVWR constitutes the most common cause of in-hospital death in AMI patients. Around 40% of all LVWR occurred during the first 24 hours and 85% within the first week. In the present case, 76 hours following the intervention, LVWR was observed likely due to a small infarction at the lateral left ventricular wall possibly due to the marginal lesion. Our patient refused surgery and was followed clinically. Eighteen months later, real time three-dimensional echocardiography showed a pseudoaneurysm.

  17. Original Investigations

    1. Feasibility of Perflutren Microsphere Contrast Transthoracic Echocardiography in the Visualization of Ventricular Endocardium during Venovenous Extracorporeal Membrane Oxygenation in a Validated Ovine Model

      David G. Platts, Sara Diab, Kimble R. Dunster, Kiran Shekar, Darryl J. Burstow, Beatrice Sim, Matthew Tunbridge, Charles McDonald, Saul Chemonges, Jonathan Chan and John F. Fraser

      Article first published online: 24 JUL 2014 | DOI: 10.1111/echo.12695

    2. Assessment of Image Quality in Real Time Three-Dimensional Dobutamine Stress Echocardiography: An Integrated 2D/3D Approach

      Amer M. Johri, David W. Chitty, Lanqi Hua, Gergana Marincheva and Michael H. Picard

      Article first published online: 24 JUL 2014 | DOI: 10.1111/echo.12692

    3. Two-Dimensional Strain and Strain Rate Imaging of the Left Atrium and Left Ventricle in Adult Patients with Atrial Septal Defects before and after the Later Stage of Percutaneous Device Closure

      Sinem Cakal, Elif Eroglu, Onur Baydar, Beytullah Cakal, Mehmet Vefik Yazicioglu, Mustafa Bulut, Cihan Dundar, Kursat Tigen, Birol Ozkan, Goksel Acar, Anil Avci and Ali Metin Esen

      Article first published online: 24 JUL 2014 | DOI: 10.1111/echo.12693

  18. Case Reports

    1. Lone Aortic Insufficiency and Conduction Disease: A Marker of Reactive Arthritis

      Joshua M. Lader, Geoffrey Lam, Robert Donnino, Edward S. Katz, Abe DeAnda Jr., Mark Ettel and Muhamed Saric

      Article first published online: 24 JUL 2014 | DOI: 10.1111/echo.12691


      We report the case of a 48-year-old man with chronic reactive arthritis (previously referred to as the Reiter's syndrome) who presented with a heart failure syndrome due to severe lone aortic insufficiency. The case demonstrates multimodality imaging of the classic cardiac findings associated with the immunogenetic marker HLA-B27.

  19. Case Reports – Pediatric

    1. Ultrasonographic Imaging of the Cervical Thoracic Duct in Children with Congenital or Acquired Heart Disease

      Lazaros K. Kochilas, Charles W. Shepard, James M. Berry and Alvin J. Chin

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12688


      This report describes the feasibility of assessing the cervical segment of the thoracic duct during echocardiographic evaluation in children with various cardiovascular conditions. Systematic evaluation of the thoracic duct may be useful in cardiovascular conditions with congestion of the lymphatic system such as single ventricle following Glenn or Fontan procedures.

  20. Case Reports

    1. Intramural Hematoma and Oozing Rupture of Left Atrium after Resection of Wide-Based Left Atrial Myxoma

      Suguru Ohira, Kiyoshi Doi, Sachiko Maeda and Hitoshi Yaku

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12699


      We describe a rare complication after the resection of the left atrial (LA) myxoma. After tumor resection, a large defect of the endocardium was reinforced with an autologous pericardial patch. Transesophageal echocardiography demonstrated a hematoma and pulsatile flow beneath the patch, without patch perforation or detachment. Bleeding increased after closure of the sternum. Intramural hematoma and oozing rupture of the LA were diagnosed. A small intramural vessel of the LA was identified as the main causative site of bleeding. The pericardial patch was repositioned with fibrin glue. Fibrin sheets and glue were applied for reinforcement of the LA from outside.

  21. Original Investigations

    1. Changes in Speckle Tracking Echocardiography Measures of Ventricular Function after Percutaneous Implantation of the Edwards SAPIEN Transcatheter Heart Valve in the Pulmonary Position

      Shahryar M. Chowdhury, Ziyad M. Hijazi, John F. Rhodes, Saibal Kar, Raj Makkar, Michael Mullen, Qi-Ling Cao, Lazar Mandinov, Jason Buckley, Nicholas P. Pietris and Girish S. Shirali

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12700

    2. Prognostic Value of Total Atrial Conduction Time Measured with Tissue Doppler Imaging to Predict the Maintenance of Sinus Rhythm after External Electrical Cardioversion of Persistent Atrial Fibrillation

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

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12702

  22. Case Reports

    1. Bioprosthetic Mitral Valve Thrombosis Complicating Antiphospholipid Antibody Syndrome, Successfully Treated with Thrombolysis

      Mohammed A. Chamsi-Pasha, Tareq Alyousef and Samer Sayyed

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12703


      Bioprosthetic valve thrombosis is exceedingly rare with limited experience in diagnosis and treatment. We report the first case of bioprosthetic mitral valve thrombosis caused by antiphospholipid antibody syndrome, successfully treated with thrombolytic therapy.

  23. Original Investigations

    1. Impact of Energy Loss Index and Valvuloarterial Impedance in Patients with Aortic Stenosis Using Three-Dimensional Echocardiography

      Takeji Saitoh, Jun Tanaka, Azusa Furugen, Kenji Harada, Masaki Izumo, Yoko Fukuoka and Takahiro Shiota

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12705

    2. The Figure-of-Eight Artifact in the Echocardiographic Assessment of Percutaneous Disc Occluders: Impact of Imaging Depth and Device Type

      Philippe B. Bertrand, Lars Grieten, Christophe J.P. Smeets, Frederik H. Verbrugge, Wilfried Mullens, Mathias Vrolix, Maximo Rivero-Ayerza, David Verhaert and Pieter M. Vandervoort

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12685

  24. Case Reports

    1. Recurrent Right Ventricular Takotsubo Cardiomyopathy in a Patient with Recurrent Aspiration

      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


      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.

  25. Original Investigations

    1. Two-Dimensional Measurement of Tricuspid Annular Plane Systolic Excursion in Children: Can It Substitute for an M-Mode Assessment?

      Muhammad Yasir Qureshi, Benjamin W. Eidem, Chelsea L. Reece and Patrick W. O'Leary

      Article first published online: 22 JUL 2014 | DOI: 10.1111/echo.12687

    2. Normal Pediatric Data for Isovolumic Acceleration at the Lateral Tricuspid Valve Annulus—A Heart Rate – Dependent Measure of Right Ventricular Contractility

      Constance G. Weismann, Michaela C. Bamdad, Sharon Abraham, Stephen Ghiroli, James Dziura and William E. Hellenbrand

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12681

  26. Case Reports

    1. Role of Three-Dimensional Echocardiography in Management of Acquired Intracardiac Shunts

      Tuncay Taskesen, Steven L. Goldberg and Edward Allen Gill

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


      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.

  27. Original Investigations

    1. The Effect of Age on Right Ventricular Diastolic Function in Healthy Subjects Undergoing Treadmill Exercise Test

      Murat Celik, Emre Yalcinkaya, Uygar Cagdas Yuksel, Yalcin Gokoglan, Baris Bugan, Hasan Kutsi Kabul and Cem Barcin

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12676

    2. Aortic Valve Stenosis Planimetry by Means of Three-Dimensional Transesophageal Echocardiography in the Real Clinical Setting: Feasibility, Reliability and Systematic Deviations

      Daniel Saura, Gonzalo de la Morena, Pedro J. Flores-Blanco, María J. Oliva, Luis Caballero, Josefa González-Carrillo, María D. Espinosa, María López-Ruiz, Miguel García-Navarro and Mariano Valdés

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12675

    3. Effect of Remote Ischemic Postconditioning on Left Ventricular Mechanics

      Alper Bugra Nacar, Selim Topcu, Mustafa Kurt, Ibrahim Halil Tanboga, Mehmet Fatih Karakaş, Eyup Buyukkaya, Enbiya Aksakal, Nihat Sen, Adnan Burak Akcay and Emine Bilen

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12677

    4. Prevalence and Long-Term Prognosis of Patients with Complete Bundle Branch Block (Right or Left Bundle Branch) with Normal Left Ventricular Ejection Fraction Referred for Stress Echocardiography

      Azhar A. Supariwala, Jose Ricardo F. Po, Sameh Mohareb, Farhan Aslam, Firas Kaddaha, Zainab I. Mian, Farhan Chaudhry, Ahmed Otokiti and Farooq A. Chaudhry

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12680

    5. Left Atrial Deformation Predicts Pulmonary Capillary Wedge Pressure in Pediatric Heart Transplant Recipients

      Jay Yeh, Ranjit Aiyagari, Robert J. Gajarski, Mary C. Zamberlan and Jimmy C. Lu

      Article first published online: 5 JUL 2014 | DOI: 10.1111/echo.12679

    6. Effects of Ranolazine on Noninvasive Coronary Flow Reserve in Patients with Myocardial Ischemia But without Obstructive Coronary Artery Disease

      Ercole Tagliamonte, Fausto Rigo, Teresa Cirillo, Costantino Astarita, Gaetano Quaranta, Umberto Marinelli, Archimede Caruso, Carlo Romano and Nicola Capuano

      Article first published online: 4 JUL 2014 | DOI: 10.1111/echo.12674

  28. Case Reports

    1. Exacerbation of Pulmonic Regurgitation by Diastolic Tricuspid Regurgitation

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

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


      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.

  29. Original Investigations

    1. Echocardiography Detects Elevated Left Ventricular Filling Pressures in Heart Transplant Recipients

      Odd Bech-Hanssen, Waleed Al-Habeeb, Waqas Ahmed, Giovanni Di Salvo, Valeria Pergola, Mohammed Al-Admawi, Mohammed Al-Amri, Maie Al-Shahid, Jehad Al-Buraiki and Bahaa M. Fadel

      Article first published online: 4 JUL 2014 | DOI: 10.1111/echo.12683

  30. Review Articles

    1. Left Atrial Appendage Aneurysm: A Systematic Review of 82 Cases

      Madan Raj Aryal, Fayaz A. Hakim, Sailu Ghimire, Sushil Ghimire, Smith Giri, Anil Pandit, Yashoda Bhandari, Naresh Bhandari, Ranjan Pathak, Paras Karmacharya and Rajesh Pradhan

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12667

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

    1. Carcinoid Heart Disease with Right to Left Shunt across a Patent Foramen Ovale: A Case Report and Review of Literature

      Mohammed Andaleeb Chowdhury, Mohammed Taleb, Mashhood Ajaz Kakroo and Jodi Tinkel

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12671

  32. Original Investigations

    1. Right Ventricular Strain in Pulmonary Arterial Hypertension: A 2D Echocardiography and Cardiac Magnetic Resonance Study

      Benjamin H. Freed, Wendy Tsang, Nicole M. Bhave, Amit R. Patel, Lynn Weinert, Megan Yamat, Beatriz Miralles Vicedo, Karin Dill, Victor Mor-Avi, Mardi Gomberg-Maitland and Roberto M. Lang

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12662

    2. Two-Dimensional Speckle Tracking Echocardiography Prognostic Parameters in Patients after Acute Myocardial Infarction

      Maciej Haberka, Jerzy Liszka, Andrzej Kozyra, Maciej Finik and Zbigniew Gąsior

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12666

    3. Repeatability and Agreement of Real Time Three-dimensional Echocardiography Measurements of Left Ventricular Mass and Synchrony in Young Patients

      Tiina Ojala, Sujeev Mathur, Anu Vatanen, Manish D. Sinha, Kirsi Jahnukainen and John Simpson

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12672

    4. Usefulness of the Parameters of Quantitative Myocardial Perfusion Contrast Echocardiography in Patients with Chronic Total Occlusion and Collateral Flow

      Jung Sun Cho, Sung-Ho Her, Ho-Joong Youn, Chan Joon Kim, Mahn-Won Park, Gee Hee Kim, Woo-Baek Chung, Chan Seok Park, Eun-Joo Cho, Mi-Jeong Kim, Hae-Ok Jung and Hui-Kyung Jeon

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12663

  33. Image Sections

    1. A Case of a Fistula between Myxoma and a Branch of Right Coronary Artery

      Antonio D'Aloia, Ivano Bonadei, Enrico Vizzardi, Riccardo Rovetta, Edoardo Sciatti and Marco Metra

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12664


      Atrial myxoma is a benign cardiac mass often seen during echocardiographic examinations. These masses often may present communication with coronary arteries due to the rupture of their vessel wall. We show the images of an incidental finding of two atrial myxomas with a fistula communication between them and a branch of right coronary artery.

    2. Echocardiography: A Case of Coronary Sinus Endocarditis

      Clara Kwan, On Chen, Svetlana Radionova, Adnan Sadiq and Manfred Moskovits

      Article first published online: 28 JUN 2014 | DOI: 10.1111/echo.12665


      We present a case of a 23-year-old woman with end-stage renal disease on hemodialysis (HD) via a permacath for the past year, who was found to have endocarditis of the coronary sinus (CS). While patients on HD have higher rates of infective endocarditis (IE), involvement of the CS is rare with only a few cases reported. In our case, the presence of a HD catheter may have predisposed her to IE of the CS. Furthermore, her blood cultures were positive for Acinetobacter baumannii which is a rare pathogen but can be found in hospital settings and in patients on HD.

    3. Large Pseudoaneurysm of the Mitral Annulus as an Infective Endocarditis Complication: A 3D Echocardiography Role in Diagnosis and Surgical Procedure

      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


      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.

  34. Original Investigations

  35. Case Reports

    1. Intracardiac Mass as Initial Cardiac Manifestation of Behçet's Disease: Think before You Cut

      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


      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.

  36. Image Sections

    1. Persistent Left and Absent Right Superior Vena Cava: Combined Functional and Anatomic Assessment with Transthoracic Echocardiography and Computed Tomography

      Christopher Naoum, Vincent Khoury, Lloyd Ridley and Seymour Maze

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


      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.

  37. Original Investigations

    1. Carotid Adventitial Vasa Vasorum and Intima-Media Thickness in a Primary Prevention Population

      Uchechukwu K. A. Sampson, Frank E. Harrell Jr, Sergio Fazio, Sam Nwosu, Nate Mercaldo, George A. Mensah, Michael H. Davidson, Blai Coll and Steve B. Feinstein

      Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12646

    2. “3D Fusion” Echocardiography Improves 3D Left Ventricular Assessment: Comparison with 2D Contrast Echocardiography

      Daniel Augustine, Mohammad Yaqub, Cezary Szmigielski, Eduardo Lima, Steffen E. Petersen, Harald Becher, J. Alison Noble and Paul Leeson

      Article first published online: 13 JUN 2014 | DOI: 10.1111/echo.12655

    3. Left Atrial Appendage Wall-Motion Velocity Associates with Recurrence of Nonparoxysmal Atrial Fibrillation after Catheter Ablation

      Miyuki Ariyama, Ritsushi Kato, Makoto Matsumura, Harumi Yoshimoto, Yoshie Nakajima, Shintaro Nakano, Takatoshi Kasai, Jun Tanno, Takaaki Senbonmatsu, Kazuo Matsumoto and Shigeyuki Nishimura

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12647

  38. Image Sections

    1. Echocardiographic Analysis of an Extracellular Matrix Tricuspid Valve

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

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


      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.

  39. Case Reports

    1. A Serendipitous Identification of a Lead Extraction Complication

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

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


      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.

    2. Multimodality Imaging of Cor Triatriatum Sinister in an Octagenerian

      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


      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.

  40. Original Investigations

    1. Pocket Echocardiography System for Detection of Patent Ductus Arteriosus in Neonates

      Roberto Murgas Torrazza, Arun Chandran, Jennifer Co-Vu and Curt DeGroff

      Article first published online: 11 JUN 2014 | DOI: 10.1111/echo.12656

  41. Review Articles

  42. Special issue: Echo in Adult Congenital Heart Disease

    1. Echo in Adult Congenital Heart Disease

    2. Review Articles

      Echocardiographic Evaluation of Patent Foramen Ovale and Atrial Septal Defect

      Pawan Hari, Ramdas G. Pai and Padmini Varadarajan

      Article first published online: 29 MAY 2014 | DOI: 10.1111/echo.12625

    3. Echo in Adult Congenital Heart Disease

    4. Review Articles

      Echocardiographic Evaluation of Tetralogy of Fallot

      Pooja Swamy, Aditya Bharadwaj, Padmini Varadarajan and Ramdas G. Pai

      Article first published online: 29 MAY 2014 | DOI: 10.1111/echo.12437

    5. Echo in Adult Congenital Heart Disease

    6. Echocardiographic Evaluation of Univentricular Physiology and Cavopulmonary Shunts

      Elisa Zaragoza-Macias, Rebecca G. Schwaegler and Karen K. Stout

      Article first published online: 29 MAY 2014 | DOI: 10.1111/echo.12133

    7. Review Articles

  43. ViewPoints

  44. Original Investigations

    1. Regional Strain Determination and Myocardial Infarction Detection by Three-Dimensional Echocardiography with Varied Temporal Resolution

      Meihua Zhu, Cole Streiff, Jill Panosian, Zhijun Zhang, Xubo Song, David J. Sahn and Muhammad Ashraf

      Article first published online: 12 MAY 2014 | DOI: 10.1111/echo.12632

    2. The Association between Aortic Distensibility and Coronary Flow Reserve in Newly Diagnosed Diabetic Patients

      Gulhan Yuksel Kalkan, Mustafa Gur, Filiz Eksi Haydardedeoğlu, Sinan Kırım, Ahmet Oytun Baykan, Osman Kuloğlu, Hakan Uçar, Durmuş Yildiray Sahin, Zafer Elbasan, Taner Seker, Caner Turkoğlu, Arafat Yildirim and Murat Cayli

      Article first published online: 12 MAY 2014 | DOI: 10.1111/echo.12631

    3. Comparison of Quantitative Wall-Motion Analysis and Strain for Detection of Coronary Stenosis with Three-Dimensional Dobutamine Stress Echocardiography

      Katherine M. Parker, Alexander P. Clark, Norman C. Goodman, David K. Glover and Jeffrey W. Holmes

      Article first published online: 11 MAY 2014 | DOI: 10.1111/echo.12636

    4. Analysis of Left Atrial Performance in Patients with Type 2 Diabetes Mellitus without Overt Cardiac Disease and Inducible Ischemia: High Prevalence of Increased Systolic Force Related to Enhanced Left Ventricular Systolic Longitudinal Function

      Carmine Mazzone, Giovanni Cioffi, Giorgio Faganello, Pompilio Faggiano, Riccardo Candido, Antonella Cherubini, Luigi Tarantini, Stefania De Feo and Andrea Di Lenarda

      Article first published online: 11 MAY 2014 | DOI: 10.1111/echo.12639

  45. Image Sections

    1. Peri-Aortic Fluid: A Critical Finding in Acute Aortic Syndrome

      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


      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.

    2. Real Time Three-Dimensional Transthoracic Echocardiography of a Supracristal Ventricular Septal Defect Associated with a Bicuspid Aortic Valve

      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


      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.

  46. Original Investigations

    1. Speckle Strain Echocardiography Predicts Outcome in Patients with Heart Failure with both Depressed and Preserved Left Ventricular Ejection Fraction

      Mark R. Stampehl, Douglas L. Mann, John S. Nguyen, Francisco Cota, Cristina Colmenares and Hisham Dokainish

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12613

  47. Image Sections

    1. An Unusual Appearance of Fibrin Sheaths after Implantable Cardioverter-Defibrillator Removal Because of Infective Endocarditis

      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


      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.

  48. Original Investigations

    1. Prognostic Implications of Tissue Doppler Imaging–Derived E/Ea Ratio in Acute Heart Failure Patients

      Enrique Santas, Sergio García-Blas, Gema Miñana, Juan Sanchis, Vicent Bodí, David Escribano, Jaime Muñoz, Francisco J Chorro and Julio Núñez

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12617

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

    1. Anatomic versus Effective Orifice Area in a Bicuspid Aortic Valve

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

      Article first published online: 10 MAY 2014 | DOI: 10.1111/echo.12619

  50. Original Investigations

    1. Assessment of the Helical Ventricular Myocardial Band Using Standard Echocardiography

      Yasunobu Hayabuchi, Miho Sakata and Shoji Kagami

      Article first published online: 9 MAY 2014 | DOI: 10.1111/echo.12624

    2. Impact of Asymptomatic Acute Cellular Rejection on Left Ventricle Myocardial Function Evaluated by Means of Two-Dimensional Speckle Tracking Echocardiography in Heart Transplant Recipients

      Martín Ruiz Ortiz, María Luisa Peña, Dolores Mesa, Mónica Delgado, Elías Romo, Marta Santisteban, Miguel Puentes, Amador López Granados, Juan Carlos Castillo, José María Arizón and José Suárez de Lezo

      Article first published online: 9 MAY 2014 | DOI: 10.1111/echo.12623

    3. Effects of Paclitaxel and Carboplatin Combination on Mechanical Myocardial and Microvascular Functions: A Transthoracic Doppler Echocardiography and Two-Dimensional Strain Imaging Study

      Cihan Altin, Leyla Elif Sade, Saadet Demirtas, Emir Karacaglar, Suleyman Kanyilmaz, Vahide Simsek, Ali Ayhan and Haldun Muderrisoglu

      Article first published online: 9 MAY 2014 | DOI: 10.1111/echo.12621

    4. Reliability of Contrast Echocardiography to Rule Out Pulmonary Arteriovenous Malformations and Avoid CT Irradiation in Pediatric Patients with Hereditary Hemorrhagic Telangiectasia

      Carma Karam, Jacques Sellier, Nicolas Mansencal, Carole Fagnou, Sandra Blivet, Thierry Chinet, Pascal Lacombe and Olivier Dubourg

      Article first published online: 9 MAY 2014 | DOI: 10.1111/echo.12615

    5. The Additional Value of Three-Dimensional Transesophageal Echocardiography in Complex Aortic Prosthetic Heart Valve Endocarditis

      Wilco Tanis, Arco J. Teske, Lex A. van Herwerden, Steven Chamuleau, Folkert Meijboom, Ricardo P.J. Budde and Maarten-Jan Cramer

      Article first published online: 12 APR 2014 | DOI: 10.1111/echo.12602

    6. Blood Flow Imaging in Transesophageal Echocardiography during Atrial Septal Defect Closure: A Comparison with the Current References

      Siri Ann Nyrnes, Lasse Løvstakken, Gaute Døhlen, Eirik Skogvoll, Hans Torp, Terje Skjærpe, Gunnar Norgård, Stein Samstad, Torbjørn Graven and Bjørn Olav Haugen

      Article first published online: 5 APR 2014 | DOI: 10.1111/echo.12610

    7. Identification of Prolapsing Mitral Valve Scallops by a Three-Dimensional Multiplanar Reconstruction Method

      Nausheen Akhter, Qiong Zhao, Adin-Cristian Andrei, Bonnie Kane, Patrick McCarthy and Vera H. Rigolin

      Article first published online: 5 APR 2014 | DOI: 10.1111/echo.12608

    8. Ia Diastolic Dysfunction: An Echocardiographic Grade

      Anil Pandit, Farouk Mookadam, Fayaz A. Hakim, Eoin Mulroy, Rayya Saadiq, Mairead Doherty, Stephen Cha, James Seward and Susan Wilansky

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12600

    9. Clinical Settings Leading to Presystolic Tricuspid Regurgitation

      Piotr Szymański, Magdalena Lipczyńska, Anna Klisiewicz and Piotr Hoffman

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12604

    10. Atrial Mechanics after Surgical Repair of Tetralogy of Fallot

      Jia Hou, Hong-kui Yu, Sophia J Wong and Yiu-fai Cheung

      Article first published online: 4 APR 2014 | DOI: 10.1111/echo.12611


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