Cover image for Vol. 32 Issue 1

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 - 161
  1. Original Investigations

  2. Doppler Hemodynamics

    1. Spectral Doppler Interrogation of Mitral Regurgitation —Spot Diagnosis

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

      Article first published online: 22 JAN 2015 | DOI: 10.1111/echo.12891

    2. Spectral Doppler Interrogation of the Pulmonary Veins in Atrial Septal Defect

      Bahaa M. Fadel, Dania Mohty, Wafa Aldawood, Ziad Dahdouh and Giovanni Di Salvo

      Article first published online: 22 JAN 2015 | DOI: 10.1111/echo.12892

  3. Original Investigations

    1. Right and Left Atrial Dissimilarities in Normal Subjects Explored by Speckle Tracking Echocardiography

      Sherif Moustafa, Hamed Zuhairy, Mostafa A. Youssef, Nanette Alvarez, Michael S. Connelly, Timothy Prieur and Farouk Mookadam

      Article first published online: 21 JAN 2015 | DOI: 10.1111/echo.12880

    2. Echo Doppler Estimation of Pulmonary Capillary Wedge Pressure in Patients with Severe Aortic Stenosis

      Simon Biner, Yan Topilsky, Shmuel Banai, Arie Steinvil, Yaron Arbel, Robert James Siegel, Roy Beigel, Gad Keren and Ariel Finkelstein

      Article first published online: 21 JAN 2015 | DOI: 10.1111/echo.12893

    3. Training Program for Cardiology Residents to Perform Focused Cardiac Ultrasound Examination with Portable Device

      Vicente N. Siqueira, Frederico J. N. Mancuso, Orlando Campos, Angelo A. De Paola, Antonio C. Carvalho and Valdir A. Moises

      Article first published online: 21 JAN 2015 | DOI: 10.1111/echo.12887

  4. Case Reports

    1. Atypical Abnormal Pulmonary Vein Drainage with Atrial Septal Defect: Surgical Treatment

      Wojciech Szychta, Gheorghe Cerin, Bogdan Adrian Popa, Armienti Felice, Guido Lanzillo, Marco Diena and Grzegorz Opolski

      Article first published online: 21 JAN 2015 | DOI: 10.1111/echo.12863


      Sinus venosus atrial septal defect (SV-ASD) is a rare congenital disease, which can be usually found with partial anomalous pulmonary vein connection (PAPVC). We present a case that has never been described before of the patient with highly positioned atypical SV-ASD and very rare PAPVC. Diagnosis was difficult as it could not be set after transthoracic echocardiography, nor transesophageal echocardiography, whereas angio-CT was finally conclusive.

  5. Original Investigations

    1. Characterization of Left Atrial Mechanics in Hypertrophic Cardiomyopathy and Essential Hypertension Using Vector Velocity Imaging

      Hala Mahfouz Badran, Naglaa Faheem, Mohamed Fahmy Elnoamany, Asma Kenawy and Magdi Yacoub

      Article first published online: 20 JAN 2015 | DOI: 10.1111/echo.12885

  6. Case Reports

    1. Congenital Absence of the Left Atrial Appendage Visualized by 3D Echocardiography in Two Adult Patients

      Mona Saleh, Revathi Balakrishnan, Leticia Castillo Kontak, Ricardo Benenstein, Larry A. Chinitz, Robert Donnino and Muhamed Saric

      Article first published online: 14 JAN 2015 | DOI: 10.1111/echo.12882


      Congenital absence of left atrial appendage (LAA) is a rare condition with unknown physiological consequences. We present two cases of incidental finding of a congenitally absent LAA in two adult patients. Congenitally absent LAA may be confused with flush thrombotic occlusion of the appendage. There are very few published reports of congenital absence of LAA, and our report is the first to demonstrate this absence by 3DTEE.

    2. Sustained Ventricular Tachycardia as the First Manifestation of Hydatid Cyst Located in the Interventricular Septum

      İrfan Şahin, Berk Özkaynak, Bariş Güngör, Burak Ayça, Serhat Sığirci, Bülent Mert and Ertuğrul Okuyan

      Article first published online: 14 JAN 2015 | DOI: 10.1111/echo.12894


      Echinococcus granulosus infection may manifest with cardiac involvement causing various symptoms. Here, we discuss a case of a young patient who presented with sustained ventricular tachycardia (VT) causing hemodynamic compromise. Diagnosis of cardiac hydatid cyst was established with echocardiography, computed tomography imaging, and serological examination. After surgical removal of the cyst VT did not recur.

  7. Original Investigations

    1. Effects of Hemodialysis on Tei Index: Comparison between Flow Doppler and Tissue Doppler Imaging

      Demet Menekse Gerede, Sibel Turhan, Cansin Tulunay Kaya, Ozgur Ulas Ozcan, Huseyin Goksuluk, Veysel Kutay Vurgun, Irem Dincer, Sim Kutlay, Sehsuvar Erturk and Cetin Erol

      Article first published online: 14 JAN 2015 | DOI: 10.1111/echo.12895

  8. Case Reports

    1. A Case of Late Presenting Unicuspid Aortic Valve in a 62-Year-Old Female

      Rebecca Chester, Sheila Sahni and Tracy Huynh

      Article first published online: 14 JAN 2015 | DOI: 10.1111/echo.12881


      We describe a case of a 62-year old female with newly diagnosed severe aortic stenosis and is found to have a unicuspid aortic valve. Transesophageal echocardiography suggested a bicuspid aortic valve, however surgical valve replacement revealed the valve to be unicuspid. This case report provides discussion of epidemiology of unicuspid aortic valves as well as current imaging modalities used for diagnosis of aortic valve pathology.

  9. Original Investigations

    1. Prevalence of Left Ventricular Dyssynchrony in Patients with Congenital Atrioventricular Block and Long-Term Pacing: A Three-Dimensional Echocardiographic Study

      Vitor Coimbra Guerra, Luciana de Menezes Martins, Roberto Marcio Oliveira, Kátia Regina da Silva, Maria Angelica Binotto, Jeane M. Tsutsui, Roberto Kallil, Roberto Costa and Wilson Mathias Jr

      Article first published online: 14 JAN 2015 | DOI: 10.1111/echo.12871

  10. Case Reports

    1. Early Recognition of Apical Ballooning Syndrome by Global Longitudinal Strain Using Speckle Tracking Imaging—The Evil Eye Pattern, a Case Series

      Sualy Sosa and Jose Banchs

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12875


      In this case series we report 4 cases of patients diagnosed with stress induced cardiomyopathy apical ballooning syndrome (ABS), who presented to our institution with chest pain, mildly elevated cardiac enzymes and ischemic electrocardiographic changes. They were found to have severe hypokinesis or akinesis of the mid to apical segments with dynamic basal segments on echocardiography. A global longitudinal strain (GLS) pattern on polar map was markedly different from the pattern of proximal left anterior descending artery (LAD) myocardial infarction. All of them had a similar GLS pattern on presentation, which was easy to recognize on these polar maps images the day of the event. We discuss the usefulness of early recognition of ABS using global longitudinal strain images.

    2. An Unusual Mass of Tricuspid Valve in an Adult Patient: Blood-Filled Cyst

      Macit Kalçık, Mahmut Yesin, Mustafa Ozan Gürsoy, Süleyman Karakoyun, Sinan Cerşit, Cengiz Köksal, Cemil İzgi and Mehmet Özkan

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12878


      Blood-filled cysts (BFC) within the heart are very rare entities in adolescents and adults. Here, an adult case of BFC attached to the posterior leaflet of the tricuspid valve is reported, demonstrating the importance of multimodal diagnostic imaging combining both echocardiography and magnetic resonance imaging.

  11. Original Investigations

    1. Exploring Noninvasive Tricuspid dP/dt as a Marker of Right Ventricular Function

      Yash Singbal, William Vollbon, Luan Tan Huynh, William Y. S. Wang, Arnold C. T. Ng and Sudhir Wahi

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12877

    2. Novel Echocardiographic Indices as Predictors of Immediate Recurrence after Undersized Ring Annuloplasty for Ischemic Mitral Regurgitation

      Shokoufeh Hajsadeghi, Niloufar Samiee, Seyyed Saied Hosseini, Morteza Hassanzadeh and Scott Reza Jafarian Kerman

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12879

    3. Prognostic Value of Stress Echocardiography in Patients Presenting with Syncope

      Jose Ricardo F. Po, Farooq A. Chaudhry, Kiruthika Balasundaram, Waseem Shami, Sunil Penesetti, Kiran K. Kommaraju, Sameh Mohareb, Suketukumar Patel, Vikram Agarwal and Edgar Argulian

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12874

  12. Case Reports

    1. Gargantuan Left Atrium: A Sequela of Mitral Regurgitation and Mitral Stenosis

      Brian T. Omslaer and Robert W. W. Biederman

      Article first published online: 2 JAN 2015 | DOI: 10.1111/echo.12869


      Cardiac magnetic resonance imaging and echocardiography revealed a gargantuan left atrium measuring 18.9 cm × 15.7 cm × 11.3 cm in a 56-year-old patient diagnosed with severe rheumatic mitral stenosis, severe pulmonary hypertension, and permanent atrial fibrillation. A chest x-ray also revealed a cardiothoracic ratio approaching 1.0 and a transthoracic echocardiogram measured diameters as large as 19.2 cm. The patient then underwent mitral valve replacement and left atrial reduction surgery and has had no further admissions or complications.

  13. Original Investigations

    1. Exercise-Induced Abnormal Increase of Systolic Pulmonary Artery Pressure in Adult Patients With Sickle Cell Anemia: An Exercise Stress Echocardiography Study

      Newton Nunes de Lima-Filho, Maria Stella Figueiredo, Perla Vicari, Rodolfo Cançado, Antonio Carlos de Camargo Carvalho, José Orlando Bordin and Orlando Campos

      Article first published online: 18 DEC 2014 | DOI: 10.1111/echo.12853

  14. Image Sections

    1. A Rare Variant of Type I Truncus Arteriosus: Truncus Arteriosus with Anterior Origin of a Main Pulmonary Artery

      Serkan F. Çelik, Cemşit Karakurt, Özlem Elkıran, Mehmet Öztürk and Ayşe C Görmeli

      Article first published online: 15 DEC 2014 | DOI: 10.1111/echo.12865


      Truncus arteriosus with anterior origin of a main pulmonary artery is a very rare condition. In this report we present a newborn who has a truncus arteriosus with anterior origin of a main pulmonary artery.

  15. Case Reports

    1. Three-Dimensional Echocardiography Enhances Diagnostic Accuracy of Supramitral Ring

      Pei-Ni Jone, Carlie Bremen, Michael DiMaria, David N. Campbell, James Jaggers, Adel Younoszai and D. Dunbar Ivy

      Article first published online: 12 DEC 2014 | DOI: 10.1111/echo.12867


      Real time three-dimensional echocardiography allows for accurate morphological characterization of congenital heart disease especially in the precise anatomical analysis of mitral valve apparatus. We report a case of using real time three-dimensional transesophageal echocardiography to accurately diagnosed congenital mitral valve stenosis from a supramitral ring in a young child, avoiding unnecessary catheterization, and successful resection of the supramitral ring.

  16. Original Investigations

    1. Assessment of the Developmental Change in the Left Atrial Volume Using Real Time Three-Dimensional Echocardiography

      Noboru Tanaka, Kiyohiro Takigiku, Ken Takahashi, Ayako Kuraoka, Kotoko Matsui, Satoru Iwashima, Masaki Nii, Manatomo Toyono, Masaaki Takeuchi, Masahiko Kishiro, Satoshi Yasukochi and Toshiaki Shimizu

      Article first published online: 8 DEC 2014 | DOI: 10.1111/echo.12829

  17. Editorials

  18. Original Investigations

  19. Case Reports

    1. Severe Left Atrioventricular Valve Regurgitation Due to Discontinuity between the Leaflets of the Aortic and Left Atrioventricular Valves in a Patient with Endocardial Cushion Defect: A Rare Case Report

      Maryam Nabati, Valiolla Habibi, Aria Soleimani and Mojtaba Shokri

      Article first published online: 5 DEC 2014 | DOI: 10.1111/echo.12858


      Discontinuities between the leaflets of the aortic and left atrioventricular valves are uncommon congenital malformations. We describe a rare case of Down syndrome with transient complete atrioventricular block and discontinuity between the leaflets of the aortic and left atrioventricular valves. It caused severe eccentric jet of regurgitation into the left atrium. He underwent cardiopulmonary bypass. Permanent epicardial pacing was inserted during cardiac surgery.

  20. Review Articles

    1. Role of Multimodality Imaging in Transcatheter Aortic Valve Replacement

      Rajesh Ramineni, Ahmed Almomani, Arnav Kumar and Masood Ahmad

      Article first published online: 4 DEC 2014 | DOI: 10.1111/echo.12854

  21. Original Investigations

    1. Prognostic Value of Speckle Tracking Echocardiography in Patients with ST-Elevation Myocardial Infarction Treated with Late Percutaneous Intervention

      Tao Cong, Yinghui Sun, Zhijuan Shang, Ke Wang, Dechun Su, Lei Zhong, Shulong Zhang and Yanzong Yang

      Article first published online: 4 DEC 2014 | DOI: 10.1111/echo.12864

    2. Long-Term Cardiac Remodeling in Elite Athletes: Assessment by Tissue Doppler and Speckle Tracking Echocardiography

      Selami Demirelli, Cemil Tugrulhan Sam, Emrah Ermis, Husnu Degirmenci, Ilhan Sen, Arif Arisoy, Kursat Arslan, Hakan Duman and Ziya Simsek

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12860

    3. Association of Mitral Annular Calcification with Left Ventricular Mechanics: A Speckle Tracking Study

      Tayyar Gökdeniz, Faruk Boyaci, Engin Hatem, Hüseyin Bektaş, Ezgi Kalaycıoğlu, Mustafa Ozan Gürsoy, Ahmet Çağrı Aykan, Banu Şahin Yıldız and Bernas Altıntaş

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12861

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

    1. Scimitar Vein with Anomalous Pulmonary Venous Return in an Adult

      Edmund Kenneth Kerut and Curt Hanawalt

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12859

  23. Case Reports

    1. A Case of Isolated Cardiac Hydatid Cyst that Mimics Lymphoproliferative Malignancy

      Cenk Eray Yildiz, Ümit Yaşar Sinan, Ahmet Yildiz, Gürkan Çetin and Serdar Küçükoğlu

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12856


      Hydatid cyst is a parasitic disease caused by Echinococcus granulosus. The liver and the lungs are the most frequently involved organs in primary hydatidosis. Isolated cardiac involvement is extremely rare. We present a case of isolated cardiac cystic echinococcosis mimicking lymphoproliferative malignancy.

  24. Original Investigations

    1. The Relationships between Atrial Electromechanical Delay and CHA2DS2-VASc Score in Patients Diagnosed with Paroxysmal AF

      Gökay Nar, Sinan İnci, Gökhan Aksan, Korhan Soylu, Selami Demirelli and Rukiye Nar

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12855

    2. Prevalence, Determinants, and Prognostic Significance of Pulmonary Hypertension in Elderly Patients Admitted with Acute Decompensated Heart Failure: A Report from the BIO-HF Registry

      Daniel Vanhercke, Sofie Pardaens, Caroline Weytjens, Barbara Vande Kerckhove, Nancy De Laet, Emilie Janssens, Guy Van Camp and Johan De Sutter

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12857

  25. Case Reports

    1. Obstructive Membrane at the Base of the Left Atrial Appendage, a Multi-Imaging Approach

      Demián Chejtman, Matías Failo, Valeria Richarte Rueda, Emilio Logarzo, Luis Barja, Alejandro Benticuaga, Maria Laura Ayerdi, Domingo Turri, Sergio Baratta, Pablo Aguirre and Alejandro Hita

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12852


      We report a case of an obstructive membrane located at the base of the LAA, found incidentally in a young patient who was initially undergoing a transesophageal echocardiogram.

  26. Original Investigations

    1. Endothelial Function and Vascular Properties in Children with Sickle Cell Disease

      Khaled Hadeed, Sébastien Hascoet, Marie-Pierre Castex, Caroline Munzer, Philippe Acar and Yves Dulac

      Article first published online: 3 DEC 2014 | DOI: 10.1111/echo.12851

    2. Inhomogeneous Longitudinal Cardiac Rotation and Impaired Left Ventricular Longitudinal Strain in Children and Young Adults with End-Stage Renal Failure Undergoing Hemodialysis

      Ruth Lagies, Bodo B. Beck, Bernd Hoppe, Sahar S. Sheta, Verena Weiß, Narayanswami Sreeram and Floris E. A. Udink ten Cate

      Article first published online: 1 DEC 2014 | DOI: 10.1111/echo.12842

  27. Editorial

  28. Original Investigations

    1. Relation of Epicardial Fat Thickness to the Severity of Heart Failure in Patients with Nonischemic Dilated Cardiomyopathy

      Mehmet Mustafa Tabakci, Halil İbrahim Durmuş, Anil Avci, Cuneyt Toprak, Serdar Demir, Uğur Arslantaş, Sinan Cerşit, Serdar Fidan, Şeyhmus Kulahçioğlu, Ulaankhuu Batgerel and Ramazan Kargin

      Article first published online: 24 NOV 2014 | DOI: 10.1111/echo.12796

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

  30. Original Investigations

    1. Is Real Time Contrast Echocardiography Useful for Assessment of the Right Ventricular Morphology, Function, and Perfusion?

      Marta Kamińska, Bożena Sobkowicz, Robert Sawicki, Janina Lewkowicz, Anna Tomaszuk-Kazberuk, Renata Glińska and Włodzimierz J. Musiał

      Article first published online: 22 NOV 2014 | DOI: 10.1111/echo.12819

    2. Left Ventricular Strain Modifications after Maximal Exercise in Athletes: A Speckle Tracking Study

      Amato Santoro, Federico Alvino, Giovanni Antonelli, Matteo Cameli, Matteo Bertini, Roberta Molle and Sergio Mondillo

      Article first published online: 22 NOV 2014 | DOI: 10.1111/echo.12791

  31. Case Reports – Pediatric

    1. Prenatal Diagnosis of a Persistent Fifth Aortic Arch, Pulmonary-to-Systemic type: An Unusual Association with Evolving Aortic Coarctation

      Puneet Bhatla, Sujata Chakravarti, Leon Axel, Achi Ludomirsky and Giselle Revah

      Article first published online: 21 NOV 2014 | DOI: 10.1111/echo.12850


      Persistent fifth aortic arch can be diagnosed antenatal by fetal echocardiography. Identification of this anomaly should prompt serial prenatal follow-up to diagnose evolving lesions, which can aid in better delivery planning and anticipate emergent postnatal interventions.

  32. Original Investigations

    1. Effects of Insulin Resistance on Myocardial Blood Flow and Arterial Peripheral Circulation in Patients with Polycystic Ovary Syndrome

      José M. Aldrighi, Jeane M. Tsutsui, Ingrid Kowastch, Alessandra L. Ribeiro, Alessandro Scapinelli, Sonia Tamanaha, Ricardo M. Oliveira and Wilson Mathias Jr

      Article first published online: 21 NOV 2014 | DOI: 10.1111/echo.12849

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

  34. Case Reports

    1. The Short Life of an Aortic Cusp Aneurysm: A Case Report

      Khashayar Vahdat, Srujal Patel and Jose Banchs

      Article first published online: 20 NOV 2014 | DOI: 10.1111/echo.12844


      This report describes the case of a young man with a history of lymphoma, admitted with symptoms of chest pain, ST elevation changes, and elevated troponins. Immediate bedside echocardiographic evaluation led to an aborted urgent coronary angiography and a diagnosis of presumed endocarditis. Transesophageal echocardiography (TTE) subsequently revealed an aortic noncoronary cusp aneurysm masking as vegetation. The rapid assessment by TTE and transesophageal echocardiogram prevented an alternate course for this patient's management. We reviewed the necessity of heart catheterization in patients with significantly elevated troponins, pericarditis symptoms, and the rare sighting of aortic valve cusp aneurysms.

  35. Image Sections

    1. Respirophasic Forward Diastolic Flow through the Pulmonary Valve in Massive Right Ventricular Infarction

      Alberto Bouzas-Mosquera, Beatriz Bouzas-Zubeldía, Jesús Peteiro and Nemesio Álvarez-García

      Article first published online: 20 NOV 2014 | DOI: 10.1111/echo.12845


      We report a case illustrating Fontan physiology in massive right ventricular infarction. The infarcted right ventricle acted as a passive conduit between the right atrium and the pulmonary artery, and the flow was largely driven by respiratory variations in intrathoracic pressure. During inspiration, the pulmonary valve remained open throughout the whole cardiac cycle and the right ventricular outflow was almost entirely antegrade both in systole and diastole.

  36. Challenging Cases

  37. Original Investigations

    1. Three-Dimensional Echocardiographic Evaluation of Mitral Apparatus during Preload Manipulation in Patients with Hypertrophic Cardiomyopathy

      Hyemoon Chung, Ji Hyun Yoon, Young Won Yoon, Ji Young Chung, Jung-Joon Cha, Jong-Youn Kim, Pil-Ki Min, Byoung-Kwon Lee, Bum-Kee Hong, Se-Joong Rim, Hyuck Moon Kwon and Eui-Young Choi

      Article first published online: 20 NOV 2014 | DOI: 10.1111/echo.12840

  38. Case Reports

    1. Prenatal Diagnosis of an Aneurysm of the Mitral-Aortic Intervalvular Fibrosa

      Sheng Zhao, Xinlin Chen and Xiaohong Yang

      Article first published online: 20 NOV 2014 | DOI: 10.1111/echo.12841


      Aneurysm of the mitral-aortic intervalvular fibrosa (A-MAIVF) is a rare but potentially fatal condition. The aneurysm is located between the mitral and aortic valves and communicates with the left ventricular outflow tract, and the differential diagnoses include dilated coronary sinuses and coronary arteriovenous fistula. We describe the first reported case of an A-MAIVF diagnosed in the fetus.

  39. Original Investigations

    1. Quality Control and Reproducibility in M-Mode, Two-Dimensional, and Speckle Tracking Echocardiography Acquisition and Analysis: The CARDIA Study, Year 25 Examination Experience

      Anderson C. Armstrong, Erin P. Ricketts, Christopher Cox, Paul Adler, Alexander Arynchyn, Kiang Liu, Ellen Stengel, Stephen Sidney, Cora E. Lewis, Pamela J. Schreiner, James M. Shikany, Kimberly Keck, Jamie Merlo, Samuel S. Gidding and João A. C. Lima

      Article first published online: 9 NOV 2014 | DOI: 10.1111/echo.12832

    2. Combining Coronary with Carotid and Cerebrovascular Angiography Using Prospective ECG Gating and Iterative Reconstruction with 256-slice CT

      Jin-Ling Zhang, Bai-Lu Liu, Yan-Ming Zhao, Hong-Wei Liang, Guo-Kun Wang, Yong Wan, Ya-Hua Huang and Bao-Zhong Shen

      Article first published online: 5 NOV 2014 | DOI: 10.1111/echo.12830

    3. Combined Circumferential and Longitudinal Left Ventricular Systolic Dysfunction in Patients with Asymptomatic Aortic Stenosis

      Giovanni Cioffi, Carmine Mazzone, Giulia Barbati, Andrea Rossi, Stefano Nistri, Federica Ognibeni, Luigi Tarantini, Andrea Di Lenarda, Pompilio Faggiano, Giovanni Pulignano, Carlo Stefenelli, Giovanni de Simone and Richard B. Devereux

      Article first published online: 5 NOV 2014 | DOI: 10.1111/echo.12825

  40. Image Sections

    1. Ruptured Aneurysm of Anterior Mitral Leaflet in Aortic Valve Infective Endocarditis

      Isabel Zegrí, Vanessa Moñivas, Susana Mingo, Carlos Garcia-Montero and Miguel A. Cavero

      Article first published online: 3 NOV 2014 | DOI: 10.1111/echo.12831


      We report the case of a 71-year-old man admitted with acute heart failure and suspicion of infective endocarditis (IE). Three-dimensional transesophageal echocardiography (3DTEE) showed ruptured aneurysm of anterior mitral leaflet (AAML) in scallop A2 with severe mitral regurgitation and perforation of right and noncoronary aortic cusps with severe aortic regurgitation. TEE is more sensitive than transthoracic echocardiography for the diagnosis of AAML and 3DTEE provides further morphological information as well about the relationship with adjacent structures. This information has important implications for medical and surgical purposes.

  41. Original Investigations

    1. Improvement in Tricuspid Annular Plane Systolic Excursion with Pulmonary Hypertension Therapy in Pediatric Patients

      Maria Bano, Usama B. Kanaan, Alexandra C. Ehrlich, Courtney McCracken, Gemma Morrow, Matthew E. Oster and Ritu Sachdeva

      Article first published online: 3 NOV 2014 | DOI: 10.1111/echo.12835

    2. Optimal Analysis of Left Atrial Strain by Speckle Tracking Echocardiography: P-wave versus R-wave Trigger

      Shuji Hayashi, Hirotsugu Yamada, Mika Bando, Yoshihito Saijo, Susumu Nishio, Yukina Hirata, Allan L. Klein and Masataka Sata

      Article first published online: 3 NOV 2014 | DOI: 10.1111/echo.12834

    3. Left Atrial Function Assessed by Left Atrial Strain in Patients with Left Circumflex Branch Culprit Acute Myocardial Infarction

      Dong Hyun Lee, Tae-Ho Park, Jung Eun Lee, Young-Rak Cho, Kyungil Park, Jong Sung Park, Moo-Hyun Kim and Young-Dae Kim

      Article first published online: 3 NOV 2014 | DOI: 10.1111/echo.12828

    4. The Biplane Modified Simpson's Method Accurately Estimates Pericardial Effusion Volume: A Comparison with Pericardiocentesis

      Khashayar Khosraviani, Ythan Goldberg, Behzad Salari, Nariman Nezami, Chang-Fu Peng and Cynthia C. Taub

      Article first published online: 3 NOV 2014 | DOI: 10.1111/echo.12833

    5. Evaluation of Peak Pressure Gradients in Patients after Melody Valve Implantation: A Comparison of Cardiac Catheterization and Doppler Echocardiography

      Brenton S. Bauer, Sybil Zachariah, Daniel Levi, Abraham Rothman, Alvaro Galindo and Jamil A Aboulhosn

      Article first published online: 1 NOV 2014 | DOI: 10.1111/echo.12827

    6. Predictive Role of Stress Echocardiography before Carotid Endarterectomy in Patients with Coronary Artery Disease

      George Galyfos, Constantinos Tsioufis, Dimitris Theodorou, Stilianos Katsaragakis, Georgios Zografos and Konstantinos Filis

      Article first published online: 1 NOV 2014 | DOI: 10.1111/echo.12826

    7. Relation of Left Atrial Stiffness to Insulin Resistance in Obese Children: Doppler Strain Imaging Study

      Ragab A. Mahfouz, Abdelaziz Gomma, Mohamed Goda and Mohamed Safwat

      Article first published online: 31 OCT 2014 | DOI: 10.1111/echo.12824

  42. Case Reports

    1. Infective Endocarditis Related to a Coronary Artery Fistula with an Unusual Localization and Ectatic Coronary Arteries

      Demet Menekse Gerede, Aynur Acibuca, Caglar Uzun, Huseyin Goksuluk, Aydan Ongun, Mustafa Kilickap and Cetin Erol

      Article first published online: 31 OCT 2014 | DOI: 10.1111/echo.12822


      Coronary artery fistulas (CAF) are a rare congenital anomaly. They are usually asymptomatic but can present with clinically significant complications. We describe a patient presenting infective endocarditis involving a coronary artery fistula between the left ventricle and a giant circumflex coronary artery. Diagnosis was first made by echocardiography and confirmed by coronary computed tomography (CT). While discussing this case, we also review the literature on coronary artery fistula and coronary artery ectasia.

  43. Original Investigations

    1. Evaluation of Adult versus Pediatric Transesophageal Echocardiography Probe Efficiency for Guiding Septal Puncture during Atrial Fibrillation Ablation

      Ekrem Guler, Gamze Babur Guler, Gultekin Gunhan Demir, Filiz Kizilirmak, Hacı Murat Gunes, İrfan Barutcu, Mehmet Muhsin Turkmen and Fethi Kilicaslan

      Article first published online: 31 OCT 2014 | DOI: 10.1111/echo.12821

    2. Left Atrial Appendage Flow Velocity and Time from P-Wave Onset to Tissue Doppler–Derived A' Predict Atrial Fibrillation Recurrence after Radiofrequency Catheter Ablation

      Keiko Fukushima, Noritoshi Fukushima, Koichiro Ejima, Ken Kato, Yasuto Sato, Shoko Uematsu, Kotaro Arai, Tetsuyuki Manaka, Atsushi Takagi, Kyomi Ashihara, Morio Shoda and Nobuhisa Hagiwara

      Article first published online: 31 OCT 2014 | DOI: 10.1111/echo.12823

    3. The Effects of Successful Percutaneous Mitral Balloon Valvuloplasty on Acute and Intermediate Term Aortic Stiffness

      Sinan Inci, Gökay Nar, Mustafa Kemal Erol, Selami Demirelli, Hakan Duman, Serkan Serdar and Fatih Erol

      Article first published online: 27 OCT 2014 | DOI: 10.1111/echo.12799

    4. Right Ventricular Strain before and after Pulmonary Thromboendarterectomy in Patients with Chronic Thromboembolic Pulmonary Hypertension

      Nicholas Marston, Jason P. Brown, Nicholas Olson, William R. Auger, Michael M. Madani, Darrin Wong, Ajit B. Raisinghani, Anthony N. DeMaria and Daniel G. Blanchard

      Article first published online: 18 OCT 2014 | DOI: 10.1111/echo.12812

  44. ECHO Round Section Editor: Edmund Kenneth Kerut, M.D.

    1. Pseudoaneurysm in the Mitral–Aortic Intervalvular Fibrosa—Case Report and Literature Review

      Oana Năstase, Bogdan Rădulescu, Marinela Şerban, Ioana Smărăndiţa Lăcău, Şerban Bubenek, Bogdan Alexandru Popescu, Carmen Ginghinã and Ruxandra Jurcuţ

      Article first published online: 18 OCT 2014 | DOI: 10.1111/echo.12807

  45. Case Reports

    1. Fetal and Neonatal Imaging and Strategy of Primary Neonatal Heart Transplantation in Hypoplastic Left Heart with Ebstein's Anomaly

      James M. Hammel, David A. Danford, Robert L. Spicer and Shelby Kutty

      Article first published online: 18 OCT 2014 | DOI: 10.1111/echo.12820


      We report a case of mitral stenosis/aortic atresia variant of hypoplastic left heart syndrome, Ebstein's anomaly, and partial anomalous pulmonary venous return. The prenatal and postnatal echocardiography findings guided therapy toward primary transplantation rather than conventional staged surgical palliation.

  46. Original Investigations

    1. Quantification of Mitral Regurgitation by Real Time Three-Dimensional Color Doppler Flow Echocardiography Pre– and Post–Percutaneous Mitral Valve Repair

      Christiane Gruner, Bernhard Herzog, Dominique Bettex, Christian Felix, Saurabh Datta, Matthias Greutmann, Oliver Gaemperli, Simon A. Müggler, Felix C. Tanner, Juerg Gruenenfelder, Roberto Corti and Patric Biaggi

      Article first published online: 18 OCT 2014 | DOI: 10.1111/echo.12809

    2. Early Improvement in Left Atrial Remodeling and Function after Mitral Valve Repair or Replacement in Organic Symptomatic Mitral Regurgitation Assessed by Three-Dimensional Echocardiography

      David C. S. Le Bihan, Dorival Julio Della Togna, Rodrigo B. M. Barretto, Jorge Eduardo Assef, Lúcia Romero Machado, Auristela Isabel de Oliveira Ramos, Camilo Abdulmassih Neto, Valdir Ambrosio Moisés, Amanda G. M. R. Sousa and Orlando Campos

      Article first published online: 18 OCT 2014 | DOI: 10.1111/echo.12817

    3. Effects of Transcatheter Aortic Valve Implantation on Left Ventricular and Left Atrial Morphology and Function

      Antonello D'Andrea, Roberto Padalino, Rosangela Cocchia, Enza Di Palma, Lucia Riegler, Raffaella Scarafile, Giovanni Rossi, Renato Bianchi, Donato Tartaglione, Maurizio Cappelli Bigazzi, Paolo Calabrò, Rodolfo Citro, Eduardo Bossone, Raffaele Calabrò and Maria Giovanna Russo

      Article first published online: 17 OCT 2014 | DOI: 10.1111/echo.12808

  47. Image Sections

    1. A Distinctly Rare Case of Candida Endocarditis Involving the Bioprosthetic Pulmonary and the Eustachian Valve Diagnosed on 3D Transesophageal Echocardiography

      Ahmed K. Pasha, Branden A. Snyder, Tirdad T. Zangeneh, Jess L. Thompson, Richard E. Sobonya and Aiden Abidov

      Article first published online: 17 OCT 2014 | DOI: 10.1111/echo.12804


      We describe a unique case where a 53-year-old man with history of intravenous drug abuse and prior endocarditis presented with fever and chest pain. He was found to have a eustachian valve vegetation and bioprosthetic pulmonary valve vegetation. The causative organism was Candida albicans. In this case, three-dimensional transesophageal echocardiography clearly identified the pulmonic valve vegetation which was not well seen on two-dimensional transthoracic echocardiography.

  48. Original Investigations

    1. Reference Values for Right Ventricular Strain in Patients without Cardiopulmonary Disease: A Prospective Evaluation and Meta-Analysis

      Nowell M. Fine, Libo Chen, Paul M. Bastiansen, Robert P. Frantz, Patricia A. Pellikka, Jae K. Oh and Garvan C. Kane

      Article first published online: 17 OCT 2014 | DOI: 10.1111/echo.12806

  49. Case Reports

    1. Blunt Chest Trauma Resulting in Both Atrial and Ventricular Septal Defects

      Yahaira Ortiz, Adam J. Waldman, Jeff N. Bott, Steve J. Carlan and Mario Madruga

      Article first published online: 17 OCT 2014 | DOI: 10.1111/echo.12801


      Disruption of both the atrial and ventricular walls occurred after violent blunt chest trauma.

  50. Image Sections

    1. Post-TAVR Ventricular Septal Defect in the Presence of Subaortic Membrane

      Christina W. Lee, Sheila M. Hegde, Steven M. Ewer and Lucian Lozonschi

      Article first published online: 17 OCT 2014 | DOI: 10.1111/echo.12802


      Transcatheter aortic valve replacement (TAVR) has traditionally been reserved for patients who are high-risk with significant comorbid conditions. We present a case of an 80-year-old female who sustained a small, restrictive ventricular septal defect (VSD) following TAVR. This patient was thoroughly evaluated preoperatively and the decision was made to proceed with nonconventional repair given significant comorbid conditions in conjunction with subvalvular stenosis secondary to a subvalvular membrane. The objective of this presentation is to direct special focus to the echocardiographic images of this unique case in the setting of this unique anatomic variant.

  51. Original Investigations

    1. The Effect of Transcatheter Aortic Valve Implantation on Pulmonary Hypertension

      Tahir Durmaz, Hüseyin Ayhan, Telat Keleş, Abdullah Nabi Aslan, Hacı Ahmet Kasapkara, Cenk Sarı, Emine Bilen, Nihal Akar Bayram, Murat Akçay and Engin Bozkurt

      Article first published online: 16 OCT 2014 | DOI: 10.1111/echo.12811

  52. Case Reports

    1. Prenatal Diagnosis of Giant Left Ventricular Diverticulum: Case Report

      Fadli Demir, Nazan Ozbarlas, Uğur Gocen and Selim Buyukkurt

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12781


      The distinction between a ventricular aneurysm and diverticulum is difficult. The differences between these two are based on anatomical, histological, and functional criteria. We present a case of prenatal diagnosis of a giant left ventricular outpouching at 28 weeks gestation. During the postnatal period, the neonate underwent surgical correction for the outpouching. Histopathological examination reported the resected segment was a cardiac diverticulum. Our case indicates that differentiating between the two diagnoses during the intrauterine period is not always straightforward and possible. Histopathological examinations are sometimes necessary to make a precise differentiation. Treatment should be individualized depending on the clinical presentation.

  53. Original Investigations

    1. Left Ventricular Mechanics in Untreated Normotensive Patients with Type 2 Diabetes Mellitus: A Two- and Three-dimensional Speckle Tracking Study

      Marijana Tadic, Sanja Ilic, Cesare Cuspidi, Biljana Stojcevski, Branislava Ivanovic, Ljiljana Bukarica, Ljilja Jozika and Vera Celic

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12790

  54. Case Reports

    1. Collagenous Fibroma of the Right Coronary Cusp: A Case Report and Literature Review

      Yanbo Zhu, Xiuhong Zhang, Xin Guan and Lianqun Wang

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12789


      Collagenous fibroma (desmoplastic fibroblastoma) is a rare benign tumor reported recently. This is the first description of collagenous fibroma in human heart.

  55. Image Sections

    1. A Residual Intramyocardial Cystic Dissection after Cardiac Fibroma Resection

      Wenjuan Bai, Lijun Zeng and Li Rao

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12798


      The article discusses a residual intramyocardial cystic dissection as a complication after cardiac fibroma resection. It indicates the usefulness of echocardiography, especially three-dimensional echocardiography, to get a complete picture of the entire lesion.

  56. Original Investigations

    1. Tricuspid Annular Plane Systolic Excursion Is Reduced in Infants with Pulmonary Hypertension

      Dala Zakaria, Ritu Sachdeva, Jeffrey M. Gossett, Xinyu Tang and Matthew J. O'Connor

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12797

  57. Review Articles

    1. Foreign Bodies in the Heart

      Marina Leitman and Zvi Vered

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12795

  58. Original Investigations

    1. Application of Intravascular Ultrasound in the Emergency Diagnosis and Treatment of Patients with ST-Segment Elevation Myocardial Infarction

      Hong-Xia Wang, Ping-Shuan Dong, Zhi-Juan Li, Hong-Lei Wang, Ke Wang and Xiang-Yong Liu

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12794

  59. Case Reports

    1. An Interesting Case of Tricuspid Aortic Valve with a Quadricuspid Function

      Elena Tessitore, Hajo Müller, Chris Nadege Nganou-Gnindjio, Philippe Grisel and Lučka Šekoranja

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12793


      Quadricuspid aortic valve (QAV) is a rare congenital heart defect, often related to severe aortic regurgitation, and usually detected by echocardiography or at the time of aortic valve surgery. We report a case of an interesting and extremely rare variant of “false” QAV, detected preoperatively by transthoracic and transesophageal echocardiography, in a severely symptomatic patient, admitted to our hospital for dyspnea. Three leaflets of aortic valve appeared quadricuspid, because the left coronary cusp was divided into two parts, as confirmed by MRI and pathology.

  60. Image Sections

    1. Tuberculous Pericarditis Mimicking a Pericardial Tumor

      Roman Komorovsky, Ulyana Slaba and Svitlana Smiyan

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12792


      The image and the clinical message focus on an unusual presentation of tuberculous pericardial involvement appearing as a loculated organized pericardial effusion mimicking a pericardial tumor. Antituberculous combination therapy resulted in complete resolution of the pericardial mass. To the best of our knowledge, such presentation of tuberculous pericarditis has not been previously reported.

  61. Original Investigations

    1. Right Ventricular Global Longitudinal Strain Is an Independent Predictor of Right Ventricular Function: A Multimodality Study of Cardiac Magnetic Resonance Imaging, Real Time Three-Dimensional Echocardiography and Speckle Tracking Echocardiography

      Ken J. Lu, Janet X. C. Chen, Konstantinos Profitis, Leighton G. Kearney, Dimuth DeSilva, Gerard Smith, Michelle Ord, Susan Harberts, Paul Calafiore, Elizabeth Jones and Piyush M. Srivastava

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12783

    2. Coronary Flow Velocity Reserve in Patients with Ascending Aorta Aneurysm

      Ahmet Oytun Baykan, Gülhan Yüksel Kalkan, Mustafa Gür, Hakan Uçar, Armağan Acele, Taner Şeker, Ömer Şen, Onur Kaypakli, Hazar Harbalioğlu and Murat Çayli

      Article first published online: 7 OCT 2014 | DOI: 10.1111/echo.12782

    3. Pulmonary Pulse Transit Time: A Novel Echocardiographic Indicator of Hemodynamic and Vascular Alterations in Pulmonary Hypertension and Pulmonary Fibrosis

      Thomas Wibmer, Stefan Rüdiger, Dominik Scharnbeck, Michael Radermacher, Sinisa Markovic, Kathrin M. Stoiber, Wolfgang Rottbauer and Christian Schumann

      Article first published online: 29 SEP 2014 | DOI: 10.1111/echo.12772

    4. Reliability of Doppler-Based Measurement of Pulmonary Vascular Resistance in Congenital Heart Disease with Left-to-Right Shunt Lesions

      Srinivas Bhyravavajhala, Vanajakshamma Velam, Nishanth V. Polapragada, Pranav Pallempati, Tammi Raju Iragavarapu, Amar Narayan Patnaik and Seshagiri Rao Damera

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12779

    5. Evaluation of Global Function of the Heart in Scleroderma Patients

      Demet Menekse Gerede, Sibel Turhan, Refika Hural, Aynur Acıbuca, Orhan Kucuksahin, Ozgur Ulas Ozcan, Huseyin Goksuluk, Veysel Kutay Vurgun and Cetin Erol

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12774

    6. Left Ventricular Diastolic Dysfunction in Type I Gaucher Disease: An Echo Doppler Study

      Francesco Lo Iudice, Antonio Barbato, Riccardo Muscariello, Carlo Di Nardo, Francesco de Stefano, Michelina Sibilio, Pasquale Strazzullo, Giovanni de Simone and Maurizio Galderisi

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12759

  62. Doppler Hemodynamics

    1. Respiratory Hemodynamics in the Hepatic Veins—Abnormal Patterns

      Bahaa M. Fadel, Ahmad Alkalbani, Aysha Husain, Ziad Dahdouh and Giovanni Di Salvo

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12757

  63. Original Investigations

    1. Left Atrial Volume Index as a Predictor for Persistent Left Ventricular Dysfunction after Aortic Valve Surgery in Patients with Chronic Aortic Regurgitation: The Role of Early Postoperative Echocardiography

      In-Jeong Cho, Hyuk-Jae Chang, Geu-Ru Hong, Ran Heo, Ji Min Sung, Sang-Eun Lee, Byung-Chul Chang, Chi Young Shim, Jong-Won Ha and Namsik Chung

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12756

  64. Case Reports

    1. Diagnosis of Pentacuspid Aortic Valve with Severe Regurgitation Using Three-Dimensional Transesophageal Echocardiography

      Sinem Ozyilmaz, Ozgur Akgul, Alper Guzeltas and Isa Ozyilmaz

      Article first published online: 24 SEP 2014 | DOI: 10.1111/echo.12752


      We describe a 48-year-old female patient with a pentacuspid aortic valve and severe aortic regurgitation that was diagnosed using three-dimensional transesophageal echocardiography.

  65. Original Investigations

    1. Three-Dimensional Transesophageal Echocardiographic Study of Aortic-Mitral Valve Coupling after Coronary Artery Bypass Grafting

      Shao-Hui Qu, Ming-Chon Hsiung, Xiao-Ping Leng, Jeng Wei, Guo-Qing Du, Helene Houle, Wei-Hsian Yin and Jia-Wei Tian

      Article first published online: 23 SEP 2014 | DOI: 10.1111/echo.12748


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