Cover image for Vol. 32 Issue 8

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: 2014: 89/123 (Cardiac & Cardiovascular Systems)

Online ISSN: 1540-8175


  1. 1 - 100
  2. 101 - 109
  1. Original Investigations

    1. Assessment of Left Atrial Mechanics in Patients with Preexcitation Syndrome Scheduled for Catheter Ablation

      Süleyman Karakoyun, Ibrahim Halil Tanboğa, Tayyar Gökdeniz, Zakir Lazoğlu, Selim Topçu, Hüseyin Karal, Enbiya Aksakal and Serdar Sevimli

      Article first published online: 24 AUG 2015 | DOI: 10.1111/echo.13040

  2. Case Reports

    1. Echocardiography and Cardiac Rupture: Is Contrast Extravasation an Indication for Surgery?

      Jonathan S. Katz, Moshe Heching, Darryl M. Hoffman, Tatyana Danilov and Robert F. Tranbaugh

      Article first published online: 24 AUG 2015 | DOI: 10.1111/echo.13033


      Contrast echocardiography demonstrating microbubbles in the pericardial space has often been cited as evidence of ventricular rupture requiring emergent surgical intervention. We report a case where no myocardial perforation was found during post-MI surgery despite prior echocardiographic evidence of contrast extravasation into the pericardial effusion. Clinical decision making requires balancing imaging evidence with clinical circumstances to determine the optimal timing for surgical intervention.

  3. Image Sections

    1. Incremental Utility of Real Time Three-Dimensional Transthoracic Echocardiography for the Assessment of Left Ventricular Free Wall Rupture Location, Orifice Geometry, and Complex Intracardiac Flow

      Sahin Avsar, Muhammed Keskin, Yalcin Velibey, Tugba Kemaloglu Oz, Tolga S. Guvenc, Ozge Guzelburc and Mehmet Bozbay

      Article first published online: 8 AUG 2015 | DOI: 10.1111/echo.13013


      We present a patient with acute left ventricular free wall rupture and pseudoaneurysm formation after myocardial infarction. We review the accuracy and incremental utility of real time handheld 3-dimensional transthoracic echocardiography for the assessment of left ventricular rupture location, orifice geometry, and complex intracardiac flow.

  4. Review Articles

    1. Saline Contrast Echocardiography in the Era of Multimodality Imaging—Importance of “Bubbling It Right”

      Saurabh K. Gupta, Sudhir S. Shetkar, Sivasubramanian Ramakrishnan and Shyam S. Kothari

      Article first published online: 7 AUG 2015 | DOI: 10.1111/echo.13035

  5. Image Sections

    1. Left Ventricular Side Obstructive Pannus Formation after Rheumatic Mitral Valve Replacement with Preservation of the Subvalvular Apparatus

      Macit Kalçık, Mahmut Yesin, Sabahattin Gündüz, Mustafa Ozan Gürsoy, Emrah Bayam and Mehmet Özkan

      Article first published online: 7 AUG 2015 | DOI: 10.1111/echo.13034

      Mini Abstract

      The preservation of the subvalvular apparatus (SVA) during mitral valve replacement (MVR) surgery due to rheumatic valve disease remains controversial. The presence of intense fibrosis and calcification in rheumatic valves may promote impingement of the pannus tissue on the prosthesis and cause obstruction of the mitral inflow tract. Here we present an obstructive left ventricular side mitral pannus tissue image in a patient who had undergone rheumatic MVR with the preservation of SVA.

  6. Original Investigations

    1. Reproducibility of Echocardiograph-Derived Multilevel Left Ventricular Apical Twist Mechanics

      Glenn M. Stewart, Akira Yamada, Justin J. Kavanagh, Luke J. Haseler, Jonathan Chan and Surendran Sabapathy

      Article first published online: 6 AUG 2015 | DOI: 10.1111/echo.13020

    2. Predictive Value of D-Dimer Levels and Tissue Doppler Mitral Annular Systolic Velocity for Detection of Left Atrial Appendage Thrombus in Patients with Mitral Stenosis in Sinus Rhythm

      Naresh Kurakula, Rajasekhar Durgaprasad, Vanajakshamma Velam, Vidya Sagar Akula, Latheef Kasala and Kalyan Venkateswarlu Muvva

      Article first published online: 2 AUG 2015 | DOI: 10.1111/echo.13026

  7. Image Section

    1. Severe Aortic Regurgitation Caused by Unicuspid Aortic Valve Based on Quadricuspid Aortic Valve

      Kumiko Dokuni, Hidekazu Tanaka, Yasuhide Mochizuki, Kensuke Matsumoto, Yutaka Okita and Ken-ichi Hirata

      Article first published online: 2 AUG 2015 | DOI: 10.1111/echo.13032


      A 41-year-old man was admitted to our hospital because of shortness of breath. Two-dimensional transesophageal echocardiography revealed the presence of a horseshoe-shaped unicuspid aortic valve (UAV) with two raphes at 4 and 8 o'clock positions of the aortic leaflet, and prolapse of the noncoronary cusp. Three-dimensional transesophageal echocardiography (3DTEE) clearly showed UAV, and another raphe was observed at the 7 o'clock position of the aortic leaflet. The Bentall procedure was performed, and surgical inspection confirmed the diagnosis of UAV based on the quadricuspid aortic valve. The excised specimen of the aortic valve was remarkably similar to the findings of 3DTEE.

  8. Original Investigations

    1. Reference Values for Echocardiography in Middle-Aged Population: The Cardiovascular Risk in Young Finns Study

      Saku Ruohonen, Juha W. Koskenvuo, Maria Wendelin-Saarenhovi, Mikko Savontaus, Mika Kähönen, Tomi Laitinen, Terho Lehtimäki, Eero Jokinen, Jorma Viikari, Markus Juonala, Leena Taittonen, Päivi Tossavainen, Merja Kallio, Jeroen J. Bax and Olli Raitakari

      Article first published online: 1 AUG 2015 | DOI: 10.1111/echo.13025

  9. Case Reports

    1. Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis

      Nael Hawwa, Zoran B. Popovic and Hussain A. Isma'eel

      Article first published online: 1 AUG 2015 | DOI: 10.1111/echo.13024


      A 42-year-old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally there was some suggestion of a regional pattern to the reduced longitudinal strain.

  10. Original Investigations

    1. Association between Left Ventricular Postsystolic Shortening and Diastolic Relaxation in Asymptomatic Patients with Systemic Hypertension

      Shimpei Nogi, Takahide Ito, Shun Kizawa, Shinsaku Shimamoto, Koichi Sohmiya, Masaaki Hoshiga and Nobukazu Ishizaka

      Article first published online: 1 AUG 2015 | DOI: 10.1111/echo.13022

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

  12. Case Reports

    1. Oral Everolimus for Treatment of a Giant Left Ventricular Rhabdomyoma in a Neonate—Rapid Tumor Regression Documented by Real Time 3D Echocardiography

      Robert Wagner, Frank Thomas Riede, Hiroshi Seki, Frauke Hornemann, Steffen Syrbe, Ingo Daehnert and Michael Weidenbach

      Article first published online: 22 JUL 2015 | DOI: 10.1111/echo.13015


      The authors report on rapid tumor regression of a giant rhabdomyoma with Everolimus treatment documented by three-dimensional echocardiography.

  13. Image Sections

    1. Giant Caseous Calcification on Tricuspid Annulus Mimicking Cardiac Metastasis in a Patient with Colon Cancer

      Mahmut Yesin, Cüneyt Toprak, Macit Kalçık, Emrah Bayam, Mehmet İnanır and Mehmet Özkan

      Article first published online: 22 JUL 2015 | DOI: 10.1111/echo.13018


      Caseous calcification is usually an incidental finding on the atrioventricular valvular annulus. The exact mechanism of pathogenicity for the caseous calcifications has not been defined yet. Differential diagnosis includes vegetation, thrombus, or metastatic tumors. We presented a case of a large tricuspid mass as an incidental finding by transthoracic echocardiography in a patient with metastatic colon cancer. The distinction between caseous calcification and metastatic tumor was made based on the typical location of calcification, possible extension to the whole mitral annulus, well-defined borders, and the internal echolucent area.

  14. Original Investigations

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

    1. Left Ventricular Apex Involvement in Hypertrophic Cardiomyopathy

      Vito Maurizio Parato, Iacopo Olivotto, Martin S. Maron, Navin C. Nanda and Natesa G. Pandian

      Article first published online: 14 JUL 2015 | DOI: 10.1111/echo.12986

  16. Original Investigations

    1. Left Ventricular Myocardial Mechanics in Cirrhosis: A Speckle Tracking Echocardiographic Study

      Efstathios D. Pagourelias, Panagiota Sotiriou, Christodoulos E. Papadopoulos, Evaggelos Cholongitas, Olga Giouleme and Vassilios Vassilikos

      Article first published online: 14 JUL 2015 | DOI: 10.1111/echo.13010

  17. Case Reports

    1. Coexistence of Primary Sarcomatoid Carcinoma of the Right Ventricle and Absence of Right Pulmonary Artery

      Guobing Hu, Fang Song, Xiangming Zhu, Baiyu Yang, Yinhua Liu and Ying Liu

      Article first published online: 14 JUL 2015 | DOI: 10.1111/echo.13011


      In this report, we present a rare case of primary sarcomatoid carcinoma originating from right ventricular outflow tract (RVOT) and isolated absence of right pulmonary artery (RPA). Computed tomography pulmonary angiography (CTPA) demonstrated the absence of RPA. Both transthoracic echocardiography (TTE) and CTPA revealed multiple masses filling and obstructing the RVOT.

    2. Isolated Congenital Muscular Diverticulum of the Left Ventricular Apex Complicated with Mural Thrombosis in an Adult

      Lingyun Kong, Yidan Li, Yafeng Wu and Xiuzhang Lv

      Article first published online: 5 JUL 2015 | DOI: 10.1111/echo.12998


      We present a case of apical isolated congenital left ventricular (LV) diverticulum complicated with mural thrombosis in an adult and elucidate the echocardiographic features for differential diagnosis of LV outpouchings.

  18. Original Investigations

    1. Carotid Ultrasound Maximum Plaque Height–A Sensitive Imaging Biomarker for the Assessment of Significant Coronary Artery Disease

      Amer M. Johri, Pearl Behl, Marie-France Hétu, Mohammad Haqqi, Paul Ewart, Andrew G. Day, Brendan Parfrey and Murray F. Matangi

      Article first published online: 29 JUN 2015 | DOI: 10.1111/echo.13007

    2. Aortic and Mitral Calcification Is Marker of Significant Carotid and Limb Atherosclerosis in Patients with First Acute Coronary Syndrome

      Anna Sannino, Maria-Angela Losi, Giuseppe Giugliano, Grazia Canciello, Evelina Toscano, Alessandra Giamundo, Fernando Scudiero, Linda Brevetti, Laura Scudiero, Maria Prastaro, Cinzia Perrino, Pasquale Perrone-Filardi, Maurizio Galderisi, Bruno Trimarco and Giovanni Esposito

      Article first published online: 29 JUN 2015 | DOI: 10.1111/echo.13006

    3. Diastolic Stunning as a Marker of Severe Coronary Artery Stenosis: Analysis by Speckle Tracking Radial Strain in the Resting Echocardiogram

      Hiroyo Kaseno, Takuji Toyama, Hiroki Okaniwa, Hiroyuki Toide, Eiji Yamashita, Ren Kawaguchi, Hitoshi Adachi, Hiroshi Hoshizaki and Shigeru Oshima

      Article first published online: 29 JUN 2015 | DOI: 10.1111/echo.12999

    4. The Utility of Systolic and Diastolic Echocardiographic Parameters for Predicting Coronary Artery Disease Burden as Defined by the SYNTAX Score

      Shuangbo Liu, Motaz Moussa, Anthony W. Wassef, Brett M. Hiebert, Farrukh Hussain and Davinder S. Jassal

      Article first published online: 26 JUN 2015 | DOI: 10.1111/echo.12995

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

    1. Routine Echo Follow-Up of the Patient after Transcatheter Aortic Valve Replacement

      Josh Grant, Hiren Patel, Frederick R. Helmcke and Edmund K. Kerut

      Article first published online: 25 JUN 2015 | DOI: 10.1111/echo.12980

  20. Case Reports

    1. TIA Caused by Contrast Echocardiography in Patient with Platypnea–Orthodeoxia

      Goran Loncar, Laurent Payot and Mathieu Dubois

      Article first published online: 24 JUN 2015 | DOI: 10.1111/echo.12970


      Platypnea-orthodeoxia syndrome (POS) is a rare clinical disorder characterized by dyspnea caused by the upright position and relieved at recumbent position. We present for the first time a patient with POS who experienced transitory ischemic attack (TIA) most likely caused by injection of agitated saline microbubbles during screen for PFO.

  21. Original Investigations

  22. Images Sections

    1. Giant Left Atrium with Large Thrombus—Comprehensive Evaluation and Management

      Prashanth Kumar Malkiwodeyar, Nagaraj Moorthy, Prabhavati Bhat and Manjunath Nanjappa Cholenahalli

      Article first published online: 22 JUN 2015 | DOI: 10.1111/echo.12984


      Forty-seven-year-old woman presented with NYHA class III symptoms of dyspnea on exertion with acute right lower limb ischemia, prompt surgical embolectomy was performed. Cardiac evaluation with echocardiography and 3D echocardiography revealed rheumatic heart disease—severe mitral stenosis with a giant left atrium with large mass occupying almost whole of left atrium. Detailed evaluation of the mass was performed to rule out malignancy with transesophageal echocardiography, computed tomography, and magnetic resonance imaging which were indicative of thrombus. Left atrial thrombectomy with mitral valve replacement was carried out, and histopathology confirmed the diagnosis of thrombus.

  23. Doppler Hemodynamics

    1. Spectral Doppler of the Hepatic Veins in Noncardiac Diseases: What the Echocardiographer Should Know

      Bahaa M. Fadel, Khadija Alassas, Aysha Husain, Ziad Dahdouh and Giovanni Di Salvo

      Article first published online: 22 JUN 2015 | DOI: 10.1111/echo.12994

  24. Case Reports

    1. Transient Apical Thickening Following Apical Ballooning Syndrome: A Case Series

      Muaz M. Abudiab, Susan Wilansky, Steven J. Lester, Rayan Yousefzai, Rochelle Tyler and A. Jamil Tajik

      Article first published online: 20 JUN 2015 | DOI: 10.1111/echo.13001


      The authors describe transient apical thickening mimicking apical hypertrophic cardiomyopathy following apical ballooning syndrome. These findings are observed on multimodality cardiac imaging and appear to constitute a novel entity. Possible pathophysiologic mechanisms are explored.

  25. Original Investigations

  26. Case Reports

    1. Three-Dimensional Transesophageal Echocardiography in the Anatomical Assessment of Isolated Parachute Mitral Valve in an Adult Patient

      Francisco López-Pardo, Jose Angel Urbano-Moral, Antonio González-Calle, Fernando Laviana-Martinez, Iris Esteve-Ruiz, Oscar Lagos-Degrande and Jose E. López-Haldon

      Article first published online: 20 JUN 2015 | DOI: 10.1111/echo.13003


      Parachute mitral valve(PMV) is a rare congenital anomaly of the mitral valve apparatus. Adult presentation is extremely rare. The echocardiographic examination identified a PMV. The report shows the usefulness of three-dimensional transesophageal echocardiography in the detection and quantification of this rare anomaly.

  27. Original Investigations

    1. Importance of End-Diastolic Rather than End-Systolic Right Atrial Size in Chronic Pulmonary Hypertension

      Angel Lopez-Candales, Denada S. Palm, Francisco R. Lopez, Reynerio Perez and Maria D. Candales

      Article first published online: 20 JUN 2015 | DOI: 10.1111/echo.12968

    2. Screening of Congenital Heart Diseases by Three-Dimensional Ultrasound Using Spatiotemporal Image Correlation: Influence of Professional Experience

      Juliana Y. Novaes, Marina M. Zamith, Edward Araujo Júnior, Enoch Q. de Sá Barreto, Fernanda S. B. Barros and Antonio F. Moron

      Article first published online: 20 JUN 2015 | DOI: 10.1111/echo.13002

    3. Right Ventricular Structure and Function in Idiopathic Pulmonary Fibrosis with or without Pulmonary Hypertension

      Antonello D'Andrea, Anna Stanziola, Enza Di Palma, Maria Martino, Michele D'Alto, Santo Dellegrottaglie, Rosangela Cocchia, Lucia Riegler, Meredyth Vanessa Betancourt Cordido, Maurizia Lanza, Marco Maglione, Veronica Diana, Raffaele Calabrò, Maria Giovanna Russo, Mani Vannan and Eduardo Bossone

      Article first published online: 11 JUN 2015 | DOI: 10.1111/echo.12992

    4. Left Atrial Dysfunction Assessed by Two-Dimensional Speckle Tracking Echocardiography in Patients with Impaired Left Ventricular Ejection Fraction and Sleep-Disordered Breathing

      Dawid Miśkowiec, Kupczyńska Karolina, Błażej W. Michalski, Barbara Uznańska-Loch, Małgorzata Kurpesa, Jarosław D. Kasprzak and Piotr Lipiec

      Article first published online: 8 JUN 2015 | DOI: 10.1111/echo.12987

  28. Image Sections

    1. Multiple Septal Coronary-Cameral Fistulae after Septal Myectomy

      Hayan Al Maluli, Moses Mathur, Martin G. Keane, T. Sloane Guy, Daniel Dries and Daniel Edmundowicz

      Article first published online: 8 JUN 2015 | DOI: 10.1111/echo.12989


      Coronary-cameral fistulae are rare after septal myectomy. Although most close spontaneously, their recognition is important as they may become clinically relevant if they persist.

  29. Original Investigations

    1. Assessment of Myocardial Function in Children before and after Autologous Peripheral Blood Stem Cell Transplantation

      Hala ElMarsafawy, Mohamed Matter, Mohamed Sarhan, Rasha El-Ashry and Youssef Al-Tonbary

      Article first published online: 8 JUN 2015 | DOI: 10.1111/echo.12988

    2. Utility of Isovolumic Contraction Peak Velocity for Evaluation of Adult Patient Status after Transcatheter Closure of Atrial Septal Defect

      Takuma Sawa, Hidekazu Tanaka, Yoshiki Motoji, Mana Hiraishi, Yasuhide Mochizuki, Keiko Ryo, Kensuke Matsumoto, Hiromasa Otake, Toshiro Shinke and Ken-ichi Hirata

      Article first published online: 6 JUN 2015 | DOI: 10.1111/echo.12982

    3. A New Method for Direct Three-Dimensional Measurement of Left Atrial Appendage Dimensions during Transesophageal Echocardiography

      Chaim Yosefy, Avishag Laish-Farkash, Yulia Azhibekov, Vladimir Khalameizer, Boris Brodkin and Amos Katz

      Article first published online: 6 JUN 2015 | DOI: 10.1111/echo.12983

    4. Comparison between Regional and Local Pulse-Wave Velocity Data

      Iana Simova, Tzvetana Katova, Ciro Santoro and Maurizio Galderisi

      Article first published online: 6 JUN 2015 | DOI: 10.1111/echo.12985

    5. The Value of Quality Improvement Process in the Detection and Correction of Common Errors in Echocardiographic Hemodynamic Parameters in a Busy Echocardiography Laboratory

      Zaher Fanari, Usman I. Choudhry, Vivek K. Reddy, Chete Eze-Nliam, Sumaya Hammami, Paul Kolm, William S. Weintraub and Erik S. Marshall

      Article first published online: 1 JUN 2015 | DOI: 10.1111/echo.12976

  30. Image Sections

    1. Transthoracic and Three-Dimensional Transesophageal Echocardiographic Presentation of Anomalous Circumflex Origin from Right Coronary Artery in Patient with Severe Mitral Stenosis

      Karina Wierzbowska-Drabik, Jan Zbigniew Peruga, Piotr Lipiec, Błażej Michalski and Jarosław Damian Kasprzak

      Article first published online: 28 MAY 2015 | DOI: 10.1111/echo.12981


      An origin of the circumflex coronary artery (Cx) from the right coronary artery or right Valsalva sinus is usually clinically silent coronary anomaly. Nevertheless, retroaortic course of aberrant Cx involving mitro-aortic continuity may become significant in the setting of mitral or aortic valve intervention, leading to compression of Cx and ischemic complication. For that reason, the early and accurate recognition of this anomaly is important and should be considered also during echocardiography. We described a man with severe mitral valve stenosis and anomalous Cx found during TEE on the base of detected “bleb sign” and retroaortic course of the artery.

    2. Left Ventricular Pseudoaneurysm after Aortic Valve Bypass Implantation

      Helle Søholm, Christian Hassager, Niels Vejlstrup, Henrik Arendrup, Maiken Jensen, Jens Lund and Nikolaj Ihlemann

      Article first published online: 26 MAY 2015 | DOI: 10.1111/echo.12975


      Aortic valve bypass (AVB)—a conduit from the apex of the left ventricle to the descending aorta containing a bioprosthetic valve—is a treatment option in severe aortic stenosis unsuitable for both surgical aortic valve replacement and transcatheter aortic valve replacement. An 82-year-old woman with severe aortic stenosis, porcelain aorta, and limited vascular access had an AVB inserted successfully. Imaging 3 months after implantation revealed a pseudoaneurysm at the AVB insertion site. Due to comorbidity and advanced age, the patient has been treated conservatively. Procedures with transapical insertions such as TAVI or AVB can lead to pseudoaneurysms, and the diagnosis often requires multiple imaging modalities.

  31. Original Investigations

  32. Case Reports

    1. An Unreported Congenital Anomaly: Aneurysm of the Lateral Half of the Mitral Valve

      Philippe Garcon, Yoan Lavie-Badie, Romain Cador, Olivier Bical and Adjé Abbey-Toby

      Article first published online: 22 MAY 2015 | DOI: 10.1111/echo.12964


      This case draws a new type of mitral valve anomaly. 3DTEE reveals that the lateral part of the valve is replaced by a fibrous aneurysm which seems to be congenital. We discuss differential diagnosis.

  33. Original Investigations

    1. Postprandial Hemodynamics in Hypertrophic Cardiomyopathy

      Jonathon C. Adams, John P. Bois, Mitsuru Masaki, Toshinori Yuasa, Jae K. Oh, Steve R. Ommen, Rick A. Nishimura and Kyle W. Klarich

      Article first published online: 22 MAY 2015 | DOI: 10.1111/echo.12951

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

    1. Cardiac Tamponade on the Edge

      Kavita P. Krishnasamy, Leon J. Frazin and Mayank Kansal

      Article first published online: 22 MAY 2015 | DOI: 10.1111/echo.12977


      Low-pressure cardiac tamponade is an uncommon phenomenon in the spectrum of pericardial diseases. We describe a case of a 37-year-old man with recurring admissions for dyspnea whose clinical picture challenged the classic exhibition of cardiac tamponade.

  35. Original Investigations

    1. Ratio of Acceleration Time to Ejection Time for Assessing Aortic Stenosis Severity

      Sergio Gamaza-Chulián, Santiago Camacho-Freire, Rocío Toro-Cebada, Alberto Giráldez-Valpuesta, Javier Benezet-Mazuecos and José Carlos Vargas-Machuca

      Article first published online: 22 MAY 2015 | DOI: 10.1111/echo.12978

  36. Image Sections

    1. An Unusual Case of Double-Orifice Mitral Valve Associated with D-Transposition of Great Arteries and Left-Side Heart Anomalies

      Placido Gitto, Elio Caruso, Luca Costanzo and Alfredo Di Pino

      Article first published online: 19 MAY 2015 | DOI: 10.1111/echo.12967


      We describe a very rare incidental echocardiography finding of double-orifice mitral valve in a newborn with prenatal diagnosis of D-transposition of great arteries, mild pulmonary valve stenosis, interventricular septal defect, and left superior cava vein draining into coronary sinus.

  37. Original Investigations

    1. Characteristics of Left Atrial Deformation Parameters and Their Prognostic Impact in Patients with Pathological Left Ventricular Hypertrophy: Analysis by Speckle Tracking Echocardiography

      Chiharuko Iio, Katsuji Inoue, Kazuhisa Nishimura, Akira Fujii, Takayuki Nagai, Jun Suzuki, Takafumi Okura, Jitsuo Higaki and Akiyoshi Ogimoto

      Article first published online: 8 MAY 2015 | DOI: 10.1111/echo.12961

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

    1. Infective Endocarditis Complicated by Mitral Valve Aneurysm: Pathologic and Echocardiographic Correlations

      Arash Seratnahaei, Alison L. Bailey, Patrick J. Hensley, William O'Connor and Mikel D. Smith

      Article first published online: 30 APR 2015 | DOI: 10.1111/echo.12958

  39. Original Investigations

    1. Intervendor Variabilities of Left and Right Ventricular Myocardial Velocities among Three Tissue Doppler Echocardiography Systems

      Kiyoshi Abe, Satoshi Yuda, Yasumi Sato, Kenji Yasui, Ryosuke Nishi, Kyosuke Hanada, Naoko Hashimoto, Mina Kawamukai, Hidemichi Kouzu, Atsuko Muranaka, Akiyoshi Hashimoto, Kazufumi Tsuchihashi, Naoki Watanabe and Tetsuji Miura

      Article first published online: 29 APR 2015 | DOI: 10.1111/echo.12962

    2. Assessment of Left Atrial Function in Patients with Celiac Disease

      Nermin Bayar, Ayhan Hilmi Çekin, Şakir Arslan, Göksel Çağırcı, Zehra Erkal, Serkan Çay, Erkan Köklü and Selçuk Küçükseymen

      Article first published online: 28 APR 2015 | DOI: 10.1111/echo.12963

  40. Image Sections

    1. Aorto–Left Atrial Fistula after Mitral Valve Surgery

      Mahmut Yesin, Macit Kalçık, Mustafa Ozan Gürsoy, Süleyman Karakoyun, Sabahattin Gündüz, Cengiz Köksal and Mehmet Özkan

      Article first published online: 27 APR 2015 | DOI: 10.1111/echo.12959


      The most common cardiac complications after prosthetic valve replacement include prosthetic valve endocarditis, thromboembolism, pericardial effusion, hemolysis, and valve failure due to prosthetic valve thrombosis or periprosthetic regurgitation. Aorto-atrial fistula after valve surgery is a rare complication, which usually occurs after aortic valve surgery. However, development of an aorto-left atrial fistula after prosthetic mitral valve replacement is very rare. Here, we present a patient who had aorto-atrial fistula evaluated by transesophageal echocardiography.

  41. Original Investigations

    1. The Relationship between Epicardial Fat Thickness and Endothelial Dysfunction in Type I Diabetes Mellitus

      Abdullah Nabi Aslan, Telat Keleş, Hüseyin Ayhan, Hacı Ahmet Kasapkara, Murat Akçay, Tahir Durmaz, Cenk Sarı, Serdal Baştuğ, Bekir Çakır and Engin Bozkurt

      Article first published online: 27 APR 2015 | DOI: 10.1111/echo.12960

  42. Case Reports

    1. An Unusual Cause of Cardioembolic Stroke: Paradoxical Embolism Due to Thrombus Formation on the Eustachian Valve

      Mohamed ElRefai, Karthika Thananayagam, Rajaram Bathula and Benoy N. Shah

      Article first published online: 20 APR 2015 | DOI: 10.1111/echo.12945


      Cardioembolism is an important cause of ischemic stroke. Paradoxical embolism is a rare cause of cardioembolic stroke. We report the first case of a patient with presumed paradoxical cardioembolic stroke secondary to thrombus formation on the eustachian valve remnant. The patient was anticoagulated with resolution of the mass upon follow-up assessment. Physicians are reminded of the utility of echocardiography for identifying potential cardioembolic etiologies, including both transthoracic and transoesophageal echocardiography.

  43. Original Investigations

  44. Case Reports

    1. Rare Mycotic Aneurysm of the Mitral Valve without Aortic Valve Involvement

      Parham Zarrini, Omeed Elboudwarej, Daniel Luthringer and Robert Siegel

      Article first published online: 16 APR 2015 | DOI: 10.1111/echo.12942


      Mycotic aneurysms can be a rare, but serious complication of infectious endocarditis. We report the case of a 20-year-old woman who presented with fever and malaise from streptococcal bacteremia and found to have vegetation on the anterior leaflet of the mitral valve. On follow-up visit, the patient was noted to have a mycotic aneurysm of the anterior mitral valve without aortic involvement. Her clinical course was complicated by mitral valve chordal rupture, severe mitral regurgitation, and dyspnea from severe mitral regurgitation for which she underwent successful surgical repair of the mitral valve.

  45. Original Investigations

    1. Determinants of Secondary Pulmonary Hypertension in Patients with Takotsubo Cardiomyopathy

      Masaki Izumo, Maiko Shiota, Smruti Nalawadi, Jayanta Das, Sohail Dohad, Eiji Kuwahara, Yoko Fukuoka, Robert J Siegel and Takahiro Shiota

      Article first published online: 16 APR 2015 | DOI: 10.1111/echo.12949

    2. Incremental Value of Pocket-Sized Echocardiography in Addition to Physical Examination during Inpatient Cardiology Evaluation: A Multicenter Italian Study (SIEC)

      Vitantonio Di Bello, Salvatore La Carrubba, Lorenzo Conte, Iacopo Fabiani, Alfredo Posteraro, Francesco Antonini-Canterin, Valentina Barletta, Irene Nicastro, Egidio Mariotti, Sergio Severino, Pio Caso, Frank Benedetto, Ketty Savino, Scipione Carerj and on behalf of SIEC (Italian Society of Cardiovascular Echography)

      Article first published online: 12 APR 2015 | DOI: 10.1111/echo.12910

    3. Real Time Three-Dimensional Echocardiographic Evaluations of Fetal Left Ventricular Stroke Volume, Mass, and Myocardial Strain: In Vitro and In Vivo Experimental Study

      Meihua Zhu, Muhammad Ashraf, Zhijun Zhang, Cole Streiff, Eriko Shimada, Sumito Kimura, Traci Schaller, Xubo Song and David J. Sahn

      Article first published online: 11 APR 2015 | DOI: 10.1111/echo.12939

    4. The Effect of Habitual Physical Training on Left Ventricular Function During Exercise Assessed by Three-Dimensional Echocardiography

      Mari Sugiura Kojima, Akiko Noda, Seiko Miyata, Jun Kojima, Yuki Hara, Makoto Minoshima and Toyoaki Murohara

      Article first published online: 27 MAR 2015 | DOI: 10.1111/echo.12934

    5. Significant Reduction in Mitral Regurgitation Volume Is the Main Contributor for Increase in Systolic Forward Flow in Patients with Functional Mitral Regurgitation after Transcatheter Aortic Valve Replacement: Hemodynamic Analysis Using Echocardiography

      Yuji Itabashi, Kentaro Shibayama, Hirotsugu Mihara, Hiroto Utsunomiya, Javier Berdejo, Reza Arsanjani, Robert Siegel, Tarun Chakravarty, Hasan Jilaihawi, Raj R. Makkar and Takahiro Shiota

      Article first published online: 26 MAR 2015 | DOI: 10.1111/echo.12936

  46. Case Reports

    1. Trileaflet Mitral Valve with Three Papillary Muscles Associated with Hypertrophic Cardiomyopathy: A Novel Case

      Salvatore Rosanio, Cameron J. Simonsen, John Starwalt, Abdul M. Keylani and Antonio Vitarelli

      Article first published online: 25 MAR 2015 | DOI: 10.1111/echo.12938


      A trileaflet mitral valve with three separate papillary muscles with concordant atrioventricular and ventricle–arterial connections is exceptionally rare. To the best of the authors' knowledge, it has been reported only once in association with subaortic valvular stenosis. We hereby describe a novel case associated with hypertrophic cardiomyopathy.

  47. Case Reports – Pediatric

    1. Aortic Arch Interruption and Persistent Fifth Aortic Arch in Phace Syndrome: Prenatal Diagnosis and Postnatal Course

      Enrico Chiappa, Antonella Greco, Valentina Fainardi, Silvia Passantino, Daniele Serranti and Silvia Favilli

      Article first published online: 25 MAR 2015 | DOI: 10.1111/echo.12941


      PHACE syndrome is a rare congenital neurocutaneous disease where posterior fossa malformations, hemangiomas, cerebrovascular anomalies, aortic arch anomalies, cardiac defects, and eye abnormalities are variably associated. We describe the prenatal detection and the postnatal course of a child with PHACE syndrome with a unique type of aortic arch anomaly consisting of proximal interruption of the aortic arch and persistence of the fifth aortic arch. The fifth aortic arch represented in this case a vital systemic-to-systemic connection between the ascending aorta and the transverse portion of the aortic arch allowing adequate forward flow through the aortic arch without surgical treatment.

  48. Original Investigations

    1. Clinical Evaluation of Coronary In-Stent Restenosis Using Dual-Source Computed Tomography

      Lian-Fa Wang, Li-Wei Tao, Meng-Xun Huang, Wen-Bin Liao, You-Zhi Zhu, Wen-Bing Zhou, Hua Li, Dan Li, Hong-Tao Lu, Bang-Zhu Zhang and Zhen Chen

      Article first published online: 25 MAR 2015 | DOI: 10.1111/echo.12932

    2. Left Ventricular Twist Mechanics Are Impaired in Patients with Coronary Slow Flow

      Ahmet Barutçu, Adem Bekler, Ahmet Temiz, Bahadır Kırılmaz, Ali Ümit Yener, Yusuf Ziya Tan, Emine Gazi and Burak Altun

      Article first published online: 4 MAR 2015 | DOI: 10.1111/echo.12918

  49. Case Reports

    1. Imaging Tuberous Sclerosis: The Incremental Benefit of Three-Dimensional and Speckle Tracking Echocardiography

      Pankaj Garg, Tarique A. Musa and David P. Ripley

      Article first published online: 3 MAR 2015 | DOI: 10.1111/echo.12921


      Transthoracic echocardiography is established as the primary imaging modality for detection of cardiac rhabdomyomas. The precise functional assessment of the left ventricle in these patients requires clarification. We report a case with multiple rhabdomyomas (on 3D echocardiography) and normal ejection fraction but altered global and regional deformation on speckle tracking. The regional longitudinal strain was notably reduced in the anterior septum (−11%) and inferior septum −15%). The global circumferential strain (GCS) was significantly reduced at −15.6%. The distribution of regional circumferential strain reduction for the mid-ventricular segment correlated with the location of cardiac rhabdomyomas.

  50. Original Investigations

    1. Impact of Severe Tricuspid Regurgitation on Accuracy of Echocardiographic Pulmonary Artery Systolic Pressure Estimation

      Ebru Özpelit, Bahri Akdeniz, Emre Mehmet Özpelit, Sedat Tas, Erkan Alpaslan, Selen Bozkurt, Abdulla Arslan and Özer Badak

      Article first published online: 3 MAR 2015 | DOI: 10.1111/echo.12912

    2. Atrial Septal Aneurysms and Supraventricular Arrhythmias: The Role of Atrial Electromechanical Delay

      Vincenzo Russo, Anna Rago, Federica Di Meo, Andrea Antonio Papa, Carmine Ciardiello, Anna Cristiano, Raffaele Calabrò, Maria Giovanna Russo and Gerardo Nigro

      Article first published online: 3 MAR 2015 | DOI: 10.1111/echo.12908

    3. Four-Dimensional Speckle Tracking Echocardiography in Patients with Hypertrophic Cardiomyopathy

      Kadriye Orta Kilickesmez, Onur Baydar, Cem Bostan, Ugur Coskun and Serdar Kucukoglu

      Article first published online: 3 MAR 2015 | DOI: 10.1111/echo.12916

    4. Relationship between Epicardial Adipose Tissue Thickness and Atrial Electromechanical Delay in Hypertensive Patients

      Ahmet Akyel, Kadriye G. Yayla, Mehmet Erat, Hamza Sunman, Mehmet Doğan, Tolga Çimen, Mehmet Aytürk and Ekrem Yeter

      Article first published online: 3 MAR 2015 | DOI: 10.1111/echo.12917

    5. Accuracy of Echocardiographic Cardiac Index Assessment in Subjects with Preserved Left Ventricular Ejection Fraction

      Micha T. Maeder, Sofie Karapanagiotidis, Elizabeth M. Dewar and David M. Kaye

      Article first published online: 1 MAR 2015 | DOI: 10.1111/echo.12928

  51. Case Reports

    1. A Case Report of Double-Chambered Right Ventricle Associated with Subaterial Ventricular Septal Defect and Rupture of Right Coronary Sinus Aneurysm

      Guobing Hu, Xiangming Zhu, Guojie Li, Feng Jiang and Jing Li

      Article first published online: 1 MAR 2015 | DOI: 10.1111/echo.12923


      Double-chambered right ventricle (DCRV) is a rare congenital heart disease. We report a case of DCRV associated with subarterial ventricular septal defect (VSD) and rupture of right coronary sinus aneurysm (RCSA); the patient was diagnosed by echocardiography and later confirmed by surgical operation.

  52. Original Investigations

    1. Interatrial Dyssynchrony May Contribute to Heart Failure Symptoms in Patients with Preserved Ejection Fraction

      Laura Sanchis, Luca Vannini, Luigi Gabrielli, Nicolas Duchateau, Carles Falces, Rut Andrea, Bart Bijnens and Marta Sitges

      Article first published online: 1 MAR 2015 | DOI: 10.1111/echo.12927

    2. Assessment of Myocardial Infarct Size by Three-Dimensional and Two-Dimensional Speckle Tracking Echocardiography: A Comparative Study to Single Photon Emission Computed Tomography

      Qiushuang Wang, Dangsheng Huang, Liwei Zhang, Dong Shen, Qiaohong Ouyang, Zhongxiang Duan, Xiuzhi An, Meiqing Zhang, Chunhong Zhang, Feifei Yang and Guang Zhi

      Article first published online: 15 FEB 2015 | DOI: 10.1111/echo.12901

    3. Feasibility and Diagnostic Potential of Pulmonary Transit Time Measurement by Contrast Echocardiography: A Pilot Study

      Evan L. Brittain, Laura N. Doss, Linda Saliba, Waleed Irani, Benjamin F. Byrd III and Ken Monahan

      Article first published online: 13 FEB 2015 | DOI: 10.1111/echo.12906

    4. Prognostic Value of Pericardial Effusion on Serial Echocardiograms in Pulmonary Arterial Hypertension

      Omar Batal, Zeina Dardari, Chelcie Costabile, John Gorcsan, Vincent C. Arena and Michael A. Mathier

      Article first published online: 13 FEB 2015 | DOI: 10.1111/echo.12909

    5. Association of Left Atrial Spontaneous Echo Contrast to Uric Acid in Patients with Mitral Stenosis

      Mahmut Akpek, Omer Sahin, Bahadir Sarli, Huseyin Arinc, Ahmet O. Baktir, Zeynep S. Akpek, Hayrettin Saglam, Ali Ergin and Mehmet G. Kaya

      Article first published online: 2 FEB 2015 | DOI: 10.1111/echo.12897

    6. 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

    7. 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

    8. 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

    9. 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

    10. 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

    11. 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


  1. 1 - 100
  2. 101 - 109