Attila Nemes, Árpád Kormányos, Klára Vezendi, Imelda Marton, Zita Borbényi
{"title":"Left Atrial Volumetric and Functional Properties in Hemophilia - Insights from a Three-Dimensional Speckle-Tracking Echocardiographic MAGYAR-Path Study.","authors":"Attila Nemes, Árpád Kormányos, Klára Vezendi, Imelda Marton, Zita Borbényi","doi":"10.4103/jcecho.jcecho_19_22","DOIUrl":"10.4103/jcecho.jcecho_19_22","url":null,"abstract":"<p><strong>Introduction: </strong>Hemophilia is an inherited disorder due to deficiencies in factor VIII (type A) and factor IX (type B). Abnormalities in myocardial mechanics could be theorized due to hemophilia-associated hypocoagubility and related quantitative and qualitative changes of the blood. The present study aimed a detailed assessment of left atrial (LA) volumetric and functional properties in patients with hemophilia using three-dimensional speckle-tracking echocardiography (3DSTE).</p><p><strong>Materials and methods: </strong>The study consisted of 12 subjects with hemophilia type A and 2 cases with hemophilia type B (mean age: 40.8 ± 19.1 years, all males). Results of hemophilia patients were compared to that of 23 age-, gender- and risk factor-matched controls (42.4 ± 9.0 years, all males). Routine two-dimensional Doppler echocardiography and 3DSTE were performed in all subjects.</p><p><strong>Results: </strong>LA volumes respecting cardiac cycle did not differ between controls and hemophilia patients. From LA volume-based functional properties, LA stroke volumes were similar between the groups examined in all phases of LA function. While total atrial emptying fraction featuring LA reservoir function was reduced in patients with hemophilia compared to that of controls, passive and active atrial emptying fraction characterizing LA conduit and booster pump functions were similar between the groups. From LA strains, peak mean segmental circumferential and longitudinal LA strains were impaired in patients with hemophilia, other peak LA strains were similar between the groups. LA strains at atrial contraction did not differ between groups of hemophilia patients and controls.</p><p><strong>Conclusions: </strong>Hemophilia is not associated with LA volumetric changes, but mild LA functional abnormalities are present.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bottaro Giuseppe, Wanda Deste, Paolo Zappulla, Giulia Passaniti, Marco Barbanti, Enrico Criscione, Carmelo Sgroi, Corrado Tamburino
{"title":"Aortic Biological Prosthetic Valve Dysfunction Secondary to Endocarditis: Is Percutaneous Valve-in-Valve an Option?","authors":"Bottaro Giuseppe, Wanda Deste, Paolo Zappulla, Giulia Passaniti, Marco Barbanti, Enrico Criscione, Carmelo Sgroi, Corrado Tamburino","doi":"10.4103/jcecho.jcecho_15_22","DOIUrl":"10.4103/jcecho.jcecho_15_22","url":null,"abstract":"<p><p>We present the case of a 69-year-old man with an aortic biological prosthetic valve. In May 2019, the patient experienced increasing dyspnea and fatigue: A diagnosis of prosthetic aortic valve dysfunction was made, leading to severe valvular insufficiency. The dysfunction of the prosthetic valve seemed to be linked to a previous infective endocarditis: after ruling out active endocarditis, the patient was treated with an off-label valve-in-valve transcatheter aortic valve implantation.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10858454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Concomitant Multiple Coronary Artery Embolizations and Bilateral Lower Limb Ischemia due to Dislodged Left Atrial Myxoma-Like Thrombus.","authors":"Mehmet Koray Adali, Ipek Buber","doi":"10.4103/jcecho.jcecho_21_22","DOIUrl":"10.4103/jcecho.jcecho_21_22","url":null,"abstract":"<p><p>The differential diagnosis of intracardiac masses is challenging. Cardiac myxomas are benign primary heart tumors and most often are confused with thrombi in diagnosis. In some cases, the embolic complication of intracardiac masses can be fatal. We present a patient who had two nightmare complications simultaneously. A mobile left atrial mass detected and decided surgical excision. But the mass had vanished one day after and caused ST-elevation myocardial infarction (STEMI) and bilateral lower limb ischemia.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fabrizio Ceresa, Antonio Micari, Maria Paola Trifirò, Francesco Costa, Giampiero Vizzari, Alessio Vite Giuseppe, Francesco Patanè
{"title":"Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?","authors":"Fabrizio Ceresa, Antonio Micari, Maria Paola Trifirò, Francesco Costa, Giampiero Vizzari, Alessio Vite Giuseppe, Francesco Patanè","doi":"10.4103/jcecho.jcecho_27_22","DOIUrl":"10.4103/jcecho.jcecho_27_22","url":null,"abstract":"<p><p>A 72-year-old woman, recently COVID-19 vaccinated with a third dose, was referred to our center for acute chest pain and dyspnea. On admission, the electrocardiography showed a STEMI on inferior derivations and the dyskinesia of the inferior wall was found at the first transthoracic echocardiogram. The coronary angiography did not show coronary artery disease. After 1 week, a huge posterolateral left ventricular (LV) aneurysm with initial signs of rupture was found and the patient underwent a Dor's procedure to exclude the LV aneurysm. As far as we know, this is the first reported case of Takotsubo following the COVID-19 vaccination requiring cardiac surgery.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10858453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global Longitudinal Strain in Wellens' Syndrome.","authors":"Rakesh Agarwal, Aditya Verma","doi":"10.4103/jcecho.jcecho_13_22","DOIUrl":"10.4103/jcecho.jcecho_13_22","url":null,"abstract":"<p><p>We present the case of a young man with \"noncardiac\" chest pain, subsequently diagnosed as Wellens' syndrome. We report the early changes in left ventricular global longitudinal strain imaging findings in these patients despite preserved ejection fraction, and review the features associated with this stereotypical cardiac condition. The patient underwent a successful percutaneous coronary intervention.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Davide Ermacora, Andrea Comunello, Tommaso Gorgatti, Carmen Ladurner, Roberto Cemin
{"title":"Dramatic Massive Arterial Embolization from a Left Atrial Myxoma in a Patient with Takotsubo Syndrome.","authors":"Davide Ermacora, Andrea Comunello, Tommaso Gorgatti, Carmen Ladurner, Roberto Cemin","doi":"10.4103/jcecho.jcecho_22_22","DOIUrl":"10.4103/jcecho.jcecho_22_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10497818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Negri, Massimo Burelli, Linda Pagura, Camilla Sachs, Massimo Imazio, Gianfranco Sinagra
{"title":"Paradoxical Pulmonary Embolism in a Patient with Bilateral Renal Infarction: The Role of Contrast-enhanced Ultrasound Imaging.","authors":"Francesco Negri, Massimo Burelli, Linda Pagura, Camilla Sachs, Massimo Imazio, Gianfranco Sinagra","doi":"10.4103/jcecho.jcecho_25_22","DOIUrl":"10.4103/jcecho.jcecho_25_22","url":null,"abstract":"<p><p>We present the case of a 52-year-old male who was admitted to the hospital for a bilateral pulmonary embolism. On the 5<sup>th</sup> day of hospitalization, an acute kidney injury (AKI) occurred. A transesophageal echocardiogram was performed and it demonstrated a large patent foramen ovale with a consistent right-to-left shunt. Contrast-enhanced ultrasound (CEUS) was performed and it demonstrated multiple bilateral renal ischemic areas. CEUS represents a valid alternative to computed tomography or magnetic resonance to confirm the diagnosis of bilateral kidney infarction, especially in patients who experience an AKI.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonello D'Andrea, Andreina Carbone, Juri Radmilovic, Vincenzo Russo, Dario Fabiani, Marco Di Maio, Federica Ilardi, Francesco Giallauria, Adriano Caputo, Teresa Cirillo, Eduardo Bossone, Eugenio Picano
{"title":"Myocardial Work Efficiency in Physiologic Left Ventricular Hypertrophy of Power Athletes.","authors":"Antonello D'Andrea, Andreina Carbone, Juri Radmilovic, Vincenzo Russo, Dario Fabiani, Marco Di Maio, Federica Ilardi, Francesco Giallauria, Adriano Caputo, Teresa Cirillo, Eduardo Bossone, Eugenio Picano","doi":"10.4103/jcecho.jcecho_11_22","DOIUrl":"10.4103/jcecho.jcecho_11_22","url":null,"abstract":"<p><strong>Aims: </strong>The athlete's heart in power training is characterized by physiologic concentric remodeling. Our aim was to analyze left ventricular (LV) myocardial deformation and contractile reserve (CR) in top-level power athletes (PA) at rest and during exercise and their possible correlations with functional capacity.</p><p><strong>Methods: </strong>Standard echo, lung ultrasound, and LV 2D speckle-tracking strain were performed at rest and during exercise in PA and in age- and sex-comparable healthy controls.</p><p><strong>Results: </strong>250 PA (male: 62%; 33.6 ± 4.8 years) and 180 age- and sex-comparable healthy controls were enrolled. LV ejection fraction (EF) at baseline was comparable between the two groups, while LV global longitudinal strain (GLS) was reduced in PA (GLS: -17.8 ± 2.4 in PA vs. -21.9 ± 3.8 in controls; <i>P</i> < 0.01). Conversely, myocardial work efficiency (MWE) did not show significant difference between the two groups (94.4 ± 3.2 in PA vs. 95.9 ± 4.6% in controls; <i>P</i> NS). At peak exertion during exercise stress echocardiography (ESE), PA showed better exercise capacity and peak VO2 consumption (51.6 ± 10.2 in EA vs. 39.8 ± 8.2 mL/Kg/min in controls, <i>P</i> < 0.0001), associated with augmented pulmonary artery systolic pressure (PASP). By multivariable analysis, MWE at rest was the most predictive factor of maximal watts (<i>P</i> < 0.0001), peak VO2, (<i>P</i> < 0.0001), PASP (<i>P</i> < 0.001), and number of B-lines (<i>P</i> < 0.001), all measured at peak effort.</p><p><strong>Conclusions: </strong>In power athletes, MWE showed less load dependency than GLS. Normal resting values of MWE in PA suggest a physiological LV remodeling, associated with a better exercise capacity and preserved CR during physical stress.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Usual Echo Parameters versus Global Longitudinal Strain for Measuring Infarct Size and Left Ventricular Functional Remodeling after Primary Percutaneous Coronary Intervention.","authors":"Sidhi Laksono","doi":"10.4103/jcecho.jcecho_32_22","DOIUrl":"10.4103/jcecho.jcecho_32_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberto Licordari, Roberta Manganaro, Lorenzo Pistelli, Maurizio Cusmà-Piccione, Olimpia Trio, Antonio Micari, Gianluca Di Bella, Concetta Zito
{"title":"Lipomatous Hypertrophy of the Interatrial Septum: A Case Report and Insights from the Literature.","authors":"Roberto Licordari, Roberta Manganaro, Lorenzo Pistelli, Maurizio Cusmà-Piccione, Olimpia Trio, Antonio Micari, Gianluca Di Bella, Concetta Zito","doi":"10.4103/jcecho.jcecho_14_22","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_14_22","url":null,"abstract":"<p><p>Lipomatous hypertrophy of the interatrial septum (LHIS) is a histologically benign cardiac lesion that is defined by excessive fat accumulation in the area of the interatrial septum (IAS) that does not include the fossa ovalis. Another unusual illness is lipomatosis, which is defined as a broad overgrowth of mature adipose tissue that involves a large portion of an extremity or trunk. We describe a rare case with significant LHIS accompanied by subcutaneous lipomatosis. Echocardiography revealed a mass in the right atrium in this patient. Magnetic resonance imaging revealed that this mass was composed of the adipose tissue and was an extension of a huge thickened IAS. Furthermore, this significant hypertrophy of the IAS was in direct continuation with the excessive mediastinal and epicardial fat.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33515827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}