{"title":"Comment on \"Echocardiographic Evolution of Posterolateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated\".","authors":"Rujittika Mungmunpuntipantip, Viroj Wiwanitkit","doi":"10.4103/jcecho.jcecho_4_23","DOIUrl":"10.4103/jcecho.jcecho_4_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"102"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41101627","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}
Enrico Giustiniano, Fulvio Nisi, Federico Piccioni, Francesco Gambino, Romina Aceto, Ramona Lungu, Alfonso Carrara, Maxim Neganov, Maurizio Cecconi
{"title":"Right Ventricle Response to Major Lung Resection (the RIVER Study).","authors":"Enrico Giustiniano, Fulvio Nisi, Federico Piccioni, Francesco Gambino, Romina Aceto, Ramona Lungu, Alfonso Carrara, Maxim Neganov, Maurizio Cecconi","doi":"10.4103/jcecho.jcecho_17_23","DOIUrl":"10.4103/jcecho.jcecho_17_23","url":null,"abstract":"<p><strong>Backgrounds: </strong>Major lung resection is associated with high postoperative morbidity and mortality, especially due to cardiorespiratory complications. Right ventricle (RV) ejection, pulmonary artery (PA) pressure, and tone are tightly coupled. Since the RV is exquisitely sensitive to changes in afterload, an acute increase in RV outflow resistance (i.e., acute pulmonary embolism [PE]) will cause acute RV dilatation and, a reduction of left ventricle compliance too, rapidly spiraling to acute cardiogenic shock and death. We investigated the changing in RV performance after major lung resection.</p><p><strong>Materials and methods: </strong>We carried out transthoracic echocardiography (TTE) aiming at searching for the incidence of early RV systolic dysfunction (defined as tricuspid annulus plane systolic excursion [TAPSE] <17 cm, S'-tissue Doppler imaging <10 cm/s) and estimate the RV-PA coupling by the TAPSE/pulmonary artery pressures (PAPs) ratio after major lung resection. The TTE has been performed before and immediately after surgery.</p><p><strong>Results: </strong>After the end of the operation the echocardiographic parameters of the RV function worsened. TAPSE decreased from 24 (21 ÷ 28) to 18 (16 ÷ 22) mm (<i>P</i> = 0.015) and PAPs increased from 26 (25 ÷ 30) to 30 (25 ÷ 39) mmHg (<i>P</i> = 0.013). TAPSE/PAPs ratio decreased from 0.85 (0.80 ÷ 0.90) to 0.64 (0.54 ÷ 0.79) mm/mmHg (<i>P</i> = 0.002).</p><p><strong>Conclusions: </strong>In line with previous reports, after major lung resection the increase in afterload reduces the RV function, but the impairment remains clinically not relevant. The different clinical picture of an acute cor pulmonale due to PE implies that the pathogenesis of cardiac failure involves more pathways than the mere mechanic occlusion of the blood flow.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"76-82"},"PeriodicalIF":0.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126333","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}
Alberto Cresti, Pasquale Baratta, Elio Aloia, Francesco De Sensi, Marco Solari, Ugo Limbruno
{"title":"Frequency and Clinical Significance of Atrial Cavities <i>in situ</i> Thrombosis: A Large-Scale Study and Literature Review.","authors":"Alberto Cresti, Pasquale Baratta, Elio Aloia, Francesco De Sensi, Marco Solari, Ugo Limbruno","doi":"10.4103/jcecho.jcecho_47_22","DOIUrl":"10.4103/jcecho.jcecho_47_22","url":null,"abstract":"<p><strong>Background: </strong>Atrial tachyarrhythmias are the main cause of atrial thrombosis, and are usually in the left appendage. The prevalence and causes of endocavitarian thrombosis have not been investigated in recent large-scale studies. Aim of our work was to describe the epidemiology, the clinical characteristics and predisposing factors of \"extra-appendicular\" atrial thrombosis and to report a systematic review of recent literature.</p><p><strong>Methods and results: </strong>5,862 consecutive adult patients referred to a transesophageal echocardiographic exam, were enrolled. A total of 175 subjects with Atrial Thrombosis were found with a prevalence of 2.98%; among those 22 was found in left (0.38%) and 2 in the right (0.03%) atrium. Among the 22 patients with left atrial thrombosis, 8 were associated with prosthetic valves, 4 with mitral stenosis and the remaining with hypercoagulative conditions (cancer, septic shock, eosinophilic pneumonia, cardiogenic shock and warfarin under-dosage in permanent atrial fibrillation and decompensated heart failure). Cancer was associated in one of the two patients with a right atrial clot. The review of the literature from 2000 to December 2019 revealed conflicting results of 48 case reports of atrial cavity thrombosis; pooling this data proved the rarity of extra-appendage thrombosis and confirmed its association with a valvular heart disease or a systemic hypercoagulable state.</p><p><strong>Conclusions: </strong>Atrial \"extra-appendage\" thrombosis is a rare condition usually associated to \"valvular\" atrial fibrillation (such as prosthetic valves and mitral stenosis). A minority, but significant, cases are secondary to a thrombophilic conditions. In absence of valvular heart disease an underlying condition should be sought.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"61-68"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176236","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}
Tengku Winda Ardini, Juang Idaman Zebua, Kamal Kharrazi Ilyas, Ali Nafiah Nasution
{"title":"Real-Time Three-Dimensional Transthoracic Echocardiography as a Decision-Making Tool for the Management of Postmyocardial Infarction Ventricular Septal Rupture: Guiding the Percutaneous Transcatheter Closure.","authors":"Tengku Winda Ardini, Juang Idaman Zebua, Kamal Kharrazi Ilyas, Ali Nafiah Nasution","doi":"10.4103/jcecho.jcecho_71_22","DOIUrl":"10.4103/jcecho.jcecho_71_22","url":null,"abstract":"<p><p>Postmyocardial infarction ventricular septal rupture (PI-VSR) is a rare but lethal complication of acute myocardial infarction (AMI). The diagnosis and management of AMI remain challenging. When VSR is suspected, transthoracic and/or transesophageal echocardiography at patient's bedside is a test of choice for early diagnosis and therapeutical guidance. We aim to discuss the management of patients with VSR due to AMI with the focus on transcatheter closure management guided by real-time three-dimensional (RT3D) transthoracic echocardiography (TTE). A 64-year-old male patient was diagnosed with recent anterolateral ST elevation myocardial infarction and complication intra VSR as its complication. After remeasurement of the defect by TTE, we found an 8-11 mm defect in VSR. We performed transcatheter closure for VSR guided by RT3D TTE using Septal Occluder device No. 14. Evaluation after the procedure by TTE revealed that the device was well-seated. Percutaneous closure of PI-VSR may be considered in hemodynamically unstable patients if the risk of surgery is deemed to be too high or the anatomy is amenable to device insertion. RT3D echocardiography allows better delineation of the size and shape of the rupture, while serves as a guide during percutaneous transcatheter PI-VSR closure.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"88-91"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41127057","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}
Stefano Sforna, Laura Padoan, Marco Del Papa, Egle Grikstaite, Mariagrazia Sardone, Ketty Savino
{"title":"Ventricular Septal Defect and Right-Sided Infective Endocarditis.","authors":"Stefano Sforna, Laura Padoan, Marco Del Papa, Egle Grikstaite, Mariagrazia Sardone, Ketty Savino","doi":"10.4103/jcecho.jcecho_25_23","DOIUrl":"10.4103/jcecho.jcecho_25_23","url":null,"abstract":"<p><p>Right-sided infective endocarditis (IE), which represents a small but not negligible percentage of IE cases, can be observed in patients with congenital heart diseases. We discuss the case of a young woman with unrepaired perimembranous ventricular septal defect and repeated episodes of right ventricle and tricuspid valve IE with septic embolism.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"95-97"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41130212","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":"Double-Lobe Right Atrial Appendage in Transesophageal Echocardiography.","authors":"Sima Narimani, Ali Hosseinsabet","doi":"10.4103/jcecho.jcecho_19_23","DOIUrl":"10.4103/jcecho.jcecho_19_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"103-104"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178925","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":"A Case of Perforated Infected Aneurysm of Mitral Valve Initially Misdiagnosed as a Tumoral Lesion.","authors":"Mostafa Yahyazadeh Andevari, Reza Hali","doi":"10.4103/jcecho.jcecho_27_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_27_23","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"105-107"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123072","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 Right Ventricle (GLS RV) as a Predictor for Mean Pulmonary Artery Pressure (MPAP) on Secundum Atrial Septal Defect (ASD) with Pulmonary Hypertension.","authors":"Nia Dyah Rahmianti, Lucia Kris Dinarti, Hasanah Mumpuni, Fita Triastuti","doi":"10.4103/jcecho.jcecho_14_23","DOIUrl":"10.4103/jcecho.jcecho_14_23","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of the study were to determine the association between global longitudinal strain right ventricle (GLS-RV) and mean pulmonary artery pressure (mPAP) on secundum atrial septal defect (ASD) with pulmonary hypertension (PH).</p><p><strong>Methods: </strong>This study was an analytic observational with the cross-sectional approach. This study was conducted with secundum ASD patients who underwent right heart catheterization (RHC) from February 2019 to July 2019 at Sardjito General Teaching Hospital Yogyakarta. Demographic data were collected and echocardiographic parameters were evaluated based on the standard examination. The results were statistically analyzed using the correlation hypothesis test. If the data were normally distributed, the Pearson's correlation test was used, if the data were not normally distributed, Spearman's correlation test was used to analyze the correlation.</p><p><strong>Results: </strong>Thirty-four patients were enrolled in this study. There was strongly significant positive correlation between GLS-RV and mPAP found in patients with Secundum ASD (<i>P</i> = 0.0001, <i>r</i> = 90.5%).</p><p><strong>Conclusions: </strong>This is the first study in Indonesia that analyzed the association between GLS-RV and mPAP in Secundum ASD patients. There was a strongly significant positive correlation between GLS-RV and mPAP in patients with Secundum ASD after RHC. We assume that the association is influenced by progressivity and degree of disease severity.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"83-87"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133646","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}
Andrea Sonaglioni, Enzo Grasso, Gian Luigi Nicolosi, Roberta Trevisan, Gian Luca Martinelli, Michele Lombardo
{"title":"An Unusual Case of Ascending Aorta Dissection 4 Years after Perceval Sutureless Bioprosthesis Implantation: Easier Access to Diagnosis through the Right Parasternal Longitudinal Echocardiographic Window.","authors":"Andrea Sonaglioni, Enzo Grasso, Gian Luigi Nicolosi, Roberta Trevisan, Gian Luca Martinelli, Michele Lombardo","doi":"10.4103/jcecho.jcecho_26_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_26_23","url":null,"abstract":"<p><p>Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design. A high right parasternal longitudinal view of the aorta in the right lateral decubitus allowed to suspect the acute aortic syndrome, thus accelerating the subsequent diagnostic and therapeutic iter.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"98-101"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41122146","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":"A Rare Case of Intramyocardial Dissecting Hematoma following Acute Myocardial Infarction.","authors":"Shibsankar Sarkar, Biswajit Majumder, Ratul Ghosh, Sougat Chakraborty","doi":"10.4103/jcecho.jcecho_3_23","DOIUrl":"https://doi.org/10.4103/jcecho.jcecho_3_23","url":null,"abstract":"<p><p>Intramyocardial dissecting hematoma (IDH) is a rare and very dangerous complication of myocardial infarction (MI) and percutaneous intervention. Hemorrhage inside the spiral fibers of the myocardium causes this type of dreaded complication. We have reported a case of IDH following acute anterior wall MI. The patient's electrocardiogram showed ST elevation in precordial leads. The serum troponin level was elevated. IDH should be considered a rare complication after acute MI. The patient may present with features of cardiogenic shock. A two-dimensional echocardiography may demonstrate this type of complication.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 2","pages":"92-94"},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41126900","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}