Umberto Ianni, Paolo Tofoni, Michela Molisana, Vito Maurizio Parato
{"title":"Lipomatous Atrial Septal Hypertrophy, an Unexpected Giant Interatrial Mass: A Case Report and Literature Review.","authors":"Umberto Ianni, Paolo Tofoni, Michela Molisana, Vito Maurizio Parato","doi":"10.4103/jcecho.jcecho_58_22","DOIUrl":"10.4103/jcecho.jcecho_58_22","url":null,"abstract":"<p><p>Lipomatous atrial septal hypertrophy (LASH) is a histological cardiac benign lesion finding with high prevalence in healthy population, usually detected during imaging procedures for other indications. Nevertheless, it could become clinically significant if it compromises venous return and diastolic left ventricular filling, up to becoming an anatomical substrate for atrial tachyarrhythmias. We present a case of LASH diagnosed in a 54-year-old female patient admitted to our emergency department after ground fall and collateral finding of positive blood cultures leading to transesophageal echocardiography. A giant mass involving the interatrial septum was observed, in the absence of primitive neoplasia evidence after performing a total-body computed tomography scan and abdominal echography. No signs or symptoms of pulmonary venous congestion were observed, and no relevant tachyarrhythmias were detected at continuous electrocardiogram monitoring during the hospitalization period.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"36-39"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814637","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":"Left Atrial Anomalous Muscular Band: Case Report, Literature Review, and Role of Three-Dimensional Echocardiography.","authors":"Alfredo Pizzuti, Barbara Mabritto, Matteo Casula","doi":"10.4103/jcecho.jcecho_52_22","DOIUrl":"10.4103/jcecho.jcecho_52_22","url":null,"abstract":"<p><p>Anomalous fibromuscular bands in the left atrium were already described in the 19<sup>th</sup> century. Recently, the greater attention to the anatomy of the left atrium and the technological improvement have made their finding more frequent. Here, we present six cases, out of approximately 30,000 unselected echocardiograms, in which the use of the three-dimensional echo allowed a better definition of their anatomy, course, and motility.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"51-54"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866304","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":"Mid-Right Atrial Obstruction by an Aneurysmal Interatrial Septum Simulating an Additional Secundum Type Atrial Septal Defect.","authors":"Solmaz Borjian, Ali Hosseinsabet","doi":"10.4103/jcecho.jcecho_49_22","DOIUrl":"10.4103/jcecho.jcecho_49_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"55-56"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808364","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}
Andrew K Chang, Jakrin Kewcharoen, Danielle M Henkel, Purvi Parwani, Dmitry Abramov
{"title":"Myocardial Contraction Fraction is not a Predictor of Clinical Outcomes in Acute Systolic Heart Failure: A Brief Report.","authors":"Andrew K Chang, Jakrin Kewcharoen, Danielle M Henkel, Purvi Parwani, Dmitry Abramov","doi":"10.4103/jcecho.jcecho_53_22","DOIUrl":"10.4103/jcecho.jcecho_53_22","url":null,"abstract":"<p><strong>Introduction: </strong>The utility of myocardial contraction fraction (MCF), a volumetric measure of myocardial shortening, has not been well evaluated in patients with systolic heart failure (SHF).</p><p><strong>Materials and methods: </strong>A single-center, retrospective cohort study of all adults admitted with acute SHF from 2013 to 2018 at an academic medical center. A chart review was performed to identify key echocardiographic transthoracic echocardiogram (TTE), laboratory, and demographic characteristics. MCF was calculated based on M-mode measurements of estimated stroke volume and myocardial volume based on admission TTE. The primary outcome was 30-day combined all-cause readmission/mortality and 365-day all-cause mortality.</p><p><strong>Results: </strong>A total of 1282 patients were analyzed. The 30-day composite outcome occurred in 310 patients (24.2%), and all-cause death at 365 days occurred in 375 patients (29.3%). There was a weak correlation between the visually estimated ejection fraction (EF) and MCF (<i>r</i> = 0.356, <i>P</i> < 0.001). Neither MCF nor EF was associated with either component of the primary outcome. Other parameters on TTE that were associated with higher risk of primary outcome were higher tricuspid regurgitation (TR) velocity, larger left atrial (LA) diameter, and moderate or greater TR and mitral regurgitation (MR).</p><p><strong>Conclusion: </strong>Echocardiographic predictors of postdischarge adverse events among patients hospitalized with acute SHF include higher TR velocity, larger LA diameter, and at least moderate MR or TR. MCF does not correlate well with visually assessed EF among patients with acute SHF, and neither MCF nor EF provides prognostic information in this population.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"27-29"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9814634","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":"Multi-Modality Imaging Approach to a rare form of Biventricular Ring-Shaped Constrictive Pericarditis.","authors":"Davide Ermacora, Tommaso Gorgatti, Simona Casablanca, Roberto Cemin","doi":"10.4103/jcecho.jcecho_23_22","DOIUrl":"10.4103/jcecho.jcecho_23_22","url":null,"abstract":"<p><p>A 48-year-old man with AIDS/HIV and a previous history of tuberculous pericarditis 25 years earlier was admitted to our department of infectious diseases because of P. carinii pneumonia. A CT (computed tomography) scan described diffuse pericardial thickening with extensive pericardial calcifications on both ventricles. A transthoracic echocardiogram showed all the typical hemodynamic features of pericardial constriction. A review of the CT with 3D reconstruction revealed the presence of ring-shaped pericardial calcification at the basal segments of right and left ventricles extending over the inferior atrioventricular groove, the inferior interventricular groove and the cranial wall of the right atrium. Only a few cases of ring-shaped constrictive pericarditis have been reported and both global ventricular constriction and localized segmental constriction have been described. Our case wants to underline how important a comprehensive multi-modality imaging approach is to this rare form of constrictive pericarditis.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"49-50"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808363","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 Natale, Francesco S Loffredo, Gemma Salerno, Riccardo Molinari, Enrica Pezzullo, Paolo Golino, Giovanni Cimmino
{"title":"Safety of Transesophageal Echocardiogram in Anticoagulated Patients.","authors":"Francesco Natale, Francesco S Loffredo, Gemma Salerno, Riccardo Molinari, Enrica Pezzullo, Paolo Golino, Giovanni Cimmino","doi":"10.4103/jcecho.jcecho_72_22","DOIUrl":"10.4103/jcecho.jcecho_72_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"33 1","pages":"59-60"},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9811983","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":"Assessment of Long-Term Sequelae of Pulmonary Dysfunction Associated with COVID-19 Using Pulmonary Pulse Transit Time.","authors":"Mustafa Duran, Turgut Uygun, Ercan Kurtipek","doi":"10.4103/jcecho.jcecho_31_22","DOIUrl":"10.4103/jcecho.jcecho_31_22","url":null,"abstract":"<p><strong>Background: </strong>Studies report deleterious impacts of severe acute respiratory syndrome coronavirus 2 on multiple organs in the human body, not only in the acute infection period but also in the long-term sequelae. Recently defined pulmonary pulse transit time (pPTT) was found to be a useful parameter regarding the evaluation of pulmonary hemodynamics. The purpose of this study was to determine whether pPTT might be a favorable tool for detecting the long-term sequelae of pulmonary dysfunction associated with coronavirus disease 2019 (COVID-19).</p><p><strong>Materials and methods: </strong>We evaluated 102 eligible patients with a prior history of laboratory-confirmed COVID-19 hospitalization at least 1 year ago and 100 age- and sex-matched healthy controls. All participants' medical records and clinical and demographic features were analyzed and underwent detailed 12-lead electrocardiography, echocardiographic assessment, and pulmonary function tests.</p><p><strong>Results: </strong>According to our study, pPTT was positively correlated with forced expiratory volume in the 1<sup>st</sup> s, peak expiratory flow, and tricuspid annular plane systolic excursion (<i>r</i> = 0.478, <i>P</i> < 0.001; <i>r</i> = 0.294, <i>P</i> = 0.047; and <i>r</i> = 0.314, <i>P</i> = 0.032, respectively) as well as negatively correlated with systolic pulmonary artery pressure (<i>r</i> = -0.328, <i>P</i> = 0.021).</p><p><strong>Conclusion: </strong>Our data indicate that pPTT might be a convenient method for early prediction of pulmonary dysfunction among COVID-19 survivors.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"32 4","pages":"200-204"},"PeriodicalIF":0.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226924","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 Natale, Riccardo Molinari, Simona Covino, Paolo Golino, Giovanni Cimmino
{"title":"The Color Encoding System used in Color-Doppler Echographic Imaging is Different from the Original Christian Doppler's Principles.","authors":"Francesco Natale, Riccardo Molinari, Simona Covino, Paolo Golino, Giovanni Cimmino","doi":"10.4103/jcecho.jcecho_33_22","DOIUrl":"10.4103/jcecho.jcecho_33_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"32 4","pages":"229"},"PeriodicalIF":0.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226927","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 Restelli, Olimpia Trio, Cristina Poleggi, Maurizio Cusmà Piccione, Roberta Manganaro, Giuseppe Certo, Concetta Zito, Giuseppe Andò
{"title":"Nonbacterial Thrombotic Endocarditis with Atypical Presentation as Overt Congestive Heart Failure.","authors":"Davide Restelli, Olimpia Trio, Cristina Poleggi, Maurizio Cusmà Piccione, Roberta Manganaro, Giuseppe Certo, Concetta Zito, Giuseppe Andò","doi":"10.4103/jcecho.jcecho_42_22","DOIUrl":"10.4103/jcecho.jcecho_42_22","url":null,"abstract":"<p><p>Nonbacterial thrombotic endocarditis (NBTE) is a form of endocarditis associated with malignancy or autoimmune disorders. Diagnosis remains a challenge as patients are often asymptomatic up to embolic events or rarely, valve dysfunction. We report a case of NBTE with uncommon clinical presentation and identified with multimodal echocardiography. An 82-year-old man presented to our outpatient clinic reporting dyspnea. Past medical history included hypertension, diabetes, kidney disease, and unprovoked deep-vein thrombosis. On physical examination, he was apyretic, mildly hypotensive, and hypoxemic, had a systolic murmur and lower limbs edema. Transthoracic echocardiography revealed severe mitral regurgitation due to verrucous thickening of the free margin of both leaflets, increased pulmonary pressure, and dilated inferior vena cava. Multiple blood cultures were negative. Transesophageal echocardiography confirmed \"thrombotic\" thickening of mitral leaflets. Nuclear investigations were highly suggestive of multi-metastatic pulmonary cancer. We did not further proceed with the diagnostic workup and prescribed palliative care. Lesions seen on echocardiography were suggestive of NBTE: they involved both sides of mitral leaflets, close to the edges, had irregular shape and echo density, a broad base, and no independent motion. Criteria for infective endocarditis were not met and the final diagnosis was paraneoplastic NBTE due to underlying lung cancer. We remark the lack of definitive recommendations about the treatment of NBTE and the only role of anticoagulation to prevent systemic embolism. We have reported a case of NBTE presenting with atypical symptoms and likely related to the prothrombotic state induced by underlying lung cancer. Provided the unconclusive microbiological tests, multimodal imaging has played a crucial role in the final diagnosis.</p>","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"32 4","pages":"225-228"},"PeriodicalIF":0.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222345","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 Quadricuspid Aortic Valve with Incomplete Partitioning Can Mimic a Tricuspid Aortic Valve.","authors":"Solmaz Borjian, Reza Hali","doi":"10.4103/jcecho.jcecho_45_22","DOIUrl":"10.4103/jcecho.jcecho_45_22","url":null,"abstract":"","PeriodicalId":15191,"journal":{"name":"Journal of Cardiovascular Echography","volume":"32 4","pages":"230-232"},"PeriodicalIF":0.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10041404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222346","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}