{"title":"Mitral Annulus Disjunction, Annuloaortic Ectasia, and Pseudoaneurysm of Aortomitral Interannular Fibrosa in a 2-Year-Old Child","authors":"Madhu Shukla, JagdishChander Mohan","doi":"10.4103/jiae.jiae_60_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_60_22","url":null,"abstract":"Genetically determined deficiency of connective tissue predisposes to the prolapsed mitral valve and an abnormal fibrous annulus including mitral annulus disjunction and dehiscence of aortomitral annular fibrosa. In a more severe phenotype, there may be abnormal aortic tissue, leading to annuloaortic ectasia. This report describes a 2-year-old male child who presented with failure to thrive and was found to have Barlow's syndrome with bileaflet mitral valve prolapse and mitral annulus disjunction, annuloaortic ectasia, and a pseudoaneurysm of interannular fibrosa. The case is reported for its interesting unifying linkage among various defects.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"415 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115227784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multiple Cysts or Thrombi - A Case of Masterly Disguise","authors":"R. Tandon, Sidhant Sachdeva","doi":"10.4103/jiae.jiae_39_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_39_22","url":null,"abstract":"","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126837496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Reddy, Monica Rayapu, Srinivas Ravi, Praveen Nagula, N. Balla, S. Maale
{"title":"Interatrial Septal Thickness as a Predictor of the Presence and Severity of Coronary Artery Disease","authors":"P. Reddy, Monica Rayapu, Srinivas Ravi, Praveen Nagula, N. Balla, S. Maale","doi":"10.4103/jiae.jiae_28_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_28_22","url":null,"abstract":"Background: Coronary artery disease (CAD) is the most prevalent cardiovascular disease. Even though the definitive diagnosis of CAD is by invasive coronary angiography (CAG), various imaging modalities and their advances have led to the evolution of noninvasive parameters such as epicardial adipose tissue (EAT), which could help in prediction of CAD. However, despite having a good association with CAD, the quantification of EAT is unreliable. The adipose tissue of the atrial septum is considered a surrogate of EAT. We aimed to study the association of interatrial septal thickness (IST) measured by echocardiography with the severity of CAD. Methods: A total of 200 patients with a probable diagnosis of CAD undergoing echocardiography and CAG were studied. The IST was measured using two-dimensional transthoracic echocardiography. The presence or absence, the extent, and the severity of CAD were known by CAG. Relevant statistical analysis was done to look for the association of IST with CAD. Results: The mean age of the population was 51.97 ± 10.19 years and the mean IST was 8.02 ± 3.2 mm. Of the baseline characteristics, age, hypertension, and history of CAD were found to be significantly associated with IST. There was significant association of IST with the presence of any extent of CAD. On multivariate regression analysis, IST was found to be an independent predictor of the presence of CAD, having positive association. A positive correlation (r = 0.868) was found between IST and the severity of CAD. The receiver operating characteristic curve analysis showed that IST >5.7mm predicted the presence of any CAD with a sensitivity of 78.6% and a specificity of 100%. Conclusion: IST, a measure of the adipose tissue of atrial septum, was found to be an independent predictor of the presence and severity of CAD.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115983238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computed Tomographic Assessment before Transcatheter Aortic and Mitral Valve Replacement","authors":"Mona Bhatia, Parveen Kumar, Prasit Maity, Natisha Arora","doi":"10.4103/jiae.jiae_38_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_38_22","url":null,"abstract":"Transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve replacement (TMVR) are catheter-based interventional techniques for treating patients having high risk for surgical aortic or mitral valve replacement, respectively. While TAVR is a technique for treating severe aortic stenosis, TMVR is primarily used for treating mitral regurgitation. Echocardiography is the initial imaging modality used for a detailed assessment of the mitral and aortic valve lesions. Multidetector computed tomography (MDCT) is then used as a complementary tool to provide additional information essential for pre-procedure planning. High spatial resolution and good temporal resolution of MDCT along with multiplanar reconstruction technique permit a comprehensive assessment relevant for the multiple aspects of preprocedural planning. The current article outlines the MDCT acquisition protocols, reconstruction techniques, and assessment of various essential parameters for TAVR and TMVR.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124745297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of Echocardiography in Ductal Stenting","authors":"B. Sharma, Shreepal Jain","doi":"10.4103/jiae.jiae_8_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_8_22","url":null,"abstract":"Patent ductus arteriosus stenting has been acknowledged as a reliable alternative to palliative shunt surgeries in neonates with duct-dependent circulation. This procedure is technically challenging and can have serious complications; hence, a thorough evaluation of the case and preprocedural planning is required. Transthoracic echocardiography (TTE) remains the first diagnostic modality for all congenital heart defects. This article focuses on the role of TTE in diagnosis and transcatheter management of duct-dependent lesions.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126308716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sastry, Arun B. Shivashankarappa, P. Bhat, Satvic C. Manjunath, M. Nanjappa
{"title":"Alcohol Septal Ablation in Hypertrophic Obstructive Cardiomyopathy- Is Myocardial Contrast Echocardiography Mandatory?","authors":"S. Sastry, Arun B. Shivashankarappa, P. Bhat, Satvic C. Manjunath, M. Nanjappa","doi":"10.4103/jiae.jiae_18_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_18_22","url":null,"abstract":"Alcohol septal ablation (ASA) is an effective treatment for symptomatic hypertrophic obstructive cardiomyopathy (HOCM). Although routine use of myocardial contrast echocardiography (MCE) in guiding ASA has been recommended by guidelines, it has not come into common clinical practice. Here, we present three cases of HOCM where MCE helped in decision-making.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121971478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interventional Echocardiography: The Birth of a New Specialty","authors":"M. Tomar, M. Bansal","doi":"10.4103/jiae.jiae_55_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_55_22","url":null,"abstract":"","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130421968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Burkule, M. Bansal, S. Govind, R. Alagesan, C. Ponde, S. Parashar
{"title":"Corrected and Republished: Indian Academy of Echocardiography Guidelines for Performance of Transesophageal Echocardiography in Adults","authors":"N. Burkule, M. Bansal, S. Govind, R. Alagesan, C. Ponde, S. Parashar","doi":"10.4103/jiae.jiae_54_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_54_22","url":null,"abstract":"Transesophageal echocardiography (TEE) has unique advantages over conventional transthoracic echocardiography (TTE). Compared with TTE, TEE generally provides excellent quality images, especially of the posteriorly situated cardiac structures, such as atria, pulmonary veins, mitral valve, and left atrial appendage. TEE also offers a useful alternative to TTE in patients in whom transthoracic acoustic windows are suboptimal. Furthermore, TEE is the most suited imaging modality for use in the operating rooms and cardiac catheterization labs for guiding cardiac surgical or interventional procedures. However, specific training and competence are required for performing TEE successfully, smoothly, safely and with minimum patient discomfort. This document describes the basic principles of TEE examination, including patient selection and preparation, periprocedural monitoring, and probe handling and maneuvers. Commonly recommended views and the techniques to obtain these views are described in detail, followed by evaluation of specific cardiac structures. Finally, the role of TEE in certain specific clinical settings, such as during advanced circulatory support, is also discussed.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127742646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transesophageal Echocardiography for Mitral Valve Transcatheter Edge-to-Edge Repair","authors":"N. Burkule, M. Bansal","doi":"10.4103/jiae.jiae_40_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_40_22","url":null,"abstract":"Transcatheter edge-to-edge repair (TEER) has emerged as a viable treatment option for patients with degenerative or functional severe mitral regurgitation (MR) who are at high risk for mitral valve surgery but have mitral valve anatomy suitable for TEER. The MitraClip and Pascal repair system are the two TEER devices currently approved for clinical use for transcatheter treatment of MR in selected patients. Of these two, the MitraClip has become a more established modality for TEER and is currently available in India. This review describes the role of echocardiography in patient selection and procedural guidance during TEER with MitraClip.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"258 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132831087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Echocardiography in Planning Aortic Arch Interventions","authors":"N. Awasthy, A. Bhatt, G. Kumar","doi":"10.4103/jiae.jiae_20_22","DOIUrl":"https://doi.org/10.4103/jiae.jiae_20_22","url":null,"abstract":"Aortic arch anomalies are suspected on echocardiography, though the final diagnosis may need additional investigative modalities such as cardiac catheterization, computed tomography angiography or rarely magnetic resonance imaging. Most of the interevntions are however planned on the basis of echocardiography. Suprasternal and subcoastal views are particularly important for evaluation, although other indirect parameters such as pressure effects (ventricular hypertrophy) and ventricular dysfunction etc. may serve as indirect markers of the arch lesion. This review provides an overview of the role of echocardiography in planning aortic arch interventions.","PeriodicalId":325663,"journal":{"name":"Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128002137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}