Akira Hachiya, Kiyohiro Takigiku, Yuma Shibuya, Kosuke Yonehara, Yohei Akazawa, Kohta Takei, Ai Kojima, Takeshi Konuma
{"title":"Usefulness of the \"En face view\" method for diagnosing perimembranous ventricular septal defects.","authors":"Akira Hachiya, Kiyohiro Takigiku, Yuma Shibuya, Kosuke Yonehara, Yohei Akazawa, Kohta Takei, Ai Kojima, Takeshi Konuma","doi":"10.1007/s12574-024-00678-4","DOIUrl":"https://doi.org/10.1007/s12574-024-00678-4","url":null,"abstract":"<p><strong>Background: </strong>Perimembranous ventricular septal defect (VSD) can be classified as having trabecular, inlet, or outlet extension. The surgical approach used in patch closure depends on the which valve of the tricuspid valve to suture around and the avoidance of the specialized conducting system. This retrospective study evaluated the usefulness of the \"En face view\" method for classifying perimembranous VSD.</p><p><strong>Methods: </strong>We divided 147 patients with perimembranous VSD into one group of 52 patients diagnosed using the Helmcke et al. method until 2001 and another group of 95 patients diagnosed by the En face view method and conventional method from 2002. A definitive diagnosis was made intraoperatively for patients in whom the extension of the defect was examined using the En face view method during preoperative echocardiography. When the VSD extended towards the anterior leaflet from the commissure between the antero-septal commissure, it was considered outlet extension, and when it extended towards the septal leaflet, it was judged as inlet extension.</p><p><strong>Results: </strong>Of the 52 patients in whom extension direction was diagnosed until 2001, the number of correct diagnoses was 39 (75.0%). Among the 95 patients who were diagnosed using En face view, a correct diagnosis was made in 84 (88.4%) patients (P = 0.035 vs. before En face view).</p><p><strong>Conclusions: </strong>En face view allows the tricuspid valve to be visualized from the front, making it possible to accurately estimate the position of the perimembranous VSD and the positional relationship with the antero-septal commissure.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899162","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":"Myocardial work indices in the management of severe pediatric hypertension and left ventricular hypertrophy: a case report.","authors":"Shogo Tanno, Satoru Iwashima, Akinari Hayakawa","doi":"10.1007/s12574-024-00675-7","DOIUrl":"https://doi.org/10.1007/s12574-024-00675-7","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899161","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":"Determining pulmonary artery diameter on CT scans as basis for performing transthoracic echocardiography to screen for pulmonary hypertension in patients with pulmonary artery enlargement.","authors":"Kotaro Ouchi, Toru Sakuma, Ryo Akao, Ayumi Nojiri, Makoto Kawai, Hiroya Ojiri","doi":"10.1007/s12574-024-00674-8","DOIUrl":"https://doi.org/10.1007/s12574-024-00674-8","url":null,"abstract":"<p><strong>Background: </strong>The current guidelines recommend patient stratification based on transthoracic echocardiography (TTE) to identify individuals with potential pulmonary hypertension (PH). We validated the relationship between PH and the pulmonary artery diameter (PAD) on computed tomography (CT) with peak tricuspid regurgitant velocity (TRV) measured by TTE for referral of patients with suspected PH for TTE screening.</p><p><strong>Methods: </strong>We performed a retrospective analysis of CT-based PAD of 2356 patients who underwent TTE from February 2, 2013 to December 25, 2019 at our institution. The thresholds for suspected PH based on TRV were determined using receiver operating characteristic curves based on PAD. Pearson's rank correlation coefficient was used to assess the relationship between PAD and TRV.</p><p><strong>Results: </strong>The area under the curve (AUC) of the PAD for suspected PH was statistically greater or comparable to others. The sex-specific PAD threshold for high PH probability were 29.4 mm (male: AUC, 0.86; sensitivity, 84.9%; specificity, 72.3%) and 27.8 mm (female: AUC, 0.83; sensitivity, 78%; specificity, 75.6%). Pearson's rank correlation coefficient showed a correlation between the PAD and TRV (male: ρ = 0.40, P < 0.001, female: ρ = 0.43, P < 0.001).</p><p><strong>Conclusions: </strong>The main PAD on CT findings served as a suitable marker for referral of patients with suspected PH for TTE screening. Patients exceeding the CT-derived PAD threshold, even incidentally, should undergo additional TTE for a comprehensive PH assessment.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886187","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 anatomical regurgitant orifice area of the tricuspid valve measurements in patients with beyond severe tricuspid regurgitation.","authors":"Michito Murayama, Suguru Ishizaka, Keita Sakaguchi, Rion Ando, Hisao Nishino, Sanae Kaga, Toshihisa Anzai","doi":"10.1007/s12574-024-00676-6","DOIUrl":"https://doi.org/10.1007/s12574-024-00676-6","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886188","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":"Comparisons of echocardiographic findings of COVID-19 patients in intensive care units before and after the omicron variant propagation.","authors":"Tomoo Nagai, Hitomi Horinouchi, Koichiro Yoshioka, Yuji Ikari","doi":"10.1007/s12574-024-00673-9","DOIUrl":"https://doi.org/10.1007/s12574-024-00673-9","url":null,"abstract":"<p><strong>Purpose: </strong>Few investigational reports have evaluated the status of cardiovascular manifestations of coronavirus disease 2019 (COVID-19) during the Omicron dominance period. In this study, we aimed to investigate the cardiac function parameters and clinical outcomes of patients with COVID-19 before and after the Omicron variant (OV) propagation.</p><p><strong>Methods: </strong>We retrospectively analyzed the data of 88 adult patients with COVID-19 who underwent clinically indicated standard transthoracic echocardiography (TTE) in intensive care wards. Patient backgrounds and information on laboratory tests, diagnostic imaging (including TTE), cardiovascular complications, and treatment were reviewed from digitalized medical records.</p><p><strong>Results: </strong>In the raw data, post-OV patients (n = 39) were relatively older, lighter in body weight, had a more frequent history of hypertension, had worse serum creatinine levels, and a lesser frequency of lung involvement and composite events (in-hospital death and extracorporeal membrane oxygenation installation), with more cardiac complications, compared with pre-OV patients (n = 49). Post-OV patients had worse left ventricular diastolic function than that of pre-OV patients, with better right ventricular function. However, in the propensity-matched adjusted data, no differences were found except lung involvement. Cumulative survival probability plots using the Kaplan-Meier method as to composite events revealed better outcome in post-OV patients when compared with pre-OV patients by the log-rank test (p = 0.027). However, this difference was not observed after background adjustment using propensity-matched data (p = 0.256).</p><p><strong>Conclusion: </strong>Although the frequencies of some clinical events and hemodynamic abnormalities seemed to vary after OV propagation in critically ill patients with COVID-19, these findings disappeared except lung involvement after the background adjustment.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873120","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":"Synchronized motion of intracardiac thrombus with preserved left ventricular contraction in a patient with eosinophilic granulomatosis with polyangiitis.","authors":"Osamu Sasaki, Toshihiko Nishioka","doi":"10.1007/s12574-023-00634-8","DOIUrl":"10.1007/s12574-023-00634-8","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"213-215"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472110","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}
Kazunori Watanabe, Naoki Kawaguchi, Kota Nanjo, Moeko Abe, Jun Nakamura, Makoto Abe, Jun-Ei Obata
{"title":"A case of intravenous leiomyomatosis with intracardiac extension.","authors":"Kazunori Watanabe, Naoki Kawaguchi, Kota Nanjo, Moeko Abe, Jun Nakamura, Makoto Abe, Jun-Ei Obata","doi":"10.1007/s12574-024-00642-2","DOIUrl":"10.1007/s12574-024-00642-2","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"227-229"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698603","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}
Ni Made Ayu Wulan Sari, Amiliana Mardiani Soesanto
{"title":"Right ventricular function in mitral stenosis: plays a fundamental role.","authors":"Ni Made Ayu Wulan Sari, Amiliana Mardiani Soesanto","doi":"10.1007/s12574-024-00663-x","DOIUrl":"10.1007/s12574-024-00663-x","url":null,"abstract":"<p><p>The importance of the right ventricle (RV) was neglected or forgotten for decades. The RV has an essential function in cardiovascular physiology and pathology. The RV dysfunction is one of the causes of morbidity and mortality in valvular heart disease (VHD), especially in mitral stenosis (MS). Right ventricular systolic and diastolic function are important for the determination of clinical symptoms, exercise functional capacity, pre-procedure survival, and post-procedure outcome in patients with MS. Right ventricular dysfunction in MS with a sign of systemic venous congestion is easy to recognize, but MS without clinical evidence of RV dysfunction has not been studied. Detecting RV dysfunction earlier in MS is important in clinical practice.</p>","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"185-192"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378424","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":"Extreme shortening of non-coronary cusp of the aortic valve detected by transesophageal echocardiography: a case report.","authors":"Tomohiro Ichiyanagi, Taiji Okada, Yutaka Furukawa","doi":"10.1007/s12574-023-00637-5","DOIUrl":"10.1007/s12574-023-00637-5","url":null,"abstract":"","PeriodicalId":44837,"journal":{"name":"Journal of Echocardiography","volume":" ","pages":"219-220"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673247","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}