Chen Chen, Xiaojing Ma, Yafeng He, Juan Xia, Dandan Chen
{"title":"A Rare Cause of Supravalvular Aortic Stenosis: Aberrant Fibrous Band Formation Connecting the Left Coronary Cusp to the Sinus Wall","authors":"Chen Chen, Xiaojing Ma, Yafeng He, Juan Xia, Dandan Chen","doi":"10.1111/echo.70245","DOIUrl":"https://doi.org/10.1111/echo.70245","url":null,"abstract":"<p>Transesophageal echocardiography (TEE) revealed that supravalvular aortic stenosis was caused by an aberrant fibrous band bridging the left coronary cusp and the sinus wall. This case highlights the advantage of TEE in delineating such abnormal anatomy and guiding precise etiological diagnosis and surgical planning.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Si-ying Liao, Jing-Wei Zhang, Kang-Ni Feng, Feng-Juan Yao, Min Ye
{"title":"Rare Giant Cardiac Malignancy: Primary Cardiac Synovial Sarcoma","authors":"Si-ying Liao, Jing-Wei Zhang, Kang-Ni Feng, Feng-Juan Yao, Min Ye","doi":"10.1111/echo.70225","DOIUrl":"https://doi.org/10.1111/echo.70225","url":null,"abstract":"<p>We present a case of a primary cardiac synovial sarcoma, surrounding the right coronary artery and leaded to accelerate the blood flow of the tricuspid valve orifice.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Targeting Early Renal and Cardiac Damage in Hypertension: Clinical and Therapeutic Implications","authors":"Elisa Gherbesi, Andrea Faggiano, Cesare Cuspidi","doi":"10.1111/echo.70242","DOIUrl":"https://doi.org/10.1111/echo.70242","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Congenitally Corrected Transposition of Great Arteries With Double Aortic Arch and Membranous Septal Aneurysm—A Rare Association","authors":"Sreelal Thazhathu Veettil, Nabeel Faisal, Vineeta Ojha, Lamak Kadiyani, Niraj Nirmal Pandey, Saurabh Kumar Gupta, Sivasubramanian Ramakrishnan, Priya Jagia","doi":"10.1111/echo.70237","DOIUrl":"https://doi.org/10.1111/echo.70237","url":null,"abstract":"<div>\u0000 \u0000 <p>We describe a case of congenitally corrected transposition of great arteries (ccTGA) with associated double aortic arch and membranous septal aneurysm. We describe the multimodality imaging features and clinical presentation due to these anomalies.</p>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reassessing the Right Ventricle: Implications of Right Ventricular Function in Patients With Inferior STEMI With Right Ventricular Involvement","authors":"Jian-Kuan Yeh, Chih-Hsin Hsu","doi":"10.1111/echo.70240","DOIUrl":"https://doi.org/10.1111/echo.70240","url":null,"abstract":"","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Catapano, C. Lisi, S. Figliozzi, V. Scialò, L. S. Politi, M. Francone
{"title":"Computed Tomography Advancements in Plaque Analysis: From Histology to Comprehensive Plaque Burden Assessment","authors":"F. Catapano, C. Lisi, S. Figliozzi, V. Scialò, L. S. Politi, M. Francone","doi":"10.1111/echo.70148","DOIUrl":"https://doi.org/10.1111/echo.70148","url":null,"abstract":"<p>Advancements in coronary computed tomography angiography (CCTA) facilitated the transition from traditional histological approaches to comprehensive plaque burden assessment. Recent updates in the European Society of Cardiology (ESC) guidelines emphasize CCTA's role in managing chronic coronary syndrome by enabling detailed monitoring of atherosclerotic plaque progression. Limitations of conventional CCTA, such as spatial resolution challenges in accurately characterizing plaque components like thin-cap fibroatheromas and necrotic lipid-rich cores, are addressed with photon-counting detector CT (PCD-CT) technology. PCD-CT offers enhanced spatial resolution and spectral imaging, improving the detection and characterization of high-risk plaque features while reducing artifacts. The integration of artificial intelligence (AI) in plaque analysis enhances diagnostic accuracy through automated plaque characterization and radiomics. These technological advancements support a comprehensive approach to plaque assessment, incorporating hemodynamic evaluations, morphological metrics, and AI-driven analysis, thereby enabling personalized patient care and improved prediction of acute clinical events.</p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/echo.70148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alazar Haregu, Kae Watanabe, Amanda Hauck, Christina Laternser, Nazia Husain
{"title":"Left Atrial Function Correlates With Fibrosis in Pediatric Heart Transplant Recipients","authors":"Alazar Haregu, Kae Watanabe, Amanda Hauck, Christina Laternser, Nazia Husain","doi":"10.1111/echo.70234","DOIUrl":"https://doi.org/10.1111/echo.70234","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Pediatric heart transplant patient (PHT) surveillance for chronic graft failure (CGF) remains challenging. Novel echo parameters such as left atrial strain (LAS) has shown to correlate with diastolic dysfunction (DD). However, its role in CGF surveillance in the absence of significant DD has not been well studied in PHT especially in the presence of left atrial anastomosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Left atrial reservoir, conduit and contractile strain (LAS-r, LAS-cd, LAS-ct), segmental LAS-r (septal wall, lateral wall, and roof), mitral valve (MV) E/A, average E/e’, and indexed LA volume were measured on PHT echocardiograms performed within 3 months of surveillance cardiac catheterization at a single center (01/01/21–12/31/21); those with acute rejection on EMB were excluded. EMB was reviewed for qualitative fibrosis (graded on a scale of 0–5) as a histopathological surrogate of CGF. Correlation was studied between echo variables versus fibrosis and pulmonary capillary wedge pressure (PCWP) on cath.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighty-four PHT (mean age 11 years, SD: 6.2 years) with median time since transplant of 4.0 years [IQR: 2.0–8.0]) were studied. Mean LV EF was 65% (SD = 5.7%). Mean LAS-r was 23.4% (SD = 8.7%) which was significantly decreased compared to age-matched normative data. Decreased septal and lateral wall LAS-r correlate with elevated PCWP. Median fibrosis score was 3.0 (IQR 2–3.8) and correlated with MV E/A (<i>r</i> = 0.32, <i>p</i> = 0.009) and LAS-ct (<i>r</i> = –0.22, <i>p</i> = 0.043).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>LAS in PHT is decreased compared to age normative values, even in the setting of normal LV systolic function. Left atrial function assessed by global and segmental strain show correlations with EMB fibrosis and PCWP on cardiac catheterization in the absence of rejection. Longitudinal follow up is needed to further study the relationship of these diastolic function measures to CGF outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144492962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily O'Neill, Dai-Yin Lu, Satvik Ramakrishna, Dominique Ingram, Benjamin Kogelschatz, John J. Ryan, Jennalyn Mayeux, Christy Ma, Dana Klanderud, Emily Beck, Elizabeth Dranow, Nathan Hatton, Katharine Clapham
{"title":"Cover Image, Volume 42, Issue 5","authors":"Emily O'Neill, Dai-Yin Lu, Satvik Ramakrishna, Dominique Ingram, Benjamin Kogelschatz, John J. Ryan, Jennalyn Mayeux, Christy Ma, Dana Klanderud, Emily Beck, Elizabeth Dranow, Nathan Hatton, Katharine Clapham","doi":"10.1111/echo.70238","DOIUrl":"https://doi.org/10.1111/echo.70238","url":null,"abstract":"<p>The cover image is based on the article <i>Methamphetamine-Associated Pulmonary Arterial Hypertension Is Associated With Worse Right Ventricular Function Than Idiopathic Pulmonary Arterial Hypertension: A Matched Study</i> by Emily ONeill, Katharine Clapham et al., https://doi.org/10.1111/echo.70180.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 5","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/echo.70238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuanhong Huang, Jinfeng Wan, Yuling Duan, Xun Guo, Min Huang
{"title":"Systematic Review of Ultrasound Diagnostic Accuracy for Senile Calcified Valvular Heart Disease","authors":"Yuanhong Huang, Jinfeng Wan, Yuling Duan, Xun Guo, Min Huang","doi":"10.1111/echo.70236","DOIUrl":"https://doi.org/10.1111/echo.70236","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically assess the diagnostic accuracy of ultrasound for the detection and evaluation of senile calcified valvular heart disease (SCVD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Databases including Web of Science, PubMed, Cochrane Library, Embase, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang and China Science and Technology Journal Database (CQVIP) were systematically queried for studies pertaining to ultrasound in the diagnosis of SCVD from inception to March 2024. Two independent reviewers conducted literature screening, data extraction, and assessment of bias risk for the included studies. Following eligibility screening, a total of 12 papers were included for data extraction and descriptive analysis. Subsequently, meta-analysis was performed using Stata 16.0 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 12 studies were finally included. The pooled sensitivity of ultrasound was 0.95 (95% CI = 0.93–0.97), specificity was 0.96 (95% CI = 0.93–0.97), positive likelihood ratio (PLR) was 21.89 (95% CI = 13.27–36.13), negative likelihood ratio (NLR) was 0.05 (95% CI = 0.03–0.07) and diagnostic odds ratio (DOR) and area under the summary receiver operating characteristic curve (AUC) were 453.19 (95% CI = 236.57–868.16) and 0.99 (95% CI: 0.97–0.99), respectively. Sensitivity analysis was carried out after each study was excluded one by one, and the results showed that pooled sensitivity and specificity had no significant change, indicating that the stability of the meta-analysis results was excellent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our findings suggest that ultrasound demonstrates high accuracy in diagnosing SCVD, although it does not completely eliminate the possibility of misdiagnosis or missed diagnosis. This study systematically assesses the precision of ultrasound in diagnosing SCVD, offering valuable insights for clinical application.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Li Guo, Ya-Pu Zhang, Jian-Dong Li, Lei Ran, Xuan Zhou, Yan Gao, Xiao-Xi Wu, Jing Li
{"title":"Application Value and Clinical Correlation of Ultrasonic Shear Wave Elastography in Chronic Kidney Disease","authors":"Li Guo, Ya-Pu Zhang, Jian-Dong Li, Lei Ran, Xuan Zhou, Yan Gao, Xiao-Xi Wu, Jing Li","doi":"10.1111/echo.70231","DOIUrl":"https://doi.org/10.1111/echo.70231","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study is the first attempt to apply shear wave elastography (SWE) technology to the dynamic evaluation of patients with chronic kidney disease (CKD), aiming to fill the evidence gap of this technology in this clinical scenario.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case-control study enrolled 75 biopsy-confirmed CKD patients (observation group) and 20 healthy adults (control group). Renal morphological parameters (length, diameter, parenchymal thickness) were obtained via two-dimensional ultrasonography. Under SWE mode, three consecutive measurements of Young's modulus (Emean, Emax, Emin) were performed at the right renal lower pole cortex, with the mean value used for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key findings included: Significant reductions in renal length (9.8±1.2 cm vs. 11.5±0.9 cm, <i>p</i> < 0.05) and parenchymal thickness (1.2±0.3 cm vs. 1.8±0.2 cm, <i>p</i> < 0.05) in CKD patients versus controls; Elevated elasticity parameters in CKD group (Emean: 24.7±5.1 kPa vs. 12.3±2.8 kPa; Emax: 38.9±7.2 kPa vs. 16.1±3.5 kPa; Emin: 15.2±3.8 kPa vs. 8.7±1.9 kPa; all <i>p</i> < 0.05); Stage-dependent variations: CKD Stage 3–4 exhibited 32% higher Emean than Stage 1–2 (<i>p</i> < 0.01); Diagnostic performance metrics: Emax showed superior specificity (92.1% vs. 85.6% for Emean, 78.3% for Emin), Emin demonstrated higher sensitivity (89.4% vs. 82.7% for Emax, 79.5% for Emean); Strong correlations between SWE parameters and disease progression (<i>r</i> = 0.82 for Emax vs. eGFR, <i>P</i><0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SWE provides a reliable non-invasive approach for quantifying renal elasticity alterations, demonstrating excellent diagnostic accuracy in CKD staging. The complementary performance of Emax (specificity) and Emin (sensitivity) suggests their combined use could optimize clinical decision-making.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50558,"journal":{"name":"Echocardiography-A Journal of Cardiovascular Ultrasound and Allied Techniques","volume":"42 7","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}