166,723 results match your criteria Echocardiography Mount Kisco N.Y.[Journal]


Cardio-omentopexy Reduces Cardiac Fibrosis and Heart Failure after Experimental Pressure Overload.

Ann Thorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL. Electronic address:

Background: The pedicled greater omentum has been shown to offer benefit in ischemic heart disease for both animal models and human patients. The impact of cardio-omentopexy in a pressure overload model of left ventricular hypertrophy (LVH) is unknown.

Methods: LVH was created in rats by banding the ascending aorta after right thoracotomy (n=23). Read More

View Article
December 2018

Inappropriate left ventricular mass after preeclampsia: another piece of the puzzle Inappropriate LVM and PE.

Hypertens Res 2018 Dec 14. Epub 2018 Dec 14.

Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, University of Brescia, Brescia, Italy.

Excessive left ventricular (LV) mass (LVM) increase results in inefficient LV work with high energy waste and a negative prognostic effect. We aimed to investigate the presence of inappropriate LVM and to calculate the myocardial mechanoenergetic efficiency index (MEEi) in asymptomatic women with a history of early-onset (EO) or late-onset (LO) pre-eclampsia (PE). Among all women diagnosed with PE in the years 2009-2013, after applying inclusion/exclusion criteria and cost-effectiveness analysis, we randomly selected thirty women who experienced EO-PE, thirty with a previous LO-PE and thirty healthy controls to undergo echocardiography from 6 months to 4 years after delivery. Read More

View Article
December 2018

Serum rantes, transforming growth factor-β1 and interleukin-6 levels correlate with cardiac muscle fibrosis in patients with aortic valve stenosis.

J Physiol Pharmacol 2018 Aug 9;69(4). Epub 2018 Dec 9.

Department of Interventional Cardiology, Jagiellonian University College of Medicine and the John Paul II Hospital, Cracow, Poland.

Regulated on Activation Normal T Expressed and Secreted (RANTES) chemokine is involved in the initiation of inflammation and immune-cell recruitment. Interleukin -6 (IL-6) is used as a general index of severity of the chronic inflammatory process. Finally, transforming growth factor-β (TGF-β) is an immune biomarker potentially involved in the regulation of valve fibrosis and calcification. Read More

View Article

F-FDG-PET/CT-guided treatment duration in patients with high-risk Staphylococcus aureus bacteremia: a proof of principle.

J Nucl Med 2018 Dec 14. Epub 2018 Dec 14.

Dept of Internal Medicine & Radboud Center for Infectious Diseases, Radboud university medical ctr.

Current guidelines recommend intravenous antibiotic therapy for at least 4 weeks in patients with high-risk Staphylococcus aureus bacteremia (SAB), because of the risk for metastatic infection. We evaluated the safety of shorter duration of treatment in patients with high-risk SAB without signs of metastatic infection at presentation, using standard F-FDG PET/CT and echocardiography. Retrospective analyses were performed of patients with SAB admitted between 2013 and 2017 in two medical centers. Read More

View Article
December 2018

HDAC inhibitor valproic acid protects heart function through Foxm1 pathway after acute myocardial infarction.

EBioMedicine 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiac Surgery, Cardiovascular Center, The University of Michigan, Ann Arbor, MI 48109, USA. Electronic address:

Background: Epigenetic histone acetylation is a major event controlling cell functions, such as metabolism, differentiation and repair. Here, we aim to determine whether Valproic acid (VPA), a FDA approved inhibitor of histone deacetylation for bipolar disease, could protect heart against myocardial infarction (MI) injury and elucidate key molecular pathways.

Methods: VPA was administrated to MI rats at different time points, onset and after MI injury. Read More

View Article
December 2018

Left ventricular hypertrophy is a possible biomarker for early mortality after type B aortic dissection.

J Vasc Surg 2018 Dec 11. Epub 2018 Dec 11.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash. Electronic address:

Objective: Data regarding the cardiac abnormalities associated with Stanford type B aortic dissection (TBAD) and whether these abnormalities are related to outcomes are limited. We describe the prevalence of cardiac abnormalities in patients with TBAD as detected by echocardiography.

Methods: This retrospective review included patients with TBAD presenting between 1990 and 2016. Read More

View Article
December 2018

Characterization of Right Ventricular Deformation in Pulmonary Arterial Hypertension Using Three-Dimensional Principal Strain Analysis.

J Am Soc Echocardiogr 2018 Dec 11. Epub 2018 Dec 11.

Division of Cardiology, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada. Electronic address:

Background: Pulmonary arterial hypertension (PAH) can cause maladaptive right ventricular (RV) functional changes associated with adverse prognosis that are challenging to accurately quantify noninvasively. The aim of this study was to explore principal strain (PS) with contraction angle analysis using three-dimensional echocardiography to characterize RV deformation changes in patients with PAH.

Methods: Three-dimensional echocardiography was performed in 37 patients with PAH and 20 healthy control subjects with two-component (primary and secondary) PS and principal contraction angle analysis. Read More

View Article
December 2018

Predissection-derived geometric and distensibility indices reveal increased peak longitudinal stress and stiffness in patients sustaining acute type A aortic dissection: Implications for predicting dissection.

J Thorac Cardiovasc Surg 2018 Nov 3. Epub 2018 Nov 3.

Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa; Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pa; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pa; Center for Vascular Remodeling and Regeneration, University of Pittsburgh, Pittsburgh, Pa; Center for Thoracic Aortic Disease, University of Pittsburgh, Pittsburgh, Pa. Electronic address:

Objective: To assess ascending aortic distensibility and build geometry and distensibility-based patient-specific stress distribution maps in patients sustaining type A aortic dissection (TAAD) using predissection noninvasive imaging.

Methods: Review of charts from patients undergoing surgical repair of TAAD (n = 351) led to the selection of a subset population (n = 7) with 2 or more predissection computed tomography angiography scans and echocardiograms at least 1 year before dissection. Ascending aortic wall biomechanical properties (aortic strain, distensibility, and stiffness) were compared with age- and size-matched nondissected nonaneurysmal controls. Read More

View Article
November 2018
1 Read

Nox1/4 dual inhibitor GKT137831 attenuates hypertensive cardiac remodelling associating with the inhibition of ADAM17-dependent proinflammatory cytokines-induced signalling pathways in the rats with abdominal artery constriction.

Biomed Pharmacother 2019 Jan 26;109:1907-1914. Epub 2018 Nov 26.

Department of Pharmacy, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. Electronic address:

NADPH oxidases (Noxs) 1/4 dual inhibitor GKT137831 prevents hypertensive cardiac remodelling in angiotensin II-infused transgenic mice with cardiomyocyte-specific human Nox4 (c-hNo x 4 Tg); however, further research is still required to determine the beneficial role of GKT137831 in hypertensive cardiac remodelling in other types of hypertensive models because this hypertensive model is insufficient to mimic the complicated pathological mechanisms of hypertension. A disintegrin and metalloprotease 17 (ADAM17) promotes the shedding of tumour necrosis factor α (TNF-α), TNF-α receptor, interleukin 1 receptor-II and interleukin 6 (IL-6) receptor from cells, thereby mediating the signalling pathways induced by corresponding proinflammatory cytokines. This study aimed to determine whether GKT137831 prevents hypertensive cardiac remodelling and its mechanisms of action in the rats with abdominal artery coarctation (AAC). Read More

View Article
January 2019

Interleukin 8 targeted contrast echocardiography is effective to evaluate myocardial ischemia-reperfusion injury in the rabbits.

Biomed Pharmacother 2019 Jan 9;109:1346-1350. Epub 2018 Nov 9.

Department of Ultrasound, Shanghai Sixth People's Hospital, Shanghai, China.

Interleukin 8 (IL-8) is an important pro-inflammatory cytokine that recruits neutrophil to the areas of inflammation and has been implicated in myocardial ischemia reperfusion injury (MIRI). This study aimed to apply IL-8 targeted myocardial contrast echocardiography (MCE) to evaluate MIRI in rabbits. MCE imaging with IL-8 targeted microbubbles (MB) and control microbubbles (MB) was performed in 40 Japanese white rabbits after brief proximal left anterior descending (LAD) partial occlusion for 30 min and subsequent reperfusion for 30 min, 60 min, 120 min and 180 min. Read More

View Article
January 2019
1 Read

Ginsenoside Rd contributes the attenuation of cardiac hypertrophy in vivo and in vitro.

Biomed Pharmacother 2019 Jan 6;109:1016-1023. Epub 2018 Nov 6.

First Affiliated Hospital of Dalian Medical University, Dalian 116011, China. Electronic address:

Cardiac hypertrophy are the major health challenges in the whole world. Ginsenoside Rd is an important component of cell growth and tumorigenesis, but the role and mechanism of ginsenoside Rd in pressure overload induced cardiac dysfunction and remodeling are still not fully illuminated. Here, cardiac hypertrophic remodeling and dysfunction were induced by pressure overload in mice. Read More

View Article
January 2019
1 Read

Accuracy of Prenatal Diagnosis of Congenital Cardiac MalformationsAcurácia do diagnóstico pré-natal de cardiopatias congênitas.

Rev Bras Ginecol Obstet 2018 Dec 14. Epub 2018 Dec 14.

Department of Postgraduate Program and Obstetrics and Gynecology, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

Objective:  To evaluate the accuracy of the diagnosis of fetal heart diseases obtained through ultrasound examinations performed during the prenatal period compared with the postnatal evaluation.

Methods:  A retrospective cohort study with 96 pregnant women who were attended at the Echocardiography Service and whose deliveries occurred at the Complexo Hospitalar Santa Casa de Porto Alegre, in the state of Rio Grande do Sul, Brazil. Risk factor assessment plus sensitivity and specificity analysis were used, comparing the accuracy of the screening for congenital heart disease by means of obstetrical ultrasound and morphological evaluation and fetal echocardiography, considering  < 0. Read More

View Article
December 2018

Recombinant human interleukin-1 receptor antagonist treatment protects rats from myocardial ischemia-reperfusion injury.

Biomed Pharmacother 2018 Dec 11;111:1-5. Epub 2018 Dec 11.

Department of Cardiology, Rui Jin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 20025, PR China. Electronic address:

The interleukin-1 (IL-1) signaling pathway plays a vital role in multiple mechanisms associated with myocardial ischemia-reperfusion (I/R) injury, including inflammation and apoptosis. An IL-1 receptor antagonist (IL-1Ra) can block IL-1 by competitive binding to the IL-1 receptor type I (IL-1RI) and thus may provide a cardioprotective effect. In the present investigation, we determined whether exogenous administration of recombinant human IL-1Ra (rhIL-1Ra) provides a protective role against myocardial I/R injury. Read More

View Article
December 2018

A Case Report Describing the Use of Point of Care Ultrasound to Guide Successful Cardiopulmonary Resuscitation After Unanticipated Arrest in Ambulatory Surgery.

A A Pract 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Anesthesia, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia.

We present a case of a 41-year-old man who suffered cardiac arrest after induction of general anesthesia for an ambulatory ophthalmologic procedure. In this report, we highlight the use of focused transthoracic echocardiography by the anesthesia team to guide a prolonged resuscitation. Emergency room and critical care physicians have described the use of focused echocardiography to aid in diagnosing correctible causes of cardiac arrest, predicting outcomes, and in decision making regarding termination of resuscitation. Read More

View Article
December 2018

In-utero treatment of a large symptomatic rhabdomyoma with sirolimus.

Ultrasound Obstet Gynecol 2018 Dec 14. Epub 2018 Dec 14.

Department of Obstetrics and Gynaecology, Fetal Medicine Unit, Mount Sinai Hospital and University of Toronto, Toronto, Canada.

A healthy 27-year-old woman was referred to our hospital at 21 weeks gestation. Fetal echocardiography revealed multiple cardiac rhabdomyomas, with the largest lesion in the left ventricle measuring 10x5mm. This article is protected by copyright. Read More

View Article
December 2018

Left atrial appendage occlusion using a Watchman device in a transplanted heart with biatrial anastomosis.

Catheter Cardiovasc Interv 2018 Dec 13. Epub 2018 Dec 13.

Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois.

A percutaneous left atrial appendage (LAA) occlusion using a Watchman device was performed in a patient with prior biatrial anastomosis orthotopic heart transplant (OHT). Due to the anatomical changes following biatrial anastomosis, transesophageal echocardiography (TEE) imaging and transseptal puncture become technically challenging. We describe how the standard LAA views on TEE were obtained for device sizing, and how the transseptal puncture was modified to cross the scarred septum. Read More

View Article
December 2018

Human native endocarditis caused by Streptococcus canis-a case report.

APMIS 2019 Jan;127(1):41-44

Centre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.

We report a very rare case of Streptococcus canis native infective endocarditis in a 73-year-old woman living in close contact with her dog. Her echocardiography showed large calcifications in the mitral annulus, massive regurgitation below the posterior leaflet, and adjacent vegetation. Blood culture was positive for Streptococcus Lancefield group G. Read More

View Article
January 2019
2 Reads

Interatrial septal fat thickness and left atrial stiffness are mechanistic links between nonalcoholic fatty liver disease and incident atrial fibrillation.

Echocardiography 2018 Dec 12. Epub 2018 Dec 12.

Cardiology Department, Zagazig University Hospital-Egypt, Zagazig, Egypt.

Background And Aim: Recently, a clear evidence suggests that nonalcoholic fatty liver disease (NAFLD) is associated with an increased risk of incident atrial fibrillation (AF). Yet, the underlying pathogenesis is speculative. Thereby, we aimed to investigate the hypothesis that, interatrial thickness (IAST) and left atrial stiffness (LASt) might have mechanistic links between NAFLD and AF. Read More

View Article
December 2018

Hypertrophic cardiomyopathy with dynamic obstruction and high left ventricular outflow gradients associated with paradoxical apical ballooning.

Echocardiography 2018 Dec 12. Epub 2018 Dec 12.

Mount Sinai West, Icahn School of Medicine at Mount Sinai, New York City, New York.

Background: Acute left ventricular (LV) apical ballooning with normal coronary angiography occurs rarely in obstructive hypertrophic cardiomyopathy (OHCM); it may be associated with severe hemodynamic instability.

Methods, Results: We searched for acute LV ballooning with apical hypokinesia/akinesia in databases of two HCM treatment programs. Diagnosis of OHCM was made by conventional criteria of LV hypertrophy in the absence of a clinical cause for hypertrophy and mitral-septal contact. Read More

View Article
December 2018

What is a hemodynamically significant PDA in preterm infants?

Congenit Heart Dis 2018 Dec 12. Epub 2018 Dec 12.

Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.

Objective: There is no consensus on the definition of a hemodynamically significant patent ductus arteriosus (hsPDA). In this review article, our objective is to discuss the main variables that one should consider when determining the hemodynamic significance of a PDA.

Results: We describe the various approaches that have been utilized over time to define an hsPDA and discuss the strengths and weaknesses of each echocardiographic index. Read More

View Article
December 2018

Quantification of rheumatic mitral stenosis severity with three-dimensional vena contracta area.

Echocardiography 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, Marmara University Medical Center, Istanbul, Turkey.

Introduction: Rheumatic mitral stenosis (MS) is an important health issue in developing countries. Assessment of the correct mitral valve area (MVA) is essential for the timing of intervention. Most of the parameters for the assessment of rheumatic MS are derived from Two-dimensional (2D) echocardiography. Read More

View Article
December 2018

Abnormal fetal cerebral and vascular development in hypoplastic left heart syndrome.

Prenat Diagn 2018 Dec 12. Epub 2018 Dec 12.

Department of Pediatrics, Hospital for Sick Children, Toronto, ON.

Objective: To assess the cerebral and vascular development in fetuses with hypoplastic left heart syndrome (HLHS).

Methods: Pregnant women carrying fetuses diagnosed with HLHS who decided to interrupt their pregnancies were included in our study. Aortic size and blood flow were assessed based from fetal echocardiography. Read More

View Article
December 2018

The relationship between epicardial adipose tissue and coronary artery stenosis by sex and menopausal status in patients with suspected angina.

Biol Sex Differ 2018 Dec 14;9(1):52. Epub 2018 Dec 14.

Division of Cardiology, Korea University Medical Center, Anam hospital, Seoul, South Korea.

Background: Evidence suggests that epicardial adipose tissue (EAT) is closely related to coronary artery stenosis (CAS). However, sexual dimorphism may be present in adipose tissue, and its influence on CAS between men and women is controversial. We assessed the relationship between EAT and CAS by sex and menopausal status in patients with suspected angina. Read More

View Article
December 2018

Triventricular pacing improved dyssynchrony in heart failure patient with right-bundle branch block and left anterior fascicular block.

J Cardiol Cases 2014 Apr 5;9(4):158-161. Epub 2014 Feb 5.

Cardiovascular Division, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

The present case report describes a 53-year-old man with drug-resistant heart failure. Electrocardiogram showed complete right-bundle branch block and left anterior fascicular block. A cardiac resynchronization therapy (CRT) device was implanted in him because echocardiography showed obvious left ventricular dyssynchrony between septal and lateral walls. Read More

View Article

Significance of left ventricular clefts-A case report.

J Cardiol Cases 2014 Apr 15;9(4):138-142. Epub 2014 Jan 15.

Department of Cardiology, Royal Free Hospital, London, UK.

We describe the case of a 48-year-old patient who presented with an out-of-hospital cardiac arrest due to an acute ST-elevation myocardial infarction. Left ventriculography performed during the initial coronary angiography revealed the presence of structural abnormalities in the myocardial wall which subsequently, with the use of contrast echocardiography and cardiac magnetic resonance imaging, were confirmed to represent ventricular clefts. We reviewed the pathophysiological significance of these defects and compared them with similarly looking abnormalities such as aneurysms, pseudoaneurysms, and diverticula. Read More

View Article

Cardiac erosion after catheter closure of atrial septal defect: Septal malalignment may be a novel risk factor for erosion.

J Cardiol Cases 2014 Apr 17;9(4):134-137. Epub 2014 Jan 17.

Department of Cardiovascular Medicine, Okayama University Hospital, Okayama, Japan.

Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Read More

View Article

A case of hypertrophic obstructive cardiomyopathy with aortic stenosis.

J Cardiol Cases 2014 Apr 15;9(4):129-133. Epub 2014 Jan 15.

Department of Cardiovascular Medicine, Chiba University Hospital, Chiba, Japan.

A 78-year-old woman complained of experiencing dyspnea (New York Heart Association II) and faintness. Echocardiography revealed she had asymmetric left ventricular hypertrophy, and a dynamic left ventricular outflow tract (LVOT) obstruction due to systolic anterior motion of the mitral valve. It also revealed calcification of the noncoronary cusp and a high-flow velocity in the LVOT (6. Read More

View Article

Surgical repair of severe mitral valve regurgitation complicated by incomplete cor triatriatum.

J Cardiol Cases 2014 Jan 13;9(1):29-31. Epub 2013 Dec 13.

Department of Cardiology, KKR Sapporo Medical Center, Hiragishi 1-6, Toyohira-ku, Sapporo, Hokkaido 062-0931, Japan.

A 69-year-old woman with exertional dyspnea was referred emergently to our hospital for further evaluation. Transthoracic echocardiography showed severe mitral valve regurgitation and moderate tricuspid regurgitation, which were thought to be the main cause of her heart failure. An electrocardiogram showed paroxysmal atrial fibrillation. Read More

View Article
January 2014
1 Read

A familial case of multiple recurrent cardiac myxomas.

J Cardiol Cases 2013 Oct 13;8(4):142-144. Epub 2013 Sep 13.

Institute of Cardiovascular Surgery and Cardiology, Cardiovascular Center, Sagamihara Kyo-do Hospital, 2-8-18 Hashimoto, Midori-ku, Sagamihara, Kanagawa 252-5188, Japan.

The familial variant of cardiac myxomas is an autosomally dominant disease. Here, we report a case of recurrent multiple cardiac myxomas wherein the patient, a 36-year-old woman who was referred for palpitations and nocturnal dyspnea, had a relevant familial history. Her mother had undergone extirpation of cardiac myxoma when she was about 50 years old. Read More

View Article
October 2013

A case of osteopetrosis with severe aortic stenosis treated by transcatheter aortic valve implantation.

J Cardiol Cases 2013 Sep 15;8(3):113-115. Epub 2013 Jul 15.

Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

Osteopetrosis is a rare hereditary disease characterized by osteoclast dysfunction and consequently diminished bone resorption and disturbed bone building and remodeling, resulting in abnormally dense and brittle bones. Pathologic fractures are common in patients with osteopetrosis. We report a case of benign adult form of osteopetrosis with severe aortic stenosis (AS) and coronary artery disease (CAD). Read More

View Article
September 2013

Image modalities to assess cardiac tumors: Echocardiography, multidetector CT, and MR imaging.

Authors:
Kumiko Hirata

J Cardiol Cases 2013 Aug 5;8(2):e91-e92. Epub 2013 Jun 5.

Department of Cardiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8509, Japan.

View Article

Spontaneous coronary artery spasm accidentally detected by 320-row multi-detector computed tomography.

J Cardiol Cases 2013 Aug 28;8(2):e85-e87. Epub 2013 May 28.

Department of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Shiga 520-2192, Japan.

A 64-year-old woman was introduced to our hospital suspected of having angina pectoris. A 12-lead electrocardiogram showed negative T wave in inferior leads. An echocardiography revealed no abnormality. Read More

View Article

A case of severe hypothyroidism causing cardiac tamponade associated with lithium intoxication.

J Cardiol Cases 2013 Jul 24;8(1):e42-e45. Epub 2013 Apr 24.

Department of Internal Medicine, Tokushima Prefectural Central Hospital, 1-10-3 Kuramoto, Tokushima 770-8539, Japan.

A 70-year-old man was referred to our emergency department for shortness of breath on exertion and systemic edema. He had been taking lithium carbonate for 2 years (500 mg/day over previous 3 months) for bipolar disorder diagnosed at age 60. He was diagnosed with hypothyroidism accompanied by Hashimoto's disease 2 weeks before hospitalization. Read More

View Article

Anomalous left coronary artery arising from the pulmonary artery.

J Cardiol Cases 2013 Jul 15;8(1):e34-e35. Epub 2013 Apr 15.

Division of Pediatric Intensive Care Unit, Ercıyes University School of Medicine, Turkey.

A 13-year-old boy was found unconscious. Ventricular fibrillation was seen in his admission to the emergency room. Dilated right coronary artery and increased coronary arterial flow were seen in echocardiography. Read More

View Article

Left ventricular pseudoaneurysm as a complication of prosthetic mitral valve infective endocarditis.

J Cardiol Cases 2013 Jul 15;8(1):e27-e30. Epub 2013 May 15.

Cardiovascular Surgery, Okinawa Chubu Hospital, Kitakyushu, Fukuoka 802-8555, Japan.

We report a case of infective endocarditis complicated with left ventricular pseudoaneurysm originating from the posterior annulus of the prosthetic mitral valve in a 56-year-old woman. Despite prolonged antibiotic treatment, transesophageal echocardiography (TEE) showed partial detachment of the prosthesis from the posterior mitral annulus. Three-dimensional rotational computed tomography clearly demonstrated a pseudoaneurysm toward the posterolateral portion of the mitral prosthetic valve, which was not evident by TEE. Read More

View Article

Pulmonary hypertension with extensive calcification in small pulmonary vessels and alveolar capillary wall in a chronic hemodialysis patient.

J Cardiol Cases 2013 Jul 6;8(1):e13-e16. Epub 2013 Apr 6.

Department of Medicine and Biological Science, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma 371-8511, Japan.

We report a case of a 41-year-old male with end-stage renal disease receiving chronic hemodialysis who was referred to this hospital because of dyspnea. He had been on a regular dialysis for 20 years due to chronic glomerulonephritis. His transthoracic echocardiography revealed severe pulmonary hypertension (PH), and cardiac catheterization confirmed this diagnosis. Read More

View Article
July 2013
1 Read

Multiple papillary fibroelastomas of the aortic valve detected by real time three-dimensional transesophageal echocardiographic images.

J Cardiol Cases 2013 Jul 30;8(1):e9-e12. Epub 2013 Apr 30.

Department of Medicine and Biological Science, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan.

Papillary fibroelastoma (PFE) is a well-known primary cardiac tumor, but multiple PFEs are rare. We report an interesting case with multiple PFEs that were clearly demonstrated and evaluated with real time three-dimensional (RT3D) transesophageal echocardiography (TEE). A 77-year-old woman was referred to our institution with a diagnosis of osteoarthritis of the hip. Read More

View Article

Stress echocardiography causes stress cardiomyopathy: A very rare complication should be reminded.

J Cardiol Cases 2012 Sep 21;6(3):e94-e95. Epub 2012 Jul 21.

Department of Cardiology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinju-ku, Tokyo 162-8666, Japan.

View Article
September 2012

Usefulness of acute pulmonary vasoreactivity test of sildenafil in treatment of portopulmonary hypertension. A case report.

J Cardiol Cases 2011 Aug 12;4(1):e31-e33. Epub 2011 Jun 12.

Department of Cardiovascular Medicine, Okayama University Hospital, Okayama, Japan.

A 50-year-old man diagnosed with liver cirrhosis type C was referred to our hospital because of right heart failure with pulmonary hypertension. Echocardiography revealed enlargement of the right atrium and ventricle with severe tricuspid regurgitation. The peak flow velocity of tricuspid regurgitation by continuous wave Doppler echocardiography was 452 cm/s. Read More

View Article
August 2011
1 Read

A familial cluster of idiopathic dilatation of the right atrium-A two-case report.

J Cardiol Cases 2010 Aug 21;2(1):e52-e54. Epub 2010 Mar 21.

Department of Cardiology, Clinical Hospital Dubrava, Zagreb, Croatia.

We report two cases of idiopathic atrial dilatation in two adult siblings, a brother and a sister. The first patient was a 36-year-old man who was referred to our institution for evaluation of atrial fibrillation and syncopes. Transthoracic echocardiography revealed an enlarged right atrium accompanied by a severe tricuspid regurgitation associated with annular dilatation. Read More

View Article

Ventricular tachycardia as the first manifestation of Churg-Strauss syndrome.

J Cardiol Cases 2017 Feb 22;15(2):61-64. Epub 2016 Nov 22.

Federal Almazov North-West Medical Research Centre, St. Petersburg, Russia.

Life-threatening arrhythmias are often found in heart diseases, but they are rare as clinical symptoms of Churg-Strauss syndrome. We report a case of a 66-year-old woman with symptomatic monomorphic ventricular tachycardia as the first sign of Churg-Strauss syndrome. Cardiac manifestations were the main clinical symptoms of the disease, and changes in other organs were weakly expressed. Read More

View Article
February 2017

Aortic dissection albeit negative d-dimers and zero clinical probability - Another facet of medicine's deadly chameleon.

J Cardiol Cases 2017 Feb 16;15(2):53-55. Epub 2016 Nov 16.

Technische Universität Dresden, Heart Center Dresden, University Hospital, Dresden, Germany.

Aortic dissection, the rupture of the aorta's intimal and medial layers, leading to the formation of a false lumen, is a relatively common disease with high mortality. So far, while not addressing penetrating aortic ulcer or intramural hematoma, current guidelines take a negative value for d-dimers for a sufficient method to rule out aortic dissection in patients with a low clinical probability, as calculated by the ADD risk score. We present two cases of patients with acute aortic dissection, albeit presenting with a low clinical probability for acute aortic dissection and negative values for d-dimers. Read More

View Article
February 2017

Diastolic murmur in mid-ventricular obstructive hypertrophic cardiomyopathy: A case report.

J Cardiol Cases 2017 Feb 26;15(2):46-49. Epub 2016 Nov 26.

Department of Cardiovascular Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

A diastolic murmur is informative in the diagnosis of valvular heart disease, such as mitral stenosis and aortic regurgitation. Patients with hypertrophic cardiomyopathy (HCM) could have diastolic murmurs, although this is not widely recognized. We describe an illustrative case of HCM which was found to have a diastolic murmur associated with mid-left ventricular obstruction. Read More

View Article
February 2017

Long-term echocardiographic evaluation of valvular lesions in a patient with nonbacterial thrombotic endocarditis associated with advanced uterine cancer.

J Cardiol Cases 2016 Sep 2;14(3):82-86. Epub 2016 Jun 2.

Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Nonbacterial thrombotic endocarditis (NBTE) is characterized by the deposition of thrombi on previously undamaged heart valves in the absence of bacteremia and predominantly affects patients with hypercoagulable state. Although the diagnosis is usually based on transthoracic echocardiography, little is known about the serial changes of the vegetation in response to treatment. We experienced a 42-year-old woman with advanced uterine cancer and asymptomatic cerebral embolization. Read More

View Article
September 2016

Efficacy of multidetector computed tomography for diagnosis of unroofed coronary sinus.

J Cardiol Cases 2016 Aug 19;14(2):43-45. Epub 2016 Apr 19.

Department of Cardiology, Niigata City General Hospital, Niigata, Japan.

The patient was a 62-year-old woman with a chest X-ray abnormality. Transthoracic echocardiography (TTE) showed a dilated right ventricle and right atrium and an enlarged coronary sinus (CS), but definite diagnosis was not possible. Using contrast-enhanced 64-slice multidetector computed tomography (MDCT), curved planar reconstruction along the CS showed a direct connection of the left atrium and CS, in addition to the CS to right atrium connection. Read More

View Article

Transient occlusion of the right coronary artery by a calcific bicuspid aortic valve mass - An interesting case of inferior STEMI.

J Cardiol Cases 2016 Aug 19;14(2):40-42. Epub 2016 Apr 19.

Department of Radiology, Sir Charles Gairdner Hospital, Perth, WA, Australia.

Calcified bicuspid aortic valves are a commonly encountered clinical problem. Less common and possibly underreported, however, are embolic events secondary to a calcified valve. Events, including stroke and myocardial infarction, have been documented in the literature. Read More

View Article

Surgical repair of isolated anterior mitral leaflet cleft via right minithoracotomy.

J Cardiol Cases 2016 Jun 5;13(6):196-198. Epub 2016 Apr 5.

Department of Thoracic and Cardiovascular Surgery, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Saitama, Japan.

Isolated anterior mitral leaflet cleft (AMLC) is rare. Several surgical procedures have been described; however, there are few reports which described mitral repair using minimally invasive cardiac surgery for AMLC. We describe successful repair for isolated AMLC via right minithoracotomy. Read More

View Article

Complete recovery of the right ventricle from a large intramyocardial hematoma complicating percutaneous coronary intervention.

J Cardiol Cases 2016 Jun 2;13(6):175-177. Epub 2016 Mar 2.

Cardiology Department, Heart Hospital, Tampere University Hospital, Tampere, Finland.

Right ventricular (RV) intramyocardial hematoma is a potentially life-threatening condition that can complicate percutaneous coronary intervention (PCI). Natural course of RV hematoma and long-term recovery of the affected myocardium have not been described. We present a case of a 70-year-old male with large RV hematoma caused by distal guidewire perforation during PCI of the right coronary artery. Read More

View Article

Left ventriculography for posterolateral free wall rupture complicated with ST-elevated myocardial infarction.

J Cardiol Cases 2016 Jun 23;13(6):171-174. Epub 2016 Feb 23.

Department of Cardiology, Seirei Hamamatsu General Hospital, Shizuoka, Japan.

Left ventricular free wall rupture is not a rare complication of ST-elevated myocardial infarction, and causes fatal results. This complication is often diagnosed on the basis of hemodynamic collapse and transthoracic echocardiography. We describe a case of posterolateral free wall rupture that could not be diagnosed using transthoracic echocardiography but was diagnosed using left ventriculography, mainly in the left anterior oblique view. Read More

View Article

Editorial: Percutaneous mitral valvotomy: Balloon made in Japan still dominates the world.

Authors:
Nozomi Watanabe

J Cardiol Cases 2016 Jun 8;13(6):169-170. Epub 2016 Apr 8.

Miyazaki Medical Association Hospital Cardiovascular Center, Miyazaki, Japan.

View Article