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Response to Letter Regarding Article, "Biventricular Takotsubo Cardiomyopathy Associated with Epilepsy".

Ji Yeon HONG

Journal of Cardiovascular Ultrasound.2016;24(1):88-89. doi:10.4250/jcu.2016.24.1.88

No abstract available.
Takotsubo Cardiomyopathy*

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Letter Regarding Article, "Biventricular Takotsubo Cardiomyopathy Associated with Epilepsy".

John E MADIAS

Journal of Cardiovascular Ultrasound.2016;24(1):87-87. doi:10.4250/jcu.2016.24.1.87

No abstract available.
Takotsubo Cardiomyopathy*

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Rupture of Right Sinus of Valsalva Aneurysm into Right Cardiac Chambers: The Role of Different Imaging Modalities.

Humberto MORAIS ; Miguel SOUSA-UVA ; Telmo MARTINS ; Valdano MANUEL ; João Carlos COSTA

Journal of Cardiovascular Ultrasound.2016;24(1):84-86. doi:10.4250/jcu.2016.24.1.84

No abstract available.
Aneurysm* ; Echocardiography ; Rupture* ; Sinus of Valsalva*

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Stress-Induced Cardiomyopathy Presenting as Shock.

Tae Kyung YOO ; Jong Young LEE ; Ki Chul SUNG ; Sam Sae OH ; Young Seok SONG ; Seung Jae LEE ; Kyung Jin KO

Journal of Cardiovascular Ultrasound.2016;24(1):79-83. doi:10.4250/jcu.2016.24.1.79

Stress-induced cardiomyopathy has become a more recognized and reported entity. It can be caused by emotional or physical stress, which causes excessive catecholamine release. Typically, the clinical course is benign with conservative treatment being effective. However, stress-induced cardiomyopathy can be fatal. A 41-year-old female presented with cardiogenic shock followed by sudden back pain. Initial echocardiographic finding showed severely decreased ejection fraction with akinesia at all mid-to-apical walls with relatively preserved basal wall contractility. The coronary artery was intact on coronary angiography. Cardiac resuscitation and extra-corporeal membrane oxygenation was needed to manage the cardiogenic shock. Recovery was complete after 2 weeks.
Adult ; Back Pain ; Cardiomyopathies* ; Coronary Angiography ; Coronary Vessels ; Echocardiography ; Extracorporeal Membrane Oxygenation ; Female ; Humans ; Membranes ; Oxygen ; Resuscitation ; Shock* ; Shock, Cardiogenic ; Takotsubo Cardiomyopathy

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A Case of Microangiopathic Hemolytic Anemia after Myxoma Excision and Mitral Valve Repair Presenting as Hemolytic Uremic Syndrome.

Young Joo PARK ; Sang Pil KIM ; Ho Jin SHIN ; Jung Hyun CHOI

Journal of Cardiovascular Ultrasound.2016;24(1):75-78. doi:10.4250/jcu.2016.24.1.75

Microangiopathic hemolytic anemia occurs in a diverse group of disorders, including thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, and prosthetic cardiac valves. Hemolytic anemia also occurs as a rare complication after mitral valve repair. In this report, we describe a case of microangiopathic hemolytic anemia following myxoma excision and mitral valve repair, which was presented as hemolytic uremic syndrome.
Anemia, Hemolytic* ; Heart Valves ; Hemolytic-Uremic Syndrome* ; Mitral Valve Annuloplasty ; Mitral Valve* ; Myxoma* ; Purpura, Thrombotic Thrombocytopenic

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Primary Multiple Cardiac Myxomas in a Patient without the Carney Complex.

Shohei KATAOKA ; Masato OTSUKA ; Masayuki GOTO ; Mitsuru KAHATA ; Asako KUMAGAI ; Koji INOUE ; Hiroshi KOGANEI ; Kenji ENTA ; Yasuhiro ISHII

Journal of Cardiovascular Ultrasound.2016;24(1):71-74. doi:10.4250/jcu.2016.24.1.71

Cardiac tumors are rare, and multiple myxomas are even rarer. The latter phenomenon is mostly associated with the Carney complex, a dominantly inherited disease characterized by multiple primary cardiac myxomas, endocrinopathy, and spotty pigmentation of the skin. We report the rare case of a patient who did not have the Carney complex but had multiple primary cardiac tumors. A 78-year-old woman with a past history of breast cancer was referred to our hospital for further examination of multiple cardiac tumors. Echocardiography showed 4 tumors in the left atrium and left ventricle. We could not diagnose them preoperatively and decided to resect them surgically because they were mobile and could have caused embolism and obstruction. The postoperative pathological findings of all 4 tumors were myxomas, although the patient did not meet the diagnostic criteria of the Carney complex. Therefore, a rare case of multiple primary cardiac myxomas was diagnosed.
Aged ; Breast Neoplasms ; Carney Complex* ; Echocardiography ; Embolism ; Female ; Heart Atria ; Heart Neoplasms ; Heart Ventricles ; Humans ; Myxoma* ; Pigmentation ; Skin

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Stormy Course of a Huge Submitral Aneurysm Causing Low Cardiac Output State.

Rajendra Kumar GOKHROO ; Avinash ANANTHARAJ ; Kamal KISHOR ; Bhanwar RANWA

Journal of Cardiovascular Ultrasound.2016;24(1):68-70. doi:10.4250/jcu.2016.24.1.68

Submitral aneurysm is a rare structural abnormality of congenital or acquired aetiology. Most reported cases are from Africa. Unless promptly treated surgically this condition is invariably fatal. We report a case of a young Indian male who presented with dyspnea of recent onset, diagnosed to have a massive submitral aneurysm causing low cardiac output and compression of cardiac structures.
Africa ; Aneurysm* ; Cardiac Output, Low* ; Dyspnea ; Humans ; Male

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Abnormal Myocardial Blood Flow Reserve Observed in Cardiac Amyloidosis.

Michael Chi Yuan NAM ; Karen NEL ; Roxy SENIOR ; Kim GREAVES

Journal of Cardiovascular Ultrasound.2016;24(1):64-67. doi:10.4250/jcu.2016.24.1.64

We performed real-time myocardial contrast echocardiography on a patient with cardiac amyloidosis and previous normal coronary angiography presenting with atypical chest pain to assess myocardial blood flow reserve (MBFR). Myocardial contrast echocardiography was performed and flash microbubble destruction and replenishment analysis was used to calculate myocardial blood flow. Dipyridamole was used to achieve hyperemia. MBFR was derived from the ratio of peak myocardial blood flow at hyperemia and rest. The results show a marked reduction in MBFR in our patient. Previous reports of luminal obstruction of intramyocardial rather than epicardial vessels by amyloid deposition may be causing microvascular dysfunction.
Amyloidosis* ; Chest Pain ; Coronary Angiography ; Dipyridamole ; Echocardiography ; Humans ; Hyperemia ; Microbubbles ; Phenobarbital ; Plaque, Amyloid

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Heart within a Heart.

Tarun JAIN ; Jainil SHAH ; Sunay SHAH ; Shalini MODI

Journal of Cardiovascular Ultrasound.2016;24(1):60-63. doi:10.4250/jcu.2016.24.1.60

Device based closure of the left atrial appendage (LAA) has emerged as a viable approach for stroke prevention in atrial fibrillation (AF) patients with contraindications to chronic oral anticoagulation. One of the most feared complications is device related thrombus formation. We present a 66-year-old male with chronic AF who developed a life-threatening intracranial bleed on oral anti-coagulation. He subsequently underwent LAA closure using an Amplatzer muscular ventricular septal defect closure device for stroke prevention. However, he was found to have a large thrombus attached to the device a year later. We present a review of the various LAA closure devices, importance of periodic surveillance via echocardiography and management options to prevent this complication. Also, the case highlights the importance of contrast-enhance echocardiography in diagnosis of LAA closure device thrombus.
Aged ; Atrial Appendage ; Atrial Fibrillation ; Diagnosis ; Echocardiography ; Heart Septal Defects, Ventricular ; Heart* ; Humans ; Male ; Stroke ; Thrombosis

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Pneumopericardium: A Rare Complication of Pericardiocentesis.

Slama ISKANDER ; Hidoud AMAR ; Boudes AUDREY ; Devemy FABIEN

Journal of Cardiovascular Ultrasound.2016;24(1):55-59. doi:10.4250/jcu.2016.24.1.55

Pneumopericardium is defined by the presence of air in the pericardial cavity. It is a rare entity occurring most commonly after trauma. Pneumopericardium resulting after pericardiocentesis is even rarer. We report a case of 46-year-old man, with end-stage renal disease on chronic hemodialysis and who developed a large circumferential pericardial effusion of 40 mm in diastole with swinging heart and diastolic right atrium collapse requiring pericardiocentesis. Few days after, the patient complained of pleuritic chest pain and echocardiogram revealed several tiny sparkling echogenic spots swirling in the pericardial sac. Computed tomography scans revealed a marked anterior pneumopericardium that was conservatively managed.
Chest Pain ; Diastole ; Heart ; Heart Atria ; Humans ; Kidney Failure, Chronic ; Middle Aged ; Pericardial Effusion ; Pericardiocentesis* ; Pneumopericardium* ; Renal Dialysis

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