Advances in ultrasound technology continue to enhance its diagnostic applications in daily medical practice. Bedside echocardiographic examination has become useful to properly trained cardiologists, anesthesiologists, intensivists, surgeons, and emergency room physicians. Cardiac ultrasound can permit rapid, accurate, and noninvasive diagnosis of a broad range of acute cardiovascular pathologi...

A 54-year-old woman with a diagnosis of apical hypertrophic cardiomyopathy was referred to the cardiac transplant unit for clinical assessment. Her cardiovascular history included hypertension and 2 prior hospitalizations for heart failure. Her anamnesis was notable for an episode IMAGE IN CARDIOLOGY of hepatic failure and hypereosinophilia following ingestion of watercress 15 years before. Lat...

Myocardial abscess is a rare and often fatal complication of valvular endocarditis. We present a case of a patient with aortic valve endocarditis whose post-operative course was complicated by a large left ventricular abscess. The spatial location of the defect was difficult to assess with 2D transthoracic echocardiography (TTE); however, real-time 3D contrast TTE allowed us to visualize the fu...

INTRODUCTION Last year the European Society of Echocardiography published recommendations for the use of echocardiography in identifying potential sources of embolism as a cause of ischemic stroke in the absence of other cerebrovascular diseases. Both transthoracic echocardiography and transesophageal echocardiography play a fundamental role in the assessment, diagnosis and management of the em...

Patients and methods: The study group included 40 patients, selected consecutively from patients presented to Ain Shams university Hospitals with coronary artery disease as proved by diagnostic coronary angiography and recommended for potential coronary revascularization. Each patient underwent baseline transthoracic echocardiography, in addition to low dose dobutamine echocardiography using TD...

Cardiac echinococcosis is an infrequent disease and is seen in 0.2–3% of patients with echinococcal disease. Transthoracic echocardiography has been used to diagnose and evaluate intracardiac echinococcosis. 2 Septal involvement of the hydatid cyst is observed quite rarely and is always associated with various conduction disturbances, as well as sudden death from arrhythmias. Cardiac involvemen...

OBJECTIVE Atrial septal defect (ASD) device closure is routinely done under the guide of transesophageal or intracardiac echocardiography which are expensive techniques and not easily affordable in developing countries. METHODS Using metallic devices, we attempted 32 ASD device closures under transthoracic echocardiography. FINDINGS Of those, 30 procedures were successful (94 %). In two pat...

Background Development of diffuse myocardial fibrosis in aortic stenosis (AS) has been associated with an adverse prognosis. Measurement of extracellular volume (ECV) from T1 mapping contrast magnetic resonance (CMR), has been recently validated as a non-invasive method for assessment of such diffuse myocardial fibrosis.Our objective was to evaluate the functional consequences of diffuse myocar...

Alcohol septal ablation (ASA) aims to reduce the subaortic gradient in patients with symptomatic hypertrophic obstructive cardiomyopathy using alcohol to induce septal necrosis. Our aim was to describe the usefulness of 3-dimensional (3D) transthoracic echocardiography (TTE) with contrast in the localization and quantification of the extent of septal artery-dependent territory. From 2012 onward...