Coronary artery fistulae are usually identified during invasive coronary angiographies. However, in this case, we made the early detection of coronary artery fistulae during non-invasive transthoracic echocardiography, by demonstrating diastolic multiple abnormal color Doppler flows on the entire left ventricular walls including left ventricular free wall, interventricular septum and apex, whic...

S ince the first case of surgical repair of perforation of the interventricular septum following myocardial infarction was described by Cooley et all in 1957, numerous additional cases have been reported in the literature.2-12 Only a small number of these cases have been operated on during the acute stage of myocardial infarction, and of these, most have not survived the immediate postoperative...

A 28-year-old female who had been diagnosed with Kawasaki disease at the age of 5, presented to our clinic with the complaint of shortness of breath on exertion. The ECG showed 0.5 mm ST depression and negative T waves in V2-V4 derivations (Fig. 1). Two-dimensional transthoracic echocardiography revealed normal left ventricle dimensions with an ejection fraction of 60%. There was a unilocular, ...

A 49-year-old women with congestive heart failure and heart block died of cerebral embolism. Clinical and echocardiographic findings suggested a diagnosis of atypical dilated cardiomyopathy with predominantly right ventricular involvement. At necropsy, all the cardiac chambers were slightly dilated and the interventricular septum and the left ventricular wall were of normal thickness and symmet...

R UPTURE of the interventricular septum, one of the most dramatic complications of myocardial infaretion, has become a wellrecognized clinical entity that is readily confirmed by cardiac catheterization. Since the usual course is that of rapid deterioration and early death, surgical repair of the defect is indicated once the diagnosis has been established. The medical literature contains only a...

Figure 1: Images show multiple filling defects in the pulmonary arteries (A–H, arrowheads), consecutive enlargement of the right ventricle with flattening of the interventricular septum (D and F, asterisk) and marked dilatation of the left atrium with leftward bowing of the interatrial septum (F and H, curved arrow). Images also show a spherical thrombus in the right atrium (F–H, large arrow) a...

A 24-year-old black man presented to the emergency department of our hospital with fatigue and dyspnea at rest of two weeks duration. The transthoracic echocardiogram (Figure 1) revealed aneurysm of the right sinus of Valsalva (Figure 1A) dissecting into the interventricular septum (arrow) (Figure 1B), dilated left ventricle with moderately to severely impaired systolic function, and echocardio...

Echocardiographic studies were performed in 22 patients with atrial fibrillation and atrial flutter. In atrial flutter, the echocardiograms consistently demonstrated regular undulatory waves of the posterior left atrial wall and upper left interventricular septum coinciding with each flutter wave of the electrocardiogram. The mitral valve was slightly reopened by each flutter wave occurring aft...

A characteristic abnormality of motion of the interventricular septum was recorded by echocardiography in 17 of 18 patients with left bundle branch block. Early and abrupt contraction of the septum occurs during the pre-ejection period before the delayed commencement of contraction of the posterior wall of the left ventricle. This abnormality can be explained by asynchronous contraction of the ...

A characteristic abnormality of motion of the interventricular septum was recorded by echocardiography in 17 of 18 patients with left bundle branch block. Early and abrupt contraction of the septum occurs during the pre-ejection period before the delayed commencement of contraction of the posterior wall of the left ventricle. This abnormality can be explained by asynchronous contraction of the ...