Sep 19, 2022 | CASE
Bioprosthetic Aortic Valve on the Move

Surgery is the mainstay of treatment for patients with acute aortic regurgitation (AR). Bioprosthetic valves (BVs) demonstrate an excellent profile in terms of hemodynamics and seem to be a good fit for patients with high risk of bleeding. Nonetheless, the durability of BVs is limited compared to mechanical valves; inevitably, BV degeneration may lead to […]

Jun 6, 2022 | CASE
Transesophageal Echocardiography–Guided Percutaneous Aspiration of a Large Tricuspid Valve Vegetation in a Patient with Infective Endocarditis

The use of a percutaneous, vacuum-assisted device for the removal of right-sided intracardiac masses has been described as a bridge to surgery and has been recommended when there is a contraindication to surgery.

Apr 25, 2022 | CASE
A Very Unusual Cause for Presyncope after Bypass: What a Surprise

Clinical presentation of saphenous vein graft (SVG) aneurysms (SVGAs) is variable. We present a case of SVGA that caused a patient to have recurrent bouts of presyncope. We review the clinical presentations of SVGAs in addition to the diagnostic and management challenges SVGAs pose. We also highlight the importance of multimodality imaging in the diagnosis […]

Mar 10, 2022 | CASE
Anomalous Left Coronary Artery Arising from the Pulmonary Artery (ALCAPA): The Critically Important Role of Color Flow Doppler in Identifying a Rare Intramural Course

Anomalous left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare congenital coronary anomaly that can present with congestive heart failure and ischemic mitral regurgitation in an infant. Coronary imaging by echocardiography in the pediatric population is difficult due to small vessel size, high heart rate, and patient cooperation. This case presents an additional […]

Jan 4, 2022 | CASE
Novel Application of Milrinone in the Evaluation of Classical Low-Flow, Low-Gradient Aortic Stenosis

In LFLG AS, because of the presence of a low-flow state, peak aortic jet velocity and MPG may underrate the AS severity. In contrast, AVA may overrate the severity of valvular stenosis because of inadequate opening of valve leaflets resulting from a reduced stroke volume. Valvular heart disease guidelines recommend that true-severe AS and pseudo-severe […]

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