• Issue

    Echocardiography: Volume 32, Issue 4

    i-v, 613-725
    April 2015

Issue Information

Free Access

Issue Information

  • Pages: i-iii
  • First Published: 04 April 2015

ISCU News

Free Access

ISCU News

  • Pages: iv-v
  • First Published: 04 April 2015

Original Investigations

Echo Rounds Section Editor - Edmund Kenneth Kerut, M.D

Case Reports Section Editor: Brian D. Hoit, M.D.

Infective Endocarditis Related to a Coronary Artery Fistula with an Unusual Localization and Ectatic Coronary Arteries

  • Pages: 711-715
  • First Published: 01 November 2014
Mini-Abstract

Coronary artery fistulas (CAF) are a rare congenital anomaly. They are usually asymptomatic but can present with clinically significant complications. We describe a patient presenting infective endocarditis involving a coronary artery fistula between the left ventricle and a giant circumflex coronary artery. Diagnosis was first made by echocardiography and confirmed by coronary computed tomography (CT). While discussing this case, we also review the literature on coronary artery fistula and coronary artery ectasia.

Prenatal Diagnosis of an Aneurysm of the Mitral-Aortic Intervalvular Fibrosa

  • Pages: 716-719
  • First Published: 20 November 2014
Mini-Abstract

Aneurysm of the mitral-aortic intervalvular fibrosa (A-MAIVF) is a rare but potentially fatal condition. The aneurysm is located between the mitral and aortic valves and communicates with the left ventricular outflow tract, and the differential diagnoses include dilated coronary sinuses and coronary arteriovenous fistula. We describe the first reported case of an A-MAIVF diagnosed in the fetus.

Image Section Section Editor: Brian D. Hoit, M.D.

Ruptured Aneurysm of Anterior Mitral Leaflet in Aortic Valve Infective Endocarditis

  • Pages: 720-722
  • First Published: 03 November 2014
Mini-Abstract

We report the case of a 71-year-old man admitted with acute heart failure and suspicion of infective endocarditis (IE). Three-dimensional transesophageal echocardiography (3DTEE) showed ruptured aneurysm of anterior mitral leaflet (AAML) in scallop A2 with severe mitral regurgitation and perforation of right and noncoronary aortic cusps with severe aortic regurgitation. TEE is more sensitive than transthoracic echocardiography for the diagnosis of AAML and 3DTEE provides further morphological information as well about the relationship with adjacent structures. This information has important implications for medical and surgical purposes.