Arezou Zoroufian, H. Sate, M. Lotfi-Tokaldany, M. Sahebjam, H. Sadeghian, A. Jalali
Objectives: We aimed to compare tricuspid annular plane systolic excursion (TAPSE) by anatomical M-mode (AMM) and conventional M-mode (CMM) with right ventricular fractional area change (RV-FAC) for the evaluation of RV systolic function. Methods: Between February 2013 and February 2014, 152 patients, who were admitted to our echocardiography department for the evaluation of cardiac function, were prospectively enrolled in the study. All the patients underwent CMM and 2D echocardiography and AMM echocardiography. Results: The mean age of the patients was 53.27 ± 14.29 years and 52.9% were male. The patients were mostly diagnosed as having left-sided valvular disease in terms of mitral stenosis, mitral regurgitation, aortic stenosis, or aortic regurgitation (63 patients, 41.4%). Heart failure was in 18.4% and coronary artery disease in 15.8%. Among 152 patients, 17 (11.2%) had normal findings in echocardiography. Concerning RV-FAC, we categorized the patients into 3 groups: 116 patients with RV-FAC equal to or greater than 35%, 24 patients with RV-FAC between 35% and 25%, and 12 patients with RV-FAC equal to or smaller than 25%. To discriminate normal from abnormal RV-FACs (≥ 35% vs < 35%), TAPSE by AMM had specificity of 96.5% and sensitivity of 60.5% (P < 0.001) for a cutoff point of 19.5 mm to separate the patients with RV-FAC equal to or greater than 35% from those with RV-FAC smaller than 35%. TAPSE by CMM had similar specificity and sensitivity (98.5% and 53.8%, respectively [P < 0.001]) for a cutoff point of 17.5 mm. Conclusions: The results of the present study on patients with a variety of cardiovascular diseases showed that TAPSE by AMM had similar specificity and sensitivity compared to TAPSE by CMM for discriminating normal from abnormal RV functions based on RVFAC.
{"title":"Echocardiographic Assessment of Right Ventricular Systolic Function: A 2D, Anatomical, and Conventional M-Mode Comparison Study","authors":"Arezou Zoroufian, H. Sate, M. Lotfi-Tokaldany, M. Sahebjam, H. Sadeghian, A. Jalali","doi":"10.5812/ACVI.37901","DOIUrl":"https://doi.org/10.5812/ACVI.37901","url":null,"abstract":"Objectives: We aimed to compare tricuspid annular plane systolic excursion (TAPSE) by anatomical M-mode (AMM) and conventional M-mode (CMM) with right ventricular fractional area change (RV-FAC) for the evaluation of RV systolic function. Methods: Between February 2013 and February 2014, 152 patients, who were admitted to our echocardiography department for the evaluation of cardiac function, were prospectively enrolled in the study. All the patients underwent CMM and 2D echocardiography and AMM echocardiography. Results: The mean age of the patients was 53.27 ± 14.29 years and 52.9% were male. The patients were mostly diagnosed as having left-sided valvular disease in terms of mitral stenosis, mitral regurgitation, aortic stenosis, or aortic regurgitation (63 patients, 41.4%). Heart failure was in 18.4% and coronary artery disease in 15.8%. Among 152 patients, 17 (11.2%) had normal findings in echocardiography. Concerning RV-FAC, we categorized the patients into 3 groups: 116 patients with RV-FAC equal to or greater than 35%, 24 patients with RV-FAC between 35% and 25%, and 12 patients with RV-FAC equal to or smaller than 25%. To discriminate normal from abnormal RV-FACs (≥ 35% vs < 35%), TAPSE by AMM had specificity of 96.5% and sensitivity of 60.5% (P < 0.001) for a cutoff point of 19.5 mm to separate the patients with RV-FAC equal to or greater than 35% from those with RV-FAC smaller than 35%. TAPSE by CMM had similar specificity and sensitivity (98.5% and 53.8%, respectively [P < 0.001]) for a cutoff point of 17.5 mm. Conclusions: The results of the present study on patients with a variety of cardiovascular diseases showed that TAPSE by AMM had similar specificity and sensitivity compared to TAPSE by CMM for discriminating normal from abnormal RV functions based on RVFAC.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123606981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Alizadehasl, A. Sadeghpour, N. Akiash, Mahdi Peighambari, A. Ghavidel
A 30-year-old woman was referred to our department for a cardiology visit. She had a medical history of ophthalmologic disorders. Her chief complaints were dyspnea, lightheadedness, and fainting after the Valsalva maneuver. Physical examination showed systolic murmurs at the left upper sternal border as well as corneal thinning and bulging in the 2 eyes. Transthoracic echocardiography revealed local significant hypertrophy in the base of the interventricular septum with significant left ventricular outflow obstruction and severe mitral regurgitation.
{"title":"Keratoglobus Associated with Hypertrophic Cardiomyopathy: A Case Report of a Concomitant Disorder of Heart and Eye","authors":"A. Alizadehasl, A. Sadeghpour, N. Akiash, Mahdi Peighambari, A. Ghavidel","doi":"10.5812/ACVI.58353","DOIUrl":"https://doi.org/10.5812/ACVI.58353","url":null,"abstract":"A 30-year-old woman was referred to our department for a cardiology visit. She had a medical history of ophthalmologic disorders. Her chief complaints were dyspnea, lightheadedness, and fainting after the Valsalva maneuver. Physical examination showed systolic murmurs at the left upper sternal border as well as corneal thinning and bulging in the 2 eyes. Transthoracic echocardiography revealed local significant hypertrophy in the base of the interventricular septum with significant left ventricular outflow obstruction and severe mitral regurgitation.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120952331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary-cameral fistulae (CCFs) are rare anomalies often detected incidentally during angiography or cardiac surgery (valve replacement or coronary artery bypass grafting). They represent about 0.2% to 0.4% of all cardiac malformations and 14% of all coronary anomalies. Here we present a brief review of various diagnostic approaches to CCFs.
{"title":"Imaging Approach for Coronary-Cameral Fistula: A Relatively Rare Anomaly That May Be Accidentally Detected","authors":"D. Buccheri, G. Cimino","doi":"10.5812/ACVI.12877","DOIUrl":"https://doi.org/10.5812/ACVI.12877","url":null,"abstract":"Coronary-cameral fistulae (CCFs) are rare anomalies often detected incidentally during angiography or cardiac surgery (valve replacement or coronary artery bypass grafting). They represent about 0.2% to 0.4% of all cardiac malformations and 14% of all coronary anomalies. Here we present a brief review of various diagnostic approaches to CCFs.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123262626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Omaygenc, I. Karaca, B. Çakal, H. Güneş, A. Ozyuksel, C. Erol
{"title":"Giant Left Main Coronary Artery Aneurysm and Atherosclerotic Coronary Tree: Additive Value of Coronary CT Angiography Over Conventional Angiography","authors":"M. Omaygenc, I. Karaca, B. Çakal, H. Güneş, A. Ozyuksel, C. Erol","doi":"10.5812/ACVI.46693","DOIUrl":"https://doi.org/10.5812/ACVI.46693","url":null,"abstract":"","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121673163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Left ventricular (LV) pseudoaneurysms due to late rupture after mitral valve replacement (MVR) are very rare. Surgical management of LV pseudoaneurysms is inevitable because of their potential risk of enlargement and rupture. Case Presentation: A 53-year-old woman was referred to our echocardiography lab because of exertional dyspnea. She had recently undergone MVR and had an uneventful in-hospital course. Echocardiographic study revealed an LV pseudoaneurysm, just below the annulus in the left atrioventricular groove. She refused repeated surgery at this stage. Conclusions: Rupture of the LV wall after MVR could be a fatal complication. Echocardiography is the most widely used method for the diagnosis of LV pseudoaneurysms. Cardiologists should be aware of this complication and consider it while assessing MVR
{"title":"Left Ventricular Pseudoaneurysm After Mitral Valve Replacement","authors":"H. Poorzand, F. Fani","doi":"10.5812/ACVI.14097","DOIUrl":"https://doi.org/10.5812/ACVI.14097","url":null,"abstract":"Introduction: Left ventricular (LV) pseudoaneurysms due to late rupture after mitral valve replacement (MVR) are very rare. Surgical management of LV pseudoaneurysms is inevitable because of their potential risk of enlargement and rupture. Case Presentation: A 53-year-old woman was referred to our echocardiography lab because of exertional dyspnea. She had recently undergone MVR and had an uneventful in-hospital course. Echocardiographic study revealed an LV pseudoaneurysm, just below the annulus in the left atrioventricular groove. She refused repeated surgery at this stage. Conclusions: Rupture of the LV wall after MVR could be a fatal complication. Echocardiography is the most widely used method for the diagnosis of LV pseudoaneurysms. Cardiologists should be aware of this complication and consider it while assessing MVR","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125143506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Mirrazeghi, M. Rezaei, A. Sadeghpour, A. Ghavidel, Kambiz Mozaffari
Myxomas are the most common primary cardiac tumors. They are mostly located in the left atrium, but 15% to 20% of them arise from the right atrium (RA). We herein describe a 22-year-old man with a giant RA mass and simultaneous pulmonary embolism. The mass was detected accidentally on transthoracic echocardiography in preoperative workup for an elective noncardiac surgery and was confirmed with multimodality imaging. The patient underwent surgical removal of the mass and concomitant pulmonary artery embolectomy. Histopathological examination confirmed the diagnosis of an RA myxoma. He had an uneventful recovery and was asymptomatic after 24 months of follow-up. This case is a villous RA myxoma, which is a very rare subtype with a high tendency to pulmonary embolism. We report this case as an unusual location of a very large myxoma and emphasize the role of multimodality imaging in the preoperative management of this patient as cardiac computed tomography angiography confirmed the associated
{"title":"A Giant Right Atrial Mass with Concomitant Pulmonary Embolism","authors":"F. Mirrazeghi, M. Rezaei, A. Sadeghpour, A. Ghavidel, Kambiz Mozaffari","doi":"10.5812/ACVI.45757","DOIUrl":"https://doi.org/10.5812/ACVI.45757","url":null,"abstract":"Myxomas are the most common primary cardiac tumors. They are mostly located in the left atrium, but 15% to 20% of them arise from the right atrium (RA). We herein describe a 22-year-old man with a giant RA mass and simultaneous pulmonary embolism. The mass was detected accidentally on transthoracic echocardiography in preoperative workup for an elective noncardiac surgery and was confirmed with multimodality imaging. The patient underwent surgical removal of the mass and concomitant pulmonary artery embolectomy. Histopathological examination confirmed the diagnosis of an RA myxoma. He had an uneventful recovery and was asymptomatic after 24 months of follow-up. This case is a villous RA myxoma, which is a very rare subtype with a high tendency to pulmonary embolism. We report this case as an unusual location of a very large myxoma and emphasize the role of multimodality imaging in the preoperative management of this patient as cardiac computed tomography angiography confirmed the associated","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"38 38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133579502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hossein Yousefi-Banaem, S. Kermani, Omid Srrafzadeh
Background: Obtaining accurate left ventricular (LV) endocardium segmentation requires the exclusion of the papillary muscles fromthecardiacwall,whichisasignificant,albeitchallenging,stepincardiacimageanalysis. Mostmedicalimagingsystemssuffer from noise in that it affects the processing procedure. We herein introduce a segmentation algorithm, which improves segmentation accuracy by excluding the papillary muscles and suppressing noise effects. Methods: We proposed a hybrid fuzzy-based level set method (LSM) to segment the cardiac wall in magnetic resonance imaging imageseries. Inthisapproach,weappliedimprovedspatialfuzzyc-means(FCM)onthegivenimageandthenutilizedtheobtained result as the initial contour for the LSM method to obtain more accurate segmentation results. Results: We compared the obtained results with those obtained via manual segmentation as the gold standard vis-à-vis accuracy, Jaccard coefficient, dice coefficient, and false positive ratio. Also, the robustness of the proposed method to the noise was tested by addingtheGaussiannoisewithdifferentvariancestotheoriginalimage. Theobtainedresultsshowed96 ± 1.3% accuracyinnormal images and 89 ± 4% accuracy in noisy images with a signal-to-noise ratio of -2.2 to -1. Conclusions: Ourresultsdemonstratedthatourproposedmethodwasabletoexcludethepapillarymusclesfromthecardiacwall. Moreover, our hybrid method showed better accuracy than the 2 methods of FCM and LSM alone.
{"title":"A Combined Spatial Fuzzy C-Means and Level Set Approach for Endocardium Segmentation in MRI Image Series","authors":"Hossein Yousefi-Banaem, S. Kermani, Omid Srrafzadeh","doi":"10.5812/ACVI.42840","DOIUrl":"https://doi.org/10.5812/ACVI.42840","url":null,"abstract":"Background: Obtaining accurate left ventricular (LV) endocardium segmentation requires the exclusion of the papillary muscles fromthecardiacwall,whichisasignificant,albeitchallenging,stepincardiacimageanalysis. Mostmedicalimagingsystemssuffer from noise in that it affects the processing procedure. We herein introduce a segmentation algorithm, which improves segmentation accuracy by excluding the papillary muscles and suppressing noise effects. Methods: We proposed a hybrid fuzzy-based level set method (LSM) to segment the cardiac wall in magnetic resonance imaging imageseries. Inthisapproach,weappliedimprovedspatialfuzzyc-means(FCM)onthegivenimageandthenutilizedtheobtained result as the initial contour for the LSM method to obtain more accurate segmentation results. Results: We compared the obtained results with those obtained via manual segmentation as the gold standard vis-à-vis accuracy, Jaccard coefficient, dice coefficient, and false positive ratio. Also, the robustness of the proposed method to the noise was tested by addingtheGaussiannoisewithdifferentvariancestotheoriginalimage. Theobtainedresultsshowed96 ± 1.3% accuracyinnormal images and 89 ± 4% accuracy in noisy images with a signal-to-noise ratio of -2.2 to -1. Conclusions: Ourresultsdemonstratedthatourproposedmethodwasabletoexcludethepapillarymusclesfromthecardiacwall. Moreover, our hybrid method showed better accuracy than the 2 methods of FCM and LSM alone.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121092182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Omaygenc, I. Karaca, B. Çakal, H. Güneş, F. Kızılırmak, B. Boztosun
Introduction: Pericardial cysts are rare abnormalities of the mediastinum and generally have a benign course. Patients are mostly asymptomatic, and diagnosis is established incidentally in a majority of cases. The management of this asymptomatic population is also controversial. Case Report: We report a huge pericardial cyst, located at the right cardiophrenic angle impairing ventricular filling properties without causing evident symptoms. The cyst was almost 13 cm in the largest diameter. Echocardiography and computed tomography scan were utilized not only to confirm the diagnosis, but also to determine the treatment strategy. Conclusions: Surgical or percutaneous interventional treatment for pericardial cysts might be occasionally necessary, depending on the location of the cyst and its relationship with the adjacent structures. Unfortunately, our patient refused any kind of treatment option. Based on this report, the course of the disease, diagnostic modalities, and treatment strategies in general manner were additionally discussed.
{"title":"Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers","authors":"M. Omaygenc, I. Karaca, B. Çakal, H. Güneş, F. Kızılırmak, B. Boztosun","doi":"10.5812/ACVI.45736","DOIUrl":"https://doi.org/10.5812/ACVI.45736","url":null,"abstract":"Introduction: Pericardial cysts are rare abnormalities of the mediastinum and generally have a benign course. Patients are mostly asymptomatic, and diagnosis is established incidentally in a majority of cases. The management of this asymptomatic population is also controversial. Case Report: We report a huge pericardial cyst, located at the right cardiophrenic angle impairing ventricular filling properties without causing evident symptoms. The cyst was almost 13 cm in the largest diameter. Echocardiography and computed tomography scan were utilized not only to confirm the diagnosis, but also to determine the treatment strategy. Conclusions: Surgical or percutaneous interventional treatment for pericardial cysts might be occasionally necessary, depending on the location of the cyst and its relationship with the adjacent structures. Unfortunately, our patient refused any kind of treatment option. Based on this report, the course of the disease, diagnostic modalities, and treatment strategies in general manner were additionally discussed.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125172728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Naghashzadeh, N. Behzadnia, B. Sharif-Kashani, Z. Ahmadi, A. Jahangirifard, S. Chaibakhsh
Background: Endomyocardial biopsy (EMB) is currently the method of choice for the definite diagnosis of acute allograft heart rejection after transplantation. But, it is somewhat invasive and expensive and, on occasion, gives rise to serious complications. To find a non-invasive method for the identification of acute allograft rejection, we compared the results between EMB according to the criteria of the international society of heart and lung transplantation (ISHLT) and myocardial deformation indices (color-coded tissue Doppler imaging (TDI)-derived strain and strain rate (SR) imaging). Methods: In 31 heart transplantation recipients followed up in our transplant clinic, EMB was achieved with a time lapse of 3 to 12 months after heart transplantation and color-coded TDI was performed during a 24-hour period after the biopsy procedure. The peak values of systolic strain and SR were determined in all 12 segments of the left ventricle (LV) except the apical segments. Results: All the 31 heart transplantation patients were included in the study. According to the ISHLT’s criteria, 13 EMB samples revealed grade IR rejection and only 1 biopsy sample revealed grade IIR. ROC curve analysis was used for all the 12 LV segments. There were no meaningful correlations between the TDI-derived mean strain and SR values and the EMB results. The only meaningful correlation was between the SR of the infero-basal segment and the pathology result. The area under the curve was 0.73 (P = 0.024). Conclusions: Our results did not reveal a meaningful correlation between TDI-derived strain and SR and EMB results, but colorcoded TDI-derived strain and SR imaging might have a complementary role for the identification of higher grades of acute allograft rejection in heart transplantation recipients. In our study, 1 EMB sample revealed grade IIR and no biopsy sample revealed grade IIIR; thus, a better assessment of the role of strain and SR imaging in predicting rejection requires further research with higher numbers of patients including higher grades of acute allograft rejection and novel techniques of stain rate imaging like speckle-tracking 2D strain imaging.
{"title":"Role of Echocardiographic Deformation Indices in Predicting Mild Forms of Rejection in Heart Transplantation Recipients","authors":"F. Naghashzadeh, N. Behzadnia, B. Sharif-Kashani, Z. Ahmadi, A. Jahangirifard, S. Chaibakhsh","doi":"10.5812/ACVI.43257","DOIUrl":"https://doi.org/10.5812/ACVI.43257","url":null,"abstract":"Background: Endomyocardial biopsy (EMB) is currently the method of choice for the definite diagnosis of acute allograft heart rejection after transplantation. But, it is somewhat invasive and expensive and, on occasion, gives rise to serious complications. To find a non-invasive method for the identification of acute allograft rejection, we compared the results between EMB according to the criteria of the international society of heart and lung transplantation (ISHLT) and myocardial deformation indices (color-coded tissue Doppler imaging (TDI)-derived strain and strain rate (SR) imaging). Methods: In 31 heart transplantation recipients followed up in our transplant clinic, EMB was achieved with a time lapse of 3 to 12 months after heart transplantation and color-coded TDI was performed during a 24-hour period after the biopsy procedure. The peak values of systolic strain and SR were determined in all 12 segments of the left ventricle (LV) except the apical segments. Results: All the 31 heart transplantation patients were included in the study. According to the ISHLT’s criteria, 13 EMB samples revealed grade IR rejection and only 1 biopsy sample revealed grade IIR. ROC curve analysis was used for all the 12 LV segments. There were no meaningful correlations between the TDI-derived mean strain and SR values and the EMB results. The only meaningful correlation was between the SR of the infero-basal segment and the pathology result. The area under the curve was 0.73 (P = 0.024). Conclusions: Our results did not reveal a meaningful correlation between TDI-derived strain and SR and EMB results, but colorcoded TDI-derived strain and SR imaging might have a complementary role for the identification of higher grades of acute allograft rejection in heart transplantation recipients. In our study, 1 EMB sample revealed grade IIR and no biopsy sample revealed grade IIIR; thus, a better assessment of the role of strain and SR imaging in predicting rejection requires further research with higher numbers of patients including higher grades of acute allograft rejection and novel techniques of stain rate imaging like speckle-tracking 2D strain imaging.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116983802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary malignant cardiac tumors are rare tumors of the heart with a very poor prognosis. Complete excision is the treatment of choice, but it is dependent on the stage and extension of the tumor. We describe an old man with the initial presenting symptoms of progressive dyspnea. Our assessment revealed moderate pericardial effusion and a large infiltrative right ventricular mass. The initial differential diagnosis included malignant sarcoma, lymphoma, or melanoma. The patient underwent palliative excision of the tumor and chemotherapy. After biopsy, cardiac lymphoma was confirmed.
{"title":"Primary Malignant Cardiac Tumor Presenting with Dyspnea: A Case Report","authors":"Hedieh Alimi, M. Alvandi","doi":"10.5812/ACVI.42537","DOIUrl":"https://doi.org/10.5812/ACVI.42537","url":null,"abstract":"Primary malignant cardiac tumors are rare tumors of the heart with a very poor prognosis. Complete excision is the treatment of choice, but it is dependent on the stage and extension of the tumor. We describe an old man with the initial presenting symptoms of progressive dyspnea. Our assessment revealed moderate pericardial effusion and a large infiltrative right ventricular mass. The initial differential diagnosis included malignant sarcoma, lymphoma, or melanoma. The patient underwent palliative excision of the tumor and chemotherapy. After biopsy, cardiac lymphoma was confirmed.","PeriodicalId":429543,"journal":{"name":"Archives of Cardiovascular Imaging","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115514706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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