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Kevin Velarde-Acosta, Josh Yefry Moscoso Ramirez, Jose M Medina-Maguiña, Roberto Baltodano-Arellano
• Hypoplasia of the MV posterior leaflet is a rare congenital anomaly. • Differential diagnosis includes other anomalies of the mitral apparatus. • TTE and TEE are cornerstones for proper preoperative planning. • HPMVL tends to be incompatible with life. • Association of HPMVL with a BAV is extraordinarily rare.
March 2024: CASE: Cardiovascular Imaging Case Reports
#2
Matthew C Schwartz, Jorge Alegria, Joseph Paolillo, Markus Scherer
• Congenital valvar PS is a rare cause of heart failure in the geriatric population. • Transcatheter PV dilation is an effective treatment of congenital PS in older adults. • Cardiac CT can be very useful in the evaluation of suspected valvar PS in adults.
March 2024: CASE: Cardiovascular Imaging Case Reports
#3
Prashanth Venkatesh, Ruchira Garg
• Unroofed CS is a rare cause of atrial-level shunting and right heart dilatation. • Unroofed CS is commonly diagnosed in adulthood. • TTE is the primary modality to recognize and diagnose unroofed CS. • CCT and/or magnetic resonance imaging should be done as complementary studies before CS repair.
March 2024: CASE: Cardiovascular Imaging Case Reports
#4
Raja Ezman Raja Shariff, Mohd Rahal Yusoff, Khairul Shafiq Ibrahim, Sazzli Kasim
• TR can be due to either primary or secondary causes. • Primary TR due to congenital hypoplasia of leaflets is rare. • Multimodality imaging is key in identifying the cause of TR.
March 2024: CASE: Cardiovascular Imaging Case Reports
#5
Maliha Butt, Husban Halim, Ataul Qureshi, Ryan Koene, Su Aung, Tara Karamlou, Ashish Saini
• Cor triatriatum is an important cause of HF and atrial arrhythmias in young adults. • Misdiagnosis can cause inappropriate interventions and delay in surgical treatment. • Integrated imaging is useful in describing anatomy and associated abnormalities. • Collaboration between hospitals and cardiac specialties helps prevent poor outcomes.
March 2024: CASE: Cardiovascular Imaging Case Reports
#6
Kathryn I Sunthankar, Angela J Weingarten, Thomas P Doyle, George T Nicholson, Sudeep D Sunthankar
• Multimodality imaging is important in patients with ACHD and challenging anatomy. • Complex congenital anatomy and physiology requires multidisciplinary discussions. • Image-guided percutaneous intervention may be warranted after TAPVR repair.
March 2024: CASE: Cardiovascular Imaging Case Reports
#7
EDITORIAL
Vincent L Sorrell
No abstract text is available yet for this article.
March 2024: CASE: Cardiovascular Imaging Case Reports
#8
Matthew Denton, Jordan P Vitt, Ashley B Saunders, Sonya Wesselowski
• DORA should be considered in cases with radiographic evidence of LA enlargement. • TTE can diagnose DORA. • Cats with DORA may remain undiagnosed until adulthood.
March 2024: CASE: Cardiovascular Imaging Case Reports
#9
Xi E Li, Doff B McElhinney, George K Lui, Daniel E Clark, Jennifer P Woo
• SOVA is a rare cardiac anomaly. • Ruptured SOVA carries a high mortality rate. • SOVA often coexists with other congenital lesions, most commonly VSD and bicuspid AV. • Ruptured SOVA needs repair; percutaneous repair is a safe alternative to surgery. • Echo plays a vital role in both diagnosing SOVA and guiding percutaneous closure.
March 2024: CASE: Cardiovascular Imaging Case Reports
#10
Richard Joseph Malone, Everett Randall Henderson, Zachary Ryan Wilson, Matthew R McMullan, Thomas N Skelton, William F Campbell, Michael R McMullan
• DCRV is a rare cardiac anomaly leading to subvalvular RVOT obstruction. • DCRV is most frequently found in children but can occur in adults. • Adults with DCRV are often initially misdiagnosed. • Echocardiography is the first-line imaging modality to visualize this anomaly. • Providers should be aware of this condition and the associated image findings.
March 2024: CASE: Cardiovascular Imaging Case Reports
#11
Ahmad M Harb, Abdelraouf Salah, Boluwaduro Adeyemi, Oluwafunmbi Fatumnbi, Amjad M Harb, Ravi Kumar, S Chris Malaisrie
• UAV is a rare clinical entity often misdiagnosed as BAV. • UAV can manifest with isolated AR. • UAV has a bimodal distribution: acommissural (infants) or unicommissural (adults). • TEE or cardiac magnetic resonance should be considered in younger patients with BAV. • Aortopathy can occur without severe UAV stenosis.
March 2024: CASE: Cardiovascular Imaging Case Reports
#12
Joseph Sebastian, John Dawdy, Chandra Ala, Kenton Zehr, Pooja Gupta, Luis Afonso
• Multidisciplinary management is essential for complications post–Ross procedure. • Symptomatic coronary ischemia may occur late in Ross procedure patients. • Coronary ostium narrowing is a differential for ischemia post–Ross procedure. • TEE can aid in diagnosing coronary stenosis in a Ross procedure patient. • TTE may miss eccentric AR post–Ross surgery; high suspicion justifies TEE.
March 2024: CASE: Cardiovascular Imaging Case Reports
#13
Lindsey Croll, Michael Ellerman, Muhammad J Ahsan, Manik Veer
• ALCAPA presenting in adulthood is a rare cause of ischemic cardiomyopathy. • An unexplained dilated RCA should raise concern for ALCAPA. • Multimodality imaging is helpful for diagnosis, but often echo alone can be diagnostic. • Treatment is reimplantation of the LMCA.
March 2024: CASE: Cardiovascular Imaging Case Reports
#14
Nakeya Dewaswala, Shaunak Mangeshkar, Huzefa Bhopalwala, John C Gurley, Andrew R Leventhal
• Fistula between the PLSVC and the LA is a rare congenital condition. • Patients can present as adults with cerebrovascular accidents and dyspnea. • Percutaneous correction using a covered stent is feasible.
March 2024: CASE: Cardiovascular Imaging Case Reports
#15
Kathryn Wershing, Joseb Colon, Jorge Alegria, Joseph Paolillo, Daniel Wallihan, Matthew Schwartz
• LV pseudoaneurysm formation is rare after congenital heart disease repair. • Conservative management of LV pseudoaneurysm was successful in this unique case. • CCT and 3D printing are valuable in the characterization of LV pseudoaneurysm.
March 2024: CASE: Cardiovascular Imaging Case Reports
#16
Raja Ezman Raja Shariff, Mohd Rahal Yusoff, Khairul Shafiq Ibrahim, Sazzli Kasim
• Unilateral absence of the pulmonary artery (UAPA) is a rare congenital condition. • Patients with UAPA may present initially following recurrent bouts of pneumonia. • Echocardiography remains a useful tool for diagnosis in resource-limited settings.
March 2024: CASE: Cardiovascular Imaging Case Reports
#17
Isla McClelland, Saurabh Rajpal, Curt Daniels
• Ebstein anomaly (EA) has varied presentations that require complex decision-making. • Imaging is important before surgery to optimize timing and choose method of repair. • Postoperatively, patients with EA require follow-up with multimodality imaging.
March 2024: CASE: Cardiovascular Imaging Case Reports
#18
Muhammad Najih Liaqath Ali, Samantha Fitzsimmons, James Shambrook, Reginald Ragunathan Iruthayanathan
• Thoracic vascular rings are congenital anomalies with varied symptomatology. • Suspect and rule out vascular ring in unexplained upper airway/esophageal obstruction. • Include additional AA and pulmonary branch views in ACHD echo protocol. • Cross-sectional cardiac imaging helps in unambiguous surgical planning.
March 2024: CASE: Cardiovascular Imaging Case Reports
#19
Desireé R Conrad, Jennifer P Woo, George K Lui, Daniel E Clark
• Echo is an essential tool for monitoring long-term complications of D-TGA with ASO. • Multimodality imaging is complementary to echo in the assessment of complications. • 4D flow CMR can assess supravalvular PS post ASO. • Branch pulmonary arteries after LeCompte maneuver can be challenging to image.
March 2024: CASE: Cardiovascular Imaging Case Reports
#20
Conor P O'Halloran, Jeremy Fox, Andrada Popescu, Matthew Cornicelli, Paul Tannous, Amanda Hauck
• Residual MAPCAs result in post-tricuspid shunt and PH. • Distinction between PH and conduit stenosis requires attention to TTE findings. • Management of complex adult CHD should be reserved for centers with expertise. • A multimodal imaging approach is often required to complete this understanding.
March 2024: CASE: Cardiovascular Imaging Case Reports
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