The latest issue of CASE is now available with intriguing reports, including “Coronary Artery Aneurysm Rupture in Kawasaki Disease and SARS-CoV-2 Infection” by Wood et al. Editor-In-Chief Vincent L. Sorrell, MD, FASE, remarked, “This CASE report describes an amazing rapid increase in coronary artery dimensions in a two month old with acute Kawasaki disease. Their images graphically demonstrate the profound changes seen with serial transthoracic echocardiography. The proximal coronaries were demonstrated to increase from normal size to large aneurysms with Z scores of >8 (RCA) and >20 (LAD) on day nine. I was flabbergasted by the massive dilation that occurred [over such a short time-frame] and saddened, but not entirely surprised, by the devastating clinical outcome.”
This issue presents two cases in Valvular Heart Disease, including one involving acute transvalvular MR after bioprosthetic MVR, and a report illustrating unique approaches to the management of acute prosthetic valve embolization including LVAD setting manipulation. Just Another Day in the Echo Lab offers two reports, one exemplifying the potential clinical merit of manufactured ultrasound enhancing agents to reveal the actual grade of MR, and another showing the value of TTE for patients presenting with a clinical syndrome suspicious for an acute myocardial infarction. Finally, a report for Veterinary Clinical Cardiovascular Medicine contains a surgical video with demonstrations of epicarditis and pericarditis in a dog, exploring the various origins of pericardial pathologies. Dr. Sorrell compares the impact of a worldwide pop star phenomenon to the daily impact of echo in this month’s editorial.
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