The latest issue of CASE is now available with intriguing reports, including “Aortic Stenosis With Dynamic Left Ventricular Outflow Obstruction: Diagnostic and Management Challenges—A Case Series.” CASE Editor-in-Chief Vincent Sorrell, MD, FASE,
remarked, “One of the commonly encountered, but difficult diagnostic and clinical scenarios, is the patient with serial obstructive lesions. Fortunately, for CASE readers, they now have an outstanding CASE series from Qian et al. who took the time to prepare many such examples. Using CASE report formats to educate us, these authors provide us with their expert insights and approach to three diverse clinical examples—using Doppler as well as 2D and 3D echocardiography to guide the assessment of the hemodynamic significance at each level of serially obstructive lesions. Starting with TTE as the diagnostic modality of choice, they also discuss the incremental value of TEE and invasive hemodynamics. This is another CASE report you will want in your growing file of CASE reports included in your Echo Lab Educational Curriculum Folder.”
In addition to this Doppler Dilemmas report, Ochi et al. demonstrate a “dove-coo murmur” that originated from pulmonary regurgitation, revealing how to compare visual signals on spectral Doppler displays with their audio counterparts. This issue continues with two reports in the Congenital Heart Disease category. Shaw et al. report on a venous anomaly where the right SVC and IVC drained into the LA, including echo Doppler images to show the associated shunt lesions and cardiac CT images used to guide surgical repair. Chen et al. use echo and cardiac CT for a patient with bicuspid AV, an anomalous coronary artery, and a congenitally malformed papillary muscle – a reminder of how often adults are affected by previously undiagnosed congenital heart disease. Fetal Echocardiography rounds out this issue, with Tunks et al. reporting on an infant with a tortuous, elongated left-sided aortic arch, offering suggestions on how to approach antenatal diagnoses and the importance of multidisciplinary serial follow up.
Dr. Sorrell’s editorial describes the relatively recent transition from analog to digital echo, assessing the benefits of this transition while reminiscing on the technology that served us well at the time. Be sure to check out the latest Unlock the CASE on the CASE homepage, which was the winning entry from the Cardio-oncology SIG Case Competition.
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