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Journal of Clinical Ultrasound: JCU

Jeong Hee Oh, Yun Woo Chang, Eun Ji Lee
Ectopic thyroid and fourth branchial cleft anomaly are rare congenital anomalies of the neck. This is a case report of the coexistence of these two rare congenital anomalies in a 1-year-old girl. She had ectopic lingual thyroid and asymptomatic abscess in the fourth branchial cleft cyst, which was found in ultrasonography carried out to evaluate congenital hypothyroidism. To the best of our knowledge, this is the first reported case of ectopic thyroid coexisting with fourth branchial cleft anomaly in the same patient...
October 4, 2018: Journal of Clinical Ultrasound: JCU
Wei Zhou, Ying Zhu, Lu Zhang, Shangyan Xu, Weiwei Zhan
OBJECTIVE: To evaluate the sonographic ultrasound (US) appearances of adrenal gland schwannomas. MATERIALS AND METHODS: This was a retrospective analysis of 15 cases of schwannomas involving the adrenal gland. The following US features were assessed: size, border, echogenicity, homogeneity, intralesional cystic necrosis, presence of septa, intralesional calcification, posterior acoustic enhancement and blood supply. RESULTS: Of the 15 tumors, seven (46...
October 3, 2018: Journal of Clinical Ultrasound: JCU
Jatinder S Minhas, Ronney B Panerai, George Ghaly, Pip Divall, Thompson G Robinson
PURPOSE: International guidelines advocate intensive blood pressure (BP) lowering within 6 hours of acute intracerebral hemorrhage (ICH) to a target systolic BP of 130-140 mm Hg, though more intensive lowering may be associated with adverse outcome. Observational studies suggest impaired cerebral autoregulation (CA) following ICH. Transcranial Doppler ultrasonography (TCD), alongside continuous BP monitoring, provides a noninvasive bedside investigation that offers detailed perspectives on physiological perturbations post-acute ICH...
September 30, 2018: Journal of Clinical Ultrasound: JCU
Qing Wu, Yanping Jin, Lin Zhou, Yongfang Liu, Daozhu Wu
RATIONALE: Ventricular septal dissecting aneurysms are rarely caused by congenital coronary artery fistulas. PATIENT CONCERNS: We present a rare case of ventricular septal dissecting aneurysm that resulted from a congenital coronary artery fistula in a 41-year-old female patient with the complaint of chest pain. DIAGNOSIS: Ventricular septal dissecting aneurysm resulting from a right coronary artery fistula. INTERVENTIONS: The patient was advised to receive transcatheter interventional therapy in the department of cardiology...
September 27, 2018: Journal of Clinical Ultrasound: JCU
Alon Shrim, Renata Yakubov, Moshe Bronshtein, Ron Beloosesky
No abstract text is available yet for this article.
September 23, 2018: Journal of Clinical Ultrasound: JCU
Francisco Ortuño-Andériz, Tomás Fariña-González, Noemí Cabello-Clotet, Inés García-González, Irene Cid-Tovar, Fernando Martínez-Sagasti
No abstract text is available yet for this article.
September 23, 2018: Journal of Clinical Ultrasound: JCU
Rozi Aditya Aryananda, Aldika Akbar, Manggala Pasca Wardhana, Khanisyah Erza Gumilar, Budi Wicaksono, Ernawati Ernawati, Agus Sulistyono, Aditiawarman Aditiawarman, Hermanto Tri Joewono, Erry Gumilar Dachlan, Anupam Parange, Gustaaf Albert Dekker
OBJECTIVE: This study aimed to determine the role of three-dimensional (3D)/four-dimensional (4D) volume rendering ultrasound (VRU) in the diagnosis of abnormally invasive placenta (AIP). MATERIALS AND METHODS: Twelve consecutive patients strongly suspected of having AIP on the basis of conventional ultrasound (US) and clinical history performed between September 2016 and December 2016 in the main tertiary referral hospital in Surabaya, East Java were included in this prospective observational study...
September 23, 2018: Journal of Clinical Ultrasound: JCU
Gad Liberty, Ron Bardin, Yinon Gilboa, Ana Tover, Reuven Mashiach, Eyal Mazaki, Ori Shen
A 26-years-old woman, underwent an ultrasound examination at 13.4 weeks. A cystic structure was identified in the right lower abdomen. Gradually, the cystic mass was replaced by echogenic content and eventually attained the appearance of hyperechoic bowel. At 21.2 weeks, the anal sphincter could not be demonstrated which was consistent with the diagnosis of isolated anal agenesis. Amniocentesis revealed 46XY karyotype with normal comparative genomic hybridization. After termination of pregnancy at 23 weeks, an autopsy revealed an isolated high type anorectal malformation (ARM) without fistula...
September 19, 2018: Journal of Clinical Ultrasound: JCU
Tuncay Kırış, Eyüp Avcı
OBJECTIVE: To investigate whether repetitive measurements of speckle tracking echocardiography (STE)-derived strain (S) and strain rate (SR) could reveal changes in left ventricular function in patients with nonischemic dilated cardiomyopathy treated with levosimendan. METHODS: We included 22 consecutive patients (age 53 ±12 years) with an ejection fraction (EF) below 35% and New York Heart Association (NYHA) class III-IV symptoms that required intravenous inotropic support despite optimal medical therapy...
September 19, 2018: Journal of Clinical Ultrasound: JCU
Li Xiao-Dong, Liu Xin-Yao, Xu Hui, Wang Xiao-Cong
Subaortic stenosis (SAS) is a congenital heart disease, and its association with hypertrophic cardiomyopathy is very rare and clinically underappreciated. We report here a case of a 45-year-old female who was admitted to our hospital with chest tightness and shortness of breath. Both transthoracic and transesophageal echocardiography revealed asymmetric left ventricular hypertrophy and a membrane-like echo below the level of the aortic valve. This patient was diagnosed with membranous SAS with hypertrophic cardiomyopathy...
September 19, 2018: Journal of Clinical Ultrasound: JCU
Yanxiang Zhou, Jinling Chen, Bo Hu, Sheng Cao, Qing Zhou, Ruiqiang Guo
PURPOSE: The availability of dual Doppler echocardiography (DDE), which facilitates the simultaneous recording of Doppler waveforms at two different sites, has enhanced ability to assess single-beat atrial mechanical delay. We sought to investigate the predictive value of intra-left atrial mechanical delay for atrial fibrillation (AF) recurrence after radiofrequency catheter ablation (RFCA) with DDE. METHODS: Eighty-six patients with paroxysmal AF scheduled to undergo RFCA were prospectively enrolled...
September 19, 2018: Journal of Clinical Ultrasound: JCU
Przemyslaw Kosinski, Mahmoud Ismail, Jacques S Abramowicz
Most guidelines on ultrasound examinations during pregnancy do not recommend routine early pregnancy scan in uncomplicated and asymptomatic pregnancies (ie, before 10 weeks based on last menstrual period). There is, however, a growing patient's expectation to have an early scan to confirm dating and verify the pregnancy is intrauterine and viable. We present three well-documented cases of patients who had an early (7-8 weeks) dating transvaginal scan revealing pleural effusion in the embryo. In all cases cytogenetic analysis confirmed monosomy for the X chromosome, consistent with a clinical diagnosis of Turner syndrome...
September 19, 2018: Journal of Clinical Ultrasound: JCU
Zhi Qi, Sheng Liu, Fujian Duan
OBJECTIVES: Several trials are investigating the delivery of stem cells to treat ischemic cardiomyopathy. The aim of this study was the echocardiographic evaluation of the effectiveness of isolated coronary artery bypass graft (CABG) combined with bone marrow mononuclear cells (BMMNC) delivered through the graft vessels to improve left ventricular dyssynchrony in patients with previous myocardial infarction and chronic heart failure. METHODS: 42 patients with previous myocardial infarction and chronic heart failure were randomly allocated to either the CABG only group (n = 18) or the CABG with BMMNC graft group (n = 24group)...
August 30, 2018: Journal of Clinical Ultrasound: JCU
Gurpreet S Dhillon, Caraciolo J Fernandes, Asra Khan, Jeffrey S Heinle, Keila N Lopez
Aortopulmonary window (APW) is a rare form of congenital heart disease seen in isolation or with complex cardiac lesions. APW has been associated with other cardiac defects such as interrupted aortic arch and Tetralogy of Fallot, but few cases have been reported of APW associated with transposition of the great arteries (TGA). In a newborn with TGA and intact ventricular septum, diagnosis of APW requires a high index of suspicion. This article reviews the literature on TGA with APW and illustrates the importance of additional evaluation in neonates with TGA when oxygen saturation and PaO2 do not match predicted clinical values...
August 30, 2018: Journal of Clinical Ultrasound: JCU
Yujen Tseng, Feng Li, Jian Wang, Shiyao Chen, Wei Jiang, Xizhong Shen, Shengdi Wu
PURPOSE: Noninvasive evaluation of portal hypertension is needed for cirrhotic patients with large esophageal varices. This study was aimed at assessing the diagnostic value of liver/spleen stiffness in predicting hepatic vein pressure gradient (HVPG) in this special population. METHODS: In the present prospective cohort study, liver/spleen stiffness was measured by transient elastography. Patients also underwent HVPG assessment, upper gastrointestinal endoscopy, and other noninvasive serum models...
August 21, 2018: Journal of Clinical Ultrasound: JCU
Manisha Kumar, Priyam
Hypoplastic left heart syndrome (HLHS) represents a spectrum of abnormalities which marks the underdevelopment of left side cardiac structures. We present the ultrasound and autopsy correlation of two cases with HLHS with core pathology as isolated mitral atresia in one and aortic atresia in another. In both the cases after diagnostic confirmation on ultrasound (US), the couple opted for termination of pregnancy and consented for autopsy. The correlation of US and autopsy images of HLHS, facilitated our understanding of pathology behind the image obtained on US...
August 16, 2018: Journal of Clinical Ultrasound: JCU
Juan Luis Alcázar, Laura Bonilla, Julia Marucco, Ana Isabel Padilla, Enrique Chacón, Nabil Manzour, Aina Salas
PURPOSE: To evaluate the risk of endometrial cancer and/or endometrial hyperplasia with atypia in asymptomatic postmenopausal women with endometrial thickness ≥ 11 mm. METHODS: Systematic review of literature using database search (PubMed and Web of Science) of articles published between January 1990 and December 2016 evaluating the correlation between endometrial thickness as measured by transvaginal ultrasound (double layer) and histopathological findings in asymptomatic postmenopausal women, using the following terms: "endometrial thickness," "postmenopausal," "postmenopause," and "asymptomatic...
August 16, 2018: Journal of Clinical Ultrasound: JCU
Cihan Inan, Niyazi Cenk Sayin, Hakan Gurkan, Selen Gursoy Erzincan, Isil Uzun, Havva Sutcu, Emine Ikbal Atli, Fusun Varol
Posterior encephalocele is a neural tube defect, which is a sac-like protrusion of the neural tissue and cerebrospinal fluid through a defect in the occipital bone. This embryonic anomaly may coexist with cortical dysplasia, agenesis of the corpus callosum, hydrocephalus, microcephaly, craniofacial abnormalities, ventricular and atrial septal defect. We report a case of a large posterior encephalocele in a fetus accompanied by unexpected major abnormalities including transposition of the great arteries, severe ventriculomegaly and cerebellar atrophy...
August 14, 2018: Journal of Clinical Ultrasound: JCU
Xiangming Zhu, Yang Ya, Guobing Hu
We retrospectively analyzed the echocardiographic findings of eight patients with left ventricular noncompaction (LVNC) and concurrent coronary artery disease. This study was conducted in Yijishan Hospital between January 2012 and May 2017. Of the eight patients, six were diagnosed with coronary arterial atherosclerosis, one patient with coronary pulmonary fistula, and one with coronary myocardial bridge. Regional wall motion abnormalities were detected in all patients. Echocardiography can provide significant information about LVNC in patients with coronary artery disease...
August 14, 2018: Journal of Clinical Ultrasound: JCU
Daniel M Patton, Terry Li, Marie-France Hétu, Andrew G Day, Erika Preece, Murray F Matangi, Amer M Johri
PURPOSE: Circumferential speckle tracking carotid artery strain is a novel method of quantifying vessel wall stiffness. We hypothesized that carotid wall stiffness would be associated with carotid intimal medial thickening (a medial process associated with risk factors), but not coronary artery disease (an intimal process). METHODS: Bilateral carotid artery ultrasound was conducted on outpatients who had previously undergone elective coronary angiography. Mean carotid artery far wall circumferential strain (FWCS) was assessed for correlations with coronary angiographic stenosis, cardiac risk factors, carotid intima-media thickness (CIMT), and carotid plaque...
August 13, 2018: Journal of Clinical Ultrasound: JCU
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