• Title/Summary/Keyword: echocardiography

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Atrial Myxoma [A Report of 5 Cases] (심장 점액종 치험:5례 보고)

  • Choe, Yong-Dae;Kim, Min-Ho;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.25 no.7
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    • pp.756-762
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    • 1992
  • From August 1990 to October 1991, we performed operation on 5 patients with cardiac myxoma, which was located in the left atrium, There was 1 male and 4 female patients ranging in age 45 years to 61 years. Chief complaints included exertional dyspnea, palpitation, cough, orthopnea, general weakness. M-mode and two dimensional echocardiography provided an accurate diagnosis in all cases which was utilized as safe, reliable and noninvasive imaging modalities. In all cases, myxoma was excised successfully. Follow up is current. No recurrent myxoma has been identified clinically or by echocardiography. In this series, excellent results were obtained by simple excision of the tumor, with or without a margin of normal atrial septum.

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Atrial Septal Defect in Dogs (개에서 심방중격결손의 증례)

  • 정주현;엄기동;장광호;오태호;이영원;장동우;윤정희
    • Journal of Veterinary Clinics
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    • v.19 no.1
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    • pp.110-113
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    • 2002
  • An atrial septal defect (ASD) is a congenital hole in the atrial septum that allows flow between the two atria. Small ASDs are usually well-tolerated defects and do not result in significant clinical abnormalities. In large ASDs or in the presence of other cardiac defects, clinically significancy is increased. Atrial septal defects in 2 Dogs with cardiac and respiratory signs were diagnosed at seoul animal medical center. In ascultation, systolic murmur and the splitting of second heart sound were heard at pulmonary or tricuspid valve region. In radiograph, right-sided cardiomegaly, pulmonary artery dilation, increased pulmonary vasculature makings, and pleural effusion or pulmonary edema signs were observed. In echocardiography, the region, location and size of septal defect was identified. Also, the direction and degree of shunt was measured. These dogs were treated with medicine for cardiac failure. One dog is well-tolerated, the other dog died.

Diagnostic Imaging of Tricuspid and Mitral Valve Dysplasia in a Cat (고양이에서 삼첨판과 승모판의 형성이상 진단 증례)

  • Jung, Joo-Hyun;Chae, Woong-Joo;Chang, Jin-Hwa;Kim, Dae-Yong;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.444-448
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    • 2007
  • An intact female, 2 month old, domestic short hair cat, weighing 0.82kg with a history of respiratory distress, anorexia, and depression for 3 days was referred. In laboratory examination, there were no remarkable abnormalities. Radiographic findings mainly included pleural effusion, dilation of pulmonary vessels, pulmonary edema, and ascites. Echocardiography showed dilation of four cardiac chambers, malformation of the tricuspid and mitral valve, and atrioventricular valve regurgitant jet flow. The cat was euthanized by client's request and confirmed to the tricuspid and mitral valve dysplasia by necropsy and histopathologic examination.

Echocardiographic features of accessory mitral valve tissue presenting left ventricular outflow tract obstruction in a dog

  • Kim, Soyeon;Lee, Sang-Kwon;Choi, Jihye
    • Journal of Veterinary Science
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    • v.22 no.4
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    • pp.57.1-57.7
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    • 2021
  • In a 3-year-old Samoyed, aortic bulging was found on radiography during a general check-up. On echocardiography, turbulent flow was found in left ventricular outflow tract (LVOT) with high velocity (6.1 m/s). A linear structure was attached to the interventricular septum and connected to the chordae tendineae reaching the papillary muscle. A part of the structure moved during cardiac cycle, similar to mitral motion. This dog was diagnosed with LVOT obstruction caused by accessory mitral valve tissue (AMVT). This is the first report of AMVT in veterinary medicine. AMVT should be considered as a possible cause of LVOT obstruction in dogs.

Echocardiographic features of indirect Gerbode defect in a cat

  • Lee, Sang-Kwon;Lee, Namsoon;Cho, Kyoung-Oh;Soliman, Mahmoud;Yun, Munsu;Choi, Jihye
    • Korean Journal of Veterinary Research
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    • v.59 no.3
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    • pp.161-163
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    • 2019
  • This report describes the echocardiographic features of an indirect Gerbode defect in a young cat. Echocardiography revealed high-velocity, turbulent systolic flow directed from left ventricle to right ventricle through a ventricular septal defect. The flow immediately entered the right atrium through a tricuspid septal leaflet. The indirect-type Gerbode defect was confirmed through necropsy. When a high-velocity turbulent flow in the RA without pulmonary hypertension is observed on echocardiography, Gerbode defect should be considered.

Calcified Dirofilaria immitis Mimicking Thoracic Foreign Body in a Dog

  • Yeongseok Jeong;Seungjo Park
    • Journal of Veterinary Clinics
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    • v.40 no.6
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    • pp.457-463
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    • 2023
  • A 13-year-old neutered male Pomeranian, weighting 3 kg, presented with respiratory distress and depression. Radiographic examination revealed calcified ring-like opacities in the main pulmonary artery, mimicking thoracic foreign bodies. Additionally, right heart and main pulmonary artery enlargement and notable lung infiltrations were also observed. Echocardiography showed coil shaped structures in the main pulmonary artery with increased echogenicity compared to other nearby heartworms, which is consistent with calcified Dirofilaria immitis (heartworms). The dog was diagnosed with caval syndrome, which is the advanced and severe manifestation of heartworm infection. This report presents a rare case of calcified heartworm infection observed during a radiological examination, which resemble foreign bodies. Therefore, chronic heartworm disease should be considered as a differential diagnosis when radiopaque ring-like opacities are observed in the pulmonary artery on thoracic radiographs.

A Case of Exceptionally Rapid Growing Cardiac Myxoma (비정상적으로 급속 성장한 심장점액종 1예)

  • Bae, June-Ho;Choi, Jae-Woong;Hong, Geu-Ru;Ryu, Sung-Kee;Park, Ji-Young;Jung, Yu-Min;Lee, Jae-Hoon;Choi, Seung-Kyu
    • Journal of Yeungnam Medical Science
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    • v.27 no.2
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    • pp.155-158
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    • 2010
  • Myxoma is the most common type of primary cardiac tumor and about 75% of myxomas occur in the left atrium of the heart. Most myxomas are diagnosed by echocardiography. The growth rate of myxoma is clearly unknown and newly developed myxoma is difficult to understand clearly the onset of growth. We describe the case of a newly developed huge left atrial myxoma($7{\times}7cm$)which showed no echocardiographic evidence of the tumor four years ago. Four years later the patient underwent transthoracic echocardiography due to preoperative evaluation that was normal. Nine months later, she presented with dyspnea. Transthoracic echocardiography showed a large mass located in left atrium. Pathology showed a myxoma that measured $7{\times}7cm$ implying a growth rate of $0.15{\times}0.15cm/month$.

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Effect of adenotonsillar hypertrophy on right ventricle function in children

  • Lee, Jin Hwan;Yoon, Jung Min;Lim, Jae Woo;Ko, Kyung Og;Choi, Seong Jun;Kim, Jong-Yeup;Cheon, Eun Jung
    • Clinical and Experimental Pediatrics
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    • v.57 no.11
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    • pp.484-488
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    • 2014
  • Purpose: Chronic upper airway obstruction causes hypoxemic pulmonary vasoconstriction, which may lead to right ventricle (RV) dysfunction. Adenotonsillar hypertrophy (ATH) is the most common cause of upper airway obstruction in children. Therefore, we aimed to evaluate RV function in children with ATH. Methods: Twenty-one children (male/female, 15/6; mean age, $92.3{\pm}39.0$ months; age range, 4-15 years) with ATH and 21 healthy age- and gender-matched controls were included in this study. Tricuspid annular plane systolic excursion and RV myocardial performance index were measured by transthoracic echocardiography. Further, the plasma level of N-terminal of probrain natriuretic peptide (NT-proBNP), an indicator of RV function, was determined. Results: The snoring-tiredness during daytime-observed apnea-high blood pressure (STOP) questionnaire was completed by the patients' parents, and loud snoring was noted in the ATH group. The plasma NT-proBNP level was significantly higher in the ATH group than that in the controls ($66.44{\pm}37.63pg/mL$ vs. $27.85{\pm}8.89pg/mL$, P=0.001). The echocardiographic parameters were not significantly different between the groups. Conclusion: We were unable to confirm the significance of echocardiographic evidence of RV dysfunction in the management of children with ATH. However, the plasma NT-proBNP level was significantly higher in the ATH group than that in the control, suggesting that chronic airway obstruction in children may carry a risk for cardiac dysfunction. Therefore, more patients should be examined using transthoracic echocardiography. In addition, pediatricians and otolaryngologists should consider cardiologic aspects during the management of children with severe ATH.