The latest issue of CASE is now available with intriguing reports, including “Mitral Regurgitation due to Entrapment of Cut Mitral Chordal Apparatus in a Bileaflet Disk Prosthesis” by Bansal & Rabkin. Editor-In-Chief Vincent L. Sorrell, MD, FASE, remarked, “The authors take the readers on a clinical tour of a 38-year-old man with endocarditis that will have many aspects similar to patients we see weekly in our hospitals. Transferred from another hospital to receive a higher level of care, the patient developed severe MR and heart failure requiring urgent valve surgery. Repair was not feasible, and the patient received a typical bileaflet mechanical mitral valve replacement (MVR). However, after coming off bypass circulation, the intraoperative TEE demonstrated severe MR of the brand-new MVR. The authors do a spectacular job of walking the readers through their discovery of this patient’s pathology – entrapment of some components of the subvalvular apparatus between the MVR housing and disk. Then, they further educate readers by providing a schematic representation of how to assess for valvular and paravalvular regurgitation after MVR. Their report includes 2D and 3D TEE examples as well as drawings and photographs to drive their messaging. I’m sure you will enjoy reading this as much as I enjoyed helping prepare this for CASE.”
This issue presents two additional cases in the Valvular Heart Disease category, including a rare instance of a mitral valve-in-valve-in-valve procedure, and a report with a series of characteristic images of a disease that uniquely impacts the pulmonic and tricuspid valves. Authors in a Multimodality Imaging case submit a varied imaging approach to diagnose biventricular endomyocardial fibrosis complicated by coexisting chronic myeloid leukemia. Finally, a report for Veterinary Clinical Cardiovascular Medicine uses TTE, radiology, gross and histo-pathology to reveal the correlation between diagnostic imaging and pathology in a dog living with severe pulmonary hypertension. Dr. Sorrell’s editorial encourages readers to share their own echo insights through their social media platforms, as these platforms can serve as a valuable educational tool to teachers and learners alike.
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