The latest issue of CASE is now available with intriguing reports, including “Two- and Three-Dimensional Transesophageal Echocardiographic Detection of Aortic Dissection Rupture With Extension of Dissection Into the Pulmonary Artery” by Nooli et al. Author Nishank P. Nooli, MD, FASE, remarked, “We present a unique case with combined type 1 aortic and pulmonary artery dissection, wherein both 2D and 3D TEE revealed a rupture of the ascending aortic false lumen into the main pulmonary artery. The dissection flaps within the pulmonary artery were distinctly observed, indicating a continuous connection with and extension from the aortic false lumen. Thus, unlike other cases reported in the literature, echocardiography provided a definitive diagnosis of pulmonary artery dissection resulting from aortic dissection rupture.”
In a second Venous and Arterial Diseases report, authors examine reasons for a patient’s iliac stent migration and include image-guided clinical assessment to consider during treatment. This issue presents two cases in Valvular Heart Disease, including a fetal echo discovery of a rare absent pulmonary valve in a patient with tricuspid atresia, as well as a report with some remarkable videos on an unusual cause of aortic regurgitation in a patient with a sinus of Valsalva aneurysm. Cardiac Tumors and Pseudotumors offers two reports, one highlighting a very rare cause for a stroke with a thrombus on the subvalvular aspect of the mitral valve, and another discussing the role of multimodality imaging in two different clinical presentations of Loeffler endocarditis. The Hemodynamic Corner contains a report using Doppler echo to demonstrate the negative physiologic impact of an intra-aortic balloon pump device in a patient with stress cardiomyopathy and HCM with obstruction.
Dr. Sorrell’s editorial recognizes the important contributions of sonographers to both CASE and the Society as a whole, while also addressing some of the insightful sonographer-submitted questions posed during his time as editor-in-chief.
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