The latest issue of CASE is now available with intriguing reports, including “Unveiling the Transverse Fold: An Underrecognized Cause of Severe Aortic Regurgitation” by Nallamala et al. andIntracardiac Echocardiography as the Sole Imaging Modality for Guidance of a Challenging Commissural Mitral Valve Transcatheter Edge-to-Edge Repair” by Canovas-Rodriquez et al. CASE Editor-in-Chief Vincent Sorrell, MD, FASE, remarked, “In my opinion, CASE is primarily an educational tool that aims to inform its readers, our Society members, about findings on echocardiography that may have been overlooked and are newly understood. Nallamala et al. have beautifully added to this editor’s image bank in an elegant report that carefully describes an underrecognized cause of AR. Using high quality TEE and correlating with cardiac CT as well as gross pathology, readers can appreciate that on occasion, the AV cusps may have unique transverse folds that result in leaflet prolapse and AR. This is a must-read CASE report.”

“CASE is also an educational outlet to inform us about innovative uses of not only echocardiography, but all methods of CV imaging. Once again, this issue has expanded our horizons by demonstrating the potential utility of intracardiac echocardiography (ICE) as the sole imaging modality to  guide a complex M-TEER procedure. Canovas-Rodriquez et al. do an exceptional job of helping us to understand the strengths and limitations of this approach. They provide readers with a step-by-step approach inclusive of outstanding images that can be referenced for other interventional echocardiographers finding themselves without a safe TEE option.”

Madathil et al. continue the educational offerings of the Interventional Echocardiography category in their case of a relatively rare complication after percutaneous balloon mitral valvuloplasty. Further awaiting readers are the striking images of two Pericardial Pathologies reports, including an important hemodynamic case of localized LV tamponade and the discovery of a 16.5-centimeter pericardial cyst. Rounding out this issue is a report in Fetal Echocardiography that provides pediatric and fetal echo labs with an improved understanding of left atrial pathologies. Any readers who manage patients with complex congenital heart diseases like hypoplastic left heart syndrome will want to take a closer look. Dr. Sorrell wishes everyone a “funky” new year in his editorial and hopes CASE will continue to serve as a vital resource to labs in their natural evolution; whether it be demonstrating new technologies, new acquisition styles, or deeper insights into lesser understood pathologies, CASE is the place!

Check out the newest Sonographer Sound-Off (SSO) on the CASE Homepage, an interactive feature that provides an opportunity for sonographers to share tips and tricks they have learned in everyday practice. Congratulations to Rachel Wadsworth, BS, RDCS, Carson Homuth, BS, RDCS, FASE, and Sachiyo Igata, PhD, ACS, RDCS (AE, PE), RCCS, FASE from University of California San Francisco Medical Center, San Francisco, California, for supplying the images and text for this SSO.

To challenge your imaging and diagnosis skills, visit the CASE Homepage to see the latest Unlock the CASE image quiz, submitted by Ashutosh Yadav, MD, DM, Shivam Goel, MD, and Sourabh Agstam, MD, DM, from Sree Chitra Tirunal Institute for Medical Sciences and Technology, Kerala, India and All India Institute of Medical Sciences, New Delhi, India.

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Publish date

January 21, 2026

Topic

  • CASE