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Additional Description
Contents
Dedication ix
List of contributors x
Preface xi
Acknowledgements xii
SECTION I: Pericardial Disease
1 Mobile pericardial masses 3
Susan E Wiegers
2 Chronic tamponade 6
Frank E Silvestry
3 Intrapericardial tumor with pericardial effusion 9
Frank E Silvestry
4 Thymoma 12
Susan E Wiegers
5 Constrictive pericardial disease 14
Frank E Silvestry
6 Postoperative tamponade 17
Bonnie L Milas
7 Pleural effusion causing cardiac tamponade 19
Susan E Wiegers
8 Pericardial cyst 22
Susan E Wiegers
9 Loculated pericardial effusion 24
Susan E Wiegers
10 Para-aortic lymphoma 27
Riti Patel
SECTION II: The Right Heart
11 Superior vena cava mass 33
Susan E Wiegers
12 Chiari network-normal variant 36
Susan E Wiegers
13 Tricuspid valve injury after cardiac transplant 39
Susan E Wiegers
14 Tricuspid valve vegetation associated with a
pacemaker wire 44
Victor A Ferrari
15 Ebstein's anomaly 47
Martin St John Sutton and Susan E Wiegers
16 Right atrial thrombus 51
Susan E Wiegers
17 Carcinoid heart disease 54
Susan E Wiegers
18 Right atrial mass-biopsy under echocardiographic
guidance 59
Susan E Wiegers and Muredach P Reilly
19 Persistent left superior vena cava 62
Susan E Wiegers
20 Cardiac neurofibroma 65
Susan E Wiegers
21 Rheumatic valvular disease 68
Susan E Wiegers
22 Tricuspid valve endocarditis 74
Susan E Wiegers
23 Prosthetic tricuspid valve obstruction 78
Martin St John Sutton
24 Multivalvular endocarditis 82
Jorge R Kizer and Susan E Wiegers
25 Right ventricular enlargement-normal finding 85
Susan E Wiegers
26 Severe pulmonary hypertension 87
Susan E Wiegers
27 Right ventricular mass 91
John Augoustides and Susan E Wiegers
28 Right ventricular dysplasia 96
Martin St John Sutton and Vikas V Patel
29 Pectus excavatum 100
Martin St John Sutton and Susan E Wiegers
30 Persistent pulmonary hypertension after
thromboendartectomy 102
Victor A Ferrari
SECTION III: The Pulmonary Artery
31 Pulmonary stenosis 109
Martin St John Sutton
32 Massive pulmonary embolism 112
John Augoustides
33 Endocarditis with pericardial effusion 115
Jorge R Kizer and Susan E Wiegers
34 Pulmonary embolism 118
Elizabeth A Tarka
35 Thrombus associated with a pulmonary artery
catheter 122
Susan E Wiegers
36 Pulmonary artery dissection 124
Gene Chang
37 Acquired pulmonary stenosis after the Ross
procedure 128
Susan E Wiegers
38 Compression of the heart by anterior mediastinal
mass 131
Susan E Wiegers
39 Pulmonary saddle embolism 134
Elizabeth A Tarka
40 Acquired supravalvular pulmonary stenosis 138
Martin St John Sutton and Susan E Wiegers
SECTION IV: The Left Atrium
41 Interatrial septal aneurysm 145
Jorge R Kizer and Susan E Wiegers
42 Lipomatous hypertrophy of the interatrial septum148
Susan E Wiegers
43 Impending paradoxical embolism 151
Elizabeth A Tarka
44 Secundum atrial septal defect 154
Susan E Wiegers and Martin St John Sutton
45 Partial atrioventricular canal defect 158
Martin St John Sutton and Susan E Wiegers
46 Sinus venosus atrial septal defect 162
Susan E Wiegers
47 Left atrial appendage thrombus 165
Susan E Wiegers
48 Left atrial myxoma 167
John Augoustides and Susan E Wiegers
49 Left atrial thrombus 170
Riti Patel
50 Left atrial thrombus and spontaneous contrast 173
Susan E Wiegers
51 Cor triatriatum 176
Martin St John Sutton and Susan E Wiegers
52 Bronchogenic carcinoma invading the left
atrium 179
Victor A Ferrari
SECTION V: The Mitral Valve
53 Mitral valve prolapse 185
Susan E Wiegers
54 Mixed rheumatic valve disease 189
Susan E Wiegers
55 Mitral stenosis with large left atrial thrombus 193
Susan E Wiegers
56 Percutaneous balloon mitral valvuloplasty
under transesophageal guidance 196
Bruce D Klugherz
57 Ischemic mitral regurgitation 199
John Augoustides and Susan E Wiegers
58 Acute papillary muscle rupture 203
Susan E Wiegers
59 Systolic anterior motion of the mural valve causing
left ventricular outflow tract obstruction after mitral
valve repair 206
Susan E Wiegers
60 Systolic anterior motion of the mitral valve
after mural valve replacement 210
Susan E Wiegers
61 Marfan's syndrome 213
Susan E Wiegers
62 Thrombosis of a bioprosthetic mitral valve 217
Susan E Wiegers
63 Rheumatic mitral stenosis and severe
pulmonary hypertension 220
Susan E Wiegers
64 Mitral valve endocarditis 225
Susan E Wiegers
65 Mild mitral stenosis following percutaneous
balloon mitral valvuloplasty 228
Susan E Wiegers and Bruce D Klugherz
66 Prosthetic paravalvular leak 231
Victor A Ferrari
67 Mitral annular calcification 235
Susan E Wiegers
68 Hypertrophic cardiomyopathy and infective
endocarditis 238
Riti Patel
69 Double orifice mitral valve 241
Martin St John Sutton and Susan E Wiegers
SECTION VI: The Left Ventricle
70 Post-infarction ventricular septal defect 245
Susan E Wiegers
71 Bullet in the heart 249
Susan E Wiegers
72 Ventricular mass after lung transplant 252
Susan E Wiegers
73 Anomalous papillary muscle masquerading as a
tumor 256
Martin St John Sutton
74 Pseudoaneurysm 259
Susan E Wiegers
75 Traumatic ventricular septal defect and mural valve
perforation 261
Susan E Wiegers
76 Coronary fistula and traumatic ventricular septal
defect 264
Susan E Wiegers
77 Ventricular septal defect after a myocardial
infarction 266
Susan E Wiegers
78 Left ventricular pseudoaneurysm 269
Susan E Wiegers
79 Biventricular aneurysm 271
Craig H Scott
SECTION VII: Cardiomyopathies
80 Idiopathic hypertrophic sub-aortic stenosis 277
Susan E Wiegers
81 Diastolic dysfunction 280
Martin G Keane
82 Dilated cardiomyopathy-Batista repair 283
Gene Chang
83 HIV-associated cardiomyopathy 287
Robert H Li
84 Radiation-induced heart disease 291
Robert H Li and Susan E Wiegers
85 Endomyocardial fibrosis 297
Susan E Wiegers and Lilian P Joventino
86 Postpartum cardiomyopathy 300
Susan E Wiegers
87 Cardiac amyloidosis 303
Susan E Wiegers
88 Non-obstructive hypertrophic
cardiomyopathy 307
Elizabeth A Tarka
89 Left ventricular dysfunction after surgery in
Marfan's syndrome 310
Martin St John Sutton
90 Left ventricular thrombus 314
Craig H Scott
91 Left ventricular aneurysm and thrombus 317
Craig H Scott
92 Chaga's disease 321
Martin St John Sutton
93 Non-surgical septal ablation in hypertrophic
obstructive cardiomyopathy 324
Susan E Wiegers
94 Restrictive cardiomyopathy 327
Martin St John Sutton and Susan E Wiegers
95 Apical variant of hypertrophic
cardiomyopathy 330
Martin St John Sutton and Susan E Wiegers
96 Complications of left ventricular assist
device-right ventricular failure 334
Muredach P Reilly
97 Complications of left ventricular assist
device-left ventricular thrombosis 337
Muredach P Reilly
SECTION VIII: The Aortic Valve
98 Bicuspid aortic valve 343
Susan E Wiegers
99 Moderate aortic regurgitation 346
Susan E Wiegers
100 Aortic valve fibroelastoma 349
Monali Gupta and Susan E Wiegers
101 Radiation-induced valvular disease 352
Susan E Wiegers
102 Aortic valve ring abscess 356
Susan E Wiegers
103 Calcific aortic stenosis 359
Susan E Wiegers
104 Aortic valve endocarditis and annular abscess 363
Susan E Wiegers
105 Severe aortic regurgitation in a hypertensive
patient 367
Susan E Wiegers
106 Aorta to left atrial fistula 371
Bonnie L Milas
107 Congenitally dysplastic aortic valve 374
Susan E Wiegers
108 Aortic valve prolapse 377
Susan E Wiegers
109 Endocarditis of an aortic valve bioprosthesis 381
Susan E Wiegers
110 Sub-aortic stenosis 384
Susan E Wiegers
111 Aortic valve endocarditis 387
Susan E Wiegers
112 Unicuspid aortic valve 390
Susan E Wiegers
SECTION IX: The Aorta
113 Coronary artery embolism 395
Susan E Wiegers
114 Sinus of Valsalva aneurysm 399
Martin St John Sutton, Susan E Wiegers
and Kuo-Yang Wang
115 Stab wound to the heart 402
Susan E Wiegers
116 Aortic disease-descending and abdominal
aortic aneurysm 404
Frank E Silvestry
117 Pseudoaneurysm of the aorta after aortic valve
reoperation 407
Susan E Wiegers
118 Marfan's syndrome and acute aortic dissection 410
Martin G Keane
119 Kawasaki's disease 415
Martin St John Sutton and Susan E Wiegers
120 Ruptured sinus of Valsalva aneurysm 417
Susan E Wiegers
121 Mycotic aneurysm of the ascending aorta 420
Susan E Wiegers
122 Aortic dissection 423
Frederick F Samaha
123 Postoperative tamponade after aortic valve
replacement 427
Susan E Wiegers
124 Aortic atheroma 430
Eileen MacDonald and Susan E Wiegers
125 Acquired supravalvular aortic stenosis 433
Susan E Wiegers
126 Dilated ascending aorta and descending aortic
plaque 435
Frederick F Samaha
127 Coarctation of the aorta 438
Martin St John Sutton and Susan E Wiegers
128 Chronic aortic dissection 442
Martin G Keane
129 Traumatic aortic rupture 445
Bonnie L Milas
SECTION X: Congenital Disease
130 Perimembranous ventricular septal defect 451
Susan E Wiegers
131 Eisenmenger ventricular septal defect 454
Martin St John Sutton and Susan E Wiegers
132 Holt-Oram heart-hand syndrome 459
Martin St John Sutton
133 Complete atrioventricular canal 462
Martin St John Sutton and Susan E Wiegers
134 Ventricular septal defect with retained
pulmonary artery band 466
Martin St John Sutton and Susan E Wiegers
135 Brock procedure for tetralogy of Fallot 469
Martin St John Sutton and Susan E Wiegers
136 Sub-aortic stenosis after repair of an
atrioventricular canal defect 474
Martin St John Sutton and Susan E Wiegers
137 Aorto-pulmonary window 478
Martin St John Sutton and Susan E Wiegers
138 Tetralogy of Fallot 483
Martin St John Sutton and Susan E Wiegers
139 Anomalous coronary artery from main
pulmonary artery 488
Martin St John Sutton and Susan E Wiegers
140 Scimitar syndrome 490
Martin St John Sutton and Susan E Wiegers
141 Patent ductus arteriosus in a newborn 493
Martin St John Sutton and Susan E Wiegers
142 Patent ductus arteriosus 496
Martin St John Sutton and Susan E Wiegers
143 Corrected transposition of the great arteries 501
Martin St John Sutton and Susan E Wiegers
144 Transposition of the great vessels: Mustard intra
atrial repair 503
Martin St John Sutton
145 Situs inversus, double-outlet right ventricle,
atrial and ventricular septal defects 509
Martin St John Sutton and Susan E Wiegers
146 Repaired double-outlet right ventricle 512
Martin St John Sutton
147 Tricuspid atresia 516
Martin St John Sutton and Susan E Wiegers
148 Complex cyanotic congenital heart disease 519
Susan E Wiegers
149 Uniatrioventricular connection 524
Martin St John Sutton and Susan E Wiegers
150 Truncus arteriosus 528
Martin St John Sutton and Susan E Wiegers
Index 531
List of contributors
John Augoustides MD
Assistant Professor of Anesthesia, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Gene Chang MD
Cardiovascular Division, Assistant Professor of
Medicine, University of Pennsylvania Medical Center,
Philadelphia PA, USA
Victor A Ferrari MD, FACC
Assistant Professor of Medicine, Cardiovascular Imaging
Section, University of Pennsylvania Medical Center,
Philadelphia PA, USA
Monali Gupta MD
Fellow in Radiology, Brigham & Women's Hospital,
Boston, MA, USA
Lilian P Joventino, MD
Cardiovascular Fellow, Beth Israel Deaconess Medical
Center, Boston, MA, USA
Martin G Keane MD, FACC
Assistant Professor of Medicine, Cardiovascular Imaging
Section, University of Pennsylvania Medical Center,
Philadelphia PA, USA
Jorge R Kizer MD, MSc
Fellow in Cardiovascular Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Bruce D Klugherz MD
Assistant Professor of Medicine, Philadelphia VAMC,
University of Pennsylvania Medical Center, Philadelphia
PA, USA
Robert H Li MD
Fellow in Cardiovascular Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Eileen MacDonald MD
Resident in Internal Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Bonnie L Milas MD
Assistant Professor of Anesthesia, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Riti Patel MD
Fellow in Cardiovascular Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Vikas V Patel MD
Fellow in Cardiovascular Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Muredach P Reilly Ms
Instructor of Medicine, Cardiovascular Division,
University of Pennsylvania Medical Center, Philadelphia
PA, USA
Martin St John Sutton Ms BS FRCP
John Bryfogle Professor of Cardiovascular Diseases and
Director, Cardiovascular Imaging, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Frederick F Samaha MD, FACC
Chief, Cardiovascular Division, Philadelphia VAMC,
Assistant Professor of Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Craig H Scott MD, FACC
Assistant Professor of Medicine, Cardiovascular Imaging
Section, University of Pennsylvania Medical Center,
Philadelphia PA, USA
Frank E Silvestry MD
Chief, Cardiovascular Division Philadelphia VAMC,
Assistant Professor of Medicine, University of
Pennsylvania Medical Center, Philadelphia PA, USA
Elizabeth A Tarka MD
Assistant Professor of Medicine, Cardiovascular Imaging
Section, University of Pennsylvania Medical Center,
Philadelphia PA, USA
Kuo-Yang Wang MD
Cardiovascular Division, Taichung Veterans General
Hospital, Taichung, Taiwan
Susan E Wiegers MD, FACC
Assistant Professor of Medicine, Cardiovascular Imaging
Section, University of Pennsylvania Medical Center,
Philadelphia PA, USA
