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Introduction: Severe or complicated atheromatosis of the aortic arch represents an important and often underdiagnosed embolic source in patients with ischemic stroke. The presence of a floating thrombus has significant clinical relevance, as it is associated with a high risk of early recurrence. The aim of this study was to analyze the potential of echocardiographic examination through the suprasternal window in both the detection of embolic sources and the monitoring of the response to anticoagulant treatment in patients with mobile thrombi.

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Article Synopsis
  • Shone complex (SC) is a rare congenital heart disease involving four obstructive lesions in the left side of the heart, making up 0.6-0.7% of CHD cases.
  • A 4-week-old male neonate with SC presented severe respiratory distress and related symptoms, leading to a diagnosis that included multiple heart issues and a successful surgical intervention at five months.
  • Early detection through echocardiography and multidisciplinary care is crucial for effective management and improved patient outcomes in SC cases.
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Background: The purpose of this study was to review echocardiography-based diagnosis of persistent fifth aortic arch (PFAA) in children.

Methods: From January 2015 to December 2022, we retrospectively analyzed the echocardiographic findings and the relevant clinical data during follow-up of patients with PFAA who were treated in the Third Affiliated Hospital of Zhengzhou University. The diagnosis was confirmed by computed tomography angiography or surgery.

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Diagnostic Contexts of Echocardiographic Nonapical Window.

JACC Case Rep

May 2024

Department of Cardiology, Istituto Auxologico Italiano, IRCCS, Milan, Italy.

Article Synopsis
  • The text discusses the importance of using multiwindow interrogation techniques in echocardiography, which include various angles like the suprasternal notch and apex.
  • It highlights that while these techniques are valuable, they're often not consistently applied in everyday practice.
  • The case series presented underscores the critical role of these methods for accurately assessing conditions like aortic valve stenosis and evaluating related structures such as the left ventricular outflow tract and the aorta.
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Imaging the superior vena cava (SVC) during two-dimensional (2D) transthoracic echocardiographic examination is challenging and should be performed routinely. Here, we present a case where a lower (juxta-atrial) SVC mass was seen prolapsing into the right atrium by 2D transthoracic echocardiography; in this case, the imaging of the lower (juxta-atrial) SVC was done from the subcostal window. It was not possible to image the SVC from the suprasternal, right supraclavicular, left parasternal, or apical windows.

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