PSJD - Yadda

1

Cardiac valve calcifications and predictive parameters in hemodialysis patients

100%

Selcoki Y., Turgut F., Kanbay M., Ozkara A., Tekin O., Uz B., Akcay A.

Open Medicine

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2007

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vol. 2

|

issue 3

304-312

EN

Cardiac valvular calcification is frequent among hemodialysis (HD) patients. The presence of valvular calcification can help identify HD patients with a higher risk for cardiovascular diseases. Our aim was to determine the prevalence of valvular calcification (VC) in our maintenance hemodialysis (HD) population and to examine some possible etiologic factors for its occurrence. We studied forty-four patients on hemodialysis (23 women and 21 men; mean age 57 ± 18 year; mean HD duration 34 ± 28 months). Valvular calcification (VC) was observed in 21 patients (48%). Of these patients, 6 patients (13%) had mitral valvular calcification, 9 patients (20%) had aortic valvular calcification, and 6 patients (13%) had calcification of both valves. The patients with VC were older than patients without VC (66±14 vs. 50±18). The patients with aortic calcification had longer HD duration than others (48±29 vs. 27±24 months). Patients with VC had higher systolic and diastolic blood pressures than patients without VC. The patients with mitral calcification had higher C-reactive protein (CRP) levels (14 ± 13 vs. 7 ± 7). No significant differences were found with respect to calcium, phosphorus, parathyroid hormone, alkaline phosphatase and mean Ca × P product. Our study confirmed that there is an increased prevalence of VC in HD patients. Age is a risk factor for cardiac VC in HD patients. Longer HD duration was associated with aortic valve calcification. In addition, elevated level of CRP is associated with mitral valve calcification in HD patients.

2

Does the age of patients with hereditary hemochromatosis at the moment of their first diagnosis have an additional effect on the standard echocardiographic parameters?

100%

Rozwadowska K., Daniłowicz-Szymanowicz L., Fijałkowski M., Sikorska K., Szymanowicz W., Lewicka E. K., Raczak G.

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2018

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vol. 1

|

issue 1

20-25

EN

Background Hereditary haemochromatosis (HH) is an inherited disease in which gene mutation leads to excessive iron absorption and accumulation in different organs, including the heart, which causes damage. Whether the age of patients with HH at the moment of their first diagnosis has an additional effect on the standard echocardiographic parameters was the aim of the study. Material and methods We prospectively enrolled 20 HH patients, and 20 healthy age- and sex-matched volunteers. Analysis of standard echocardiographic parameters was performed and compared in subgroups of ≥50 and <50 years old (yo). Results Comparing HH patients with healthy volunteers in ≥50 yo subgroup, significant differences were found in parameters regarding diastolic function (IVS thickness, LVM index, Em, E/Em, PV S/D, LAA index and LAV index). In the <50 yo subgroup we did not find the abovementioned differences, however LVEF appeared to be lower in the HH patients. Conclusions Despite the lack of clinical symptoms of cardiovascular disease and the lack of deviations in the standard echocardiographic examination, there were a number of differences regarding LV diastolic function parameters in HH patients ≥50 yo, whereas differences regarding LV systolic function were more prominent in HH patients <50 yo when compared with healthy subjects.

3

Double-chambered right ventricle in a 16-year-old patient with Williams syndrome

100%

Mądry W., Karolczak M. A., Zacharska-Kokot E.

Journal of Ultrasonography

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2017

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vol. 17

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issue 71

289-293

EN

We present a case of double-chambered right ventricle diagnosed during preparation for colonoscopy due to gastrointestinal bleeding in a 16-year-old, mentally disabled boy with Williams syndrome. The patient was previously diagnosed with ventricular septal defect and mild pulmonary stenosis. Echocardiography performed under general anesthesia revealed hypertrophied muscular bundles in the right ventricle with the maximum gradient of 100 mmHg, causing severe outflow obstruction. This type of defect is extremely rare in patients with Williams syndrome, with only one case, which was diagnosed during invasive angiocardiography, described in world literature. A successful total surgical correction was performed based on echocardiography data.

PL

Prezentujemy przypadek dwujamowej prawej komory rozpoznany u głęboko upośledzonego umysłowo 16-letniego chłopca z zespołem Williamsa. W przeszłości stwierdzono ubytek w przegrodzie międzykomorowej i łagodne zwężenie zastawki pnia tętnicy płucnej. Dwujamową prawą komorę rozpoznano w trakcie przygotowywania pacjenta do kolonoskopii w znieczuleniu ogólnym z powodu krwawienia z przewodu pokarmowego. W wykonanej w znieczuleniu ogólnym echokardiografii stwierdzono ciężkie mięśniowe zwężenie śródkomorowe prawej komory z maksymalnym gradientem 100 mm Hg. Jest to wada niezwykle rzadka u pacjenta z zespołem Williamsa – w analizowanym piśmiennictwie światowym autorzy odnaleźli tylko jeden podobny przypadek, rozpoznany podczas inwazyjnej angiokardiografii. Na podstawie wyłącznie danych z badania echokardiograficznego przeprowadzono pełną korekcję kardiochirurgiczną. Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-71

4

Does the age of patients with hereditary hemochromatosis at the moment of their first diagnosis have an additional effect on the standard echocardiographic parameters?

100%

Rozwadowska K., Daniłowicz-Szymanowicz L., Fijałkowski M., Sikorska K., Szymanowicz W., Lewicka E. K., Raczak G.

European Journal of Translational and Clinical Medicine

|

2018

|

vol. 1

|

issue 1

20-25

EN

Background: Hereditary haemochromatosis (HH) is an inherited disease in which gene mutation leads to excessive iron absorption and accumulation in different organs, including the heart, which causes damage. Whether the age of patients with HH at the moment of their first diagnosis has an additional effect on the standard echocardiographic parameters was the aim of the study. Material and methods: We prospectively enrolled 20 HH patients, and 20 healthy age- and sex-matched volunteers. Analysis of standard echocardiographic parameters was performed and compared in subgroups of ≥50 and <50 years old (yo). Results: Comparing HH patients with healthy volunteers in ≥50 yo subgroup, significant differences were found in parameters regarding diastolic function (IVS thickness, LVM index, Em, E/Em, PV S/D, LAA index and LAV index). In the <50 yo subgroup we did not find the abovementioned differences, however LVEF appeared to be lower in the HH patients. Conclusions: Despite the lack of clinical symptoms of cardiovascular disease and the lack of deviations in the standard echocardiographic examination, there were a number of differences regarding LV diastolic function parameters in HH patients ≥50 yo, whereas differences regarding LV systolic function were more prominent in HH patients <50 yo when compared with healthy subjects.

5

Comparison of clinical and echocardiographic parameters in patients with hypertrophic cardiomyopathy under and over 60 years of age

100%

Wabich E., Raczak G., Rozwadowska K., Zienciuk-Krajka A., Szymanowicz W., Kozłowski D., Kaleta A. M., Daniłowicz-Szymanowicz L.

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2019

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vol. 2

|

issue 1

28-35

EN

Background Hypertrophic Cardiomyopathy (HCM) is one of the most common genetic myocardial diseases. Transthoracic echocardiography which includes speckle tracking technique is tool for HCM diagnosis and monitoring the course of the disease. The aim of this study was to compare clinical and echocardiographic parameters in HCM patients older and younger than 60 years old (yo). Material and methods We prospectively enrolled 53 HCM patients, who were divided into two groups: younger and older than 60 yo. Clinical parameters, standard echocardiographic indices, as well as strain parameters were assessed and compared between the groups. Results The older subgroup was characterized by a higher prevalence of coronary artery disease. In the younger subgroup the incidence of atrial fibrillation was quite high, which occurs far more often than in the general population. Echocardiographic analysis showed worse diastolic function in older, as well as lower volume of the LV. The global longitudinal strain was worse in <60 patients. The 3D strain parameters differed significantly between the groups: the area and radial strains were worse in younger patients. Conclusions HCM patients older and younger than 60 yo differ significantly in terms of clinical and echocardiographic parameters.

6

The influence of the menstrual cycle on diameter and respiratory collapsibility of inferior vena cava in the population of young, healthy women – preliminary results

100%

Nowak M., Dyda J., Barczyńska H., Ołubowicz M., Radtke A., Turek M., Nowak R. S., Gruchała M.

|

EN

INTRODUCTION: Echocardiographic assessment of the interior vena cava (IVC) is part of the estimation of right atrial pressure. In young women values exceeding norm are observed. The aim of our study was an echocardiographic assessment of the IVC dimension depending on the phase of menstrual cycle among young, healthy women. MATERIALS AND METHODS: Female students of the Medical University of Gdańsk were enrolled into the study. Each patient underwent echocardiographic examination of the IVC diameter (d-IVC) and respiratory decrease in dimension in two time points, depending on the menstrual cycle phase: in the first days of menstruation (Phase M) or in the second part of menstrual cycle (Phase L). RESULTS: 31 patients completed the study. There was a significant difference between the d-IVC in Phase M and Phase L (1.98±0.25cm vs 1.86±0.3cm; p <0.05). We did not observe correlation in terms of the inspiratory collapsibility. In the Phase M 77% patients achieved at least 50% decrease in dimension during inspiration comparing to 87% in Phase L (p=0.89). 35% patients had d-IVC exceeding reference values. CONCLUSION: In population of young women, the diameter of IVC exceeding reference values can be observed. IVC dimension depends on the menstrual cycle.

7

Comparison of clinical and echocardiographic parameters in patients with hypertrophic cardiomyopathy under and over 60 years of age

100%

Wabich E., Raczak G., Rozwadowska K., Zienciuk-Krajka A., Szymanowicz W., Kozłowski D., Kaleta A. M., Daniłowicz-Szymanowicz L.

European Journal of Translational and Clinical Medicine

|

2019

|

vol. 2

|

issue 1

28-35

EN

Background: Hypertrophic Cardiomyopathy (HCM) is one of the most common genetic myocardial diseases. Transthoracic echocardiography which includes speckle tracking technique is tool for HCM diagnosis and monitoring the course of the disease. The aim of this study was to compare clinical and echocardiographic parameters in HCM patients older and younger than 60 years old (yo). Material and methods: We prospectively enrolled 53 HCM patients, who were divided into two groups: younger and older than 60 yo. Clinical parameters, standard echocardiographic indices, as well as strain parameters were assessed and compared between the groups. Results: The older subgroup was characterized by a higher prevalence of coronary artery disease. In the younger subgroup the incidence of atrial fibrillation was quite high, which occurs far more often than in the general population. Echocardiographic analysis showed worse diastolic function in older, as well as lower volume of the LV. The global longitudinal strain was worse in <60 patients. The 3D strain parameters differed significantly between the groups: the area and radial strains were worse in younger patients. Conclusions: HCM patients older and younger than 60 yo differ significantly in terms of clinical and echocardiographic parameters.

8

The influence of the menstrual cycle on diameter and respiratory collapsibility of inferior vena cava in the population of young, healthy women – preliminary results

100%

Nowak M., Dyda J., Barczyńska H., Ołubowicz M., Radtke A., Turek M., Nowak R. S., Gruchała M.

European Journal of Translational and Clinical Medicine

|

2019

|

vol. 2

|

issue 1

53-55

EN

Introduction: Echocardiographic assessment of the interior vena cava (IVC) is part of the estimation of right atrial pressure. In young women values exceeding norm are observed. The aim of our study was an echocardiographic assessment of the IVC dimension depending on the phase of menstrual cycle among young, healthy women. Materials and methods: Female students of the Medical University of Gdańsk were enrolled into the study. Each patient underwent echocardiographic examination of the IVC diameter (d-IVC) and respiratory decrease in dimension in two time points, depending on the menstrual cycle phase: in the first days of menstruation (Phase M) or in the second part of menstrual cycle (Phase L). Results: 31 patients completed the study. There was a significant difference between the d-IVC in Phase M and Phase L (1.98±0.25cm vs 1.86±0.3cm; p <0.05). We did not observe correlation in terms of the inspiratory collapsibility. In the Phase M 77% patients achieved at least 50% decrease in dimension during inspiration comparing to 87% in Phase L (p=0.89). 35% patients had d-IVC exceeding reference values. Conclusion: In population of young women, the diameter of IVC exceeding reference values can be observed. IVC dimension depends on the menstrual cycle.

9

Prenatal invasive decompression therapy of an arachnoid cyst in a fetus with normal heart anatomy and no functional anomalies - a case report

100%

Malinowski J., Słodki M., Szaflik K., Mikołajczyk-Wieczorek W.

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issue 3

30-32

EN

We present a case of a female fetus with large posterior fossa cyst. After detailed diagnosis in referral center revealing normal heart anatomy and no functional abnormalities in cardiovascular system, a trial decompression of the fluid reservoir was suggested to the parents and successfully performed at the 30th week of pregnancy. Neurosurgical treatment was continued in the neonatal period. At the age of 7 months, the child presented normal physical development, and the cranial image of the CNS showed good recovery of the brain.

10

Comments for “Recommendations for fetal echocardiography in singleton pregnancy in 2015”

100%

Szymkiewicz - Dangel J., Brzezińska - Rajszys G., Maruszewski B., Włoch A.

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issue 4

36-39

11

Imaging techniques used to detect oncological treatment complications

100%

Sosnowska-Pasiarska B., Góźdź S.

OncoReview

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2017

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vol. 7

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issue 2

57-63

EN

Oncological drugs are toxic for the cardiovascular system, directly affecting cardiac function and anatomy. Oncological treatment complications may thus take the form of asymptomatic myocardial dysfunction, overt heart failure, exacerbation of the symptoms of ischaemic heart disease, thromboembolic complications, arterial and pulmonary hypertension, pericardial complications, valvular disease and arrhythmia. Presently, we have a number of diagnostic tools at our disposal to detect cardiotoxicity, and the choice of one imaging technique over the others depends on the availability of that particular diagnostic method, and on its ability to provide optimum visualization. The basic method for cardiac assessment in oncological patients is transthoracic echocardiography (TTE). It is a widely available method which enables assessment of cardiac structures and haemodynamics without exposing the patient to an additional dose of ionizing radiation. In the case of poor TTE visualization, a recommended method for the assessment of cardiac function and structures is magnetic resonance. Chest, heart and coronary artery CT is also very useful in the diagnostics of oncological treatment complications. Moreover, cardiotoxicity diagnostics also involves nuclear medicine imaging techniques, including gated radionuclide ventriculography, whose advantage is high repeatability, with the disadvantage being the patient’s exposure to ionizing radiation and limited information on the structure and function of the myocardium. Both ECG-gated single photon emission computed tomography (SPECT) and positron emission tomography (PET) deliver information on the global and regional function of the left ventricle, presence of intraventricular synchrony, and myocardial perfusion. Early detection of subclinical dysfunction of the left ventricular myocardium in patients treated with potentially cardiotoxic drugs is well-grounded and aimed at the prevention of cardiovascular mortality by means of a primary prevention strategy.

12

Severe aortic stenosis in a patient with breast cancer

88%

Mańczak R., Wilk M., Walaszkowska-Czyż A., Florczyk M., Szmit S.

OncoReview

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2016

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vol. 6

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issue 2

A49-56

EN

We present a case of 68-year-old female with severe symptomatic aortic stenosis and locally advanced breast cancer disqualified from mastectomy due to heart failure and from aortic valve replacement due to malignant neoplasm. The patient received neoadjuvant chemotherapy without anthracyclines. The aortic valve replacement was performed and then mastectomy and lymphadenectomy were made without hemodynamic complications. Adjuvant hormonotherapy was started. During 42 months of follow-up the patient remained free of recurrent cancer disease as well as no progression of heart failure was observed.

13

Reference intervals for transthoracic echocardiographic measurements in adult Dachshunds

88%

Garncarz M., Parzeniecka-Jaworska M., Czopowicz M., Hulanicka M., Jank M., Szaluś-Jordanow O., Garncarz M., Parzeniecka-Jaworska M., Czopowicz M., Hulanicka M., Jank M., Szaluś-Jordanow O.

Polish Journal of Veterinary Sciences

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2018

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vol. 21

|

issue 4

14

Trisomy 9 In Prenatal Diagnosis - Case Report

88%

Soroka M., Słodki M.

Prenatal Cardiology

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2014

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vol. 4

|

issue 1

24-28

EN

Trisomy 9 is a rare chromosomal disorder that often results in significant mortality. We present a case report in a low-risk pregnancy. The prenatal ultrasonography at 12 weeks of gestation showed normal nuchal translucency and the presence of the nasal bone. The anatomy scan performed by an experienced doctor revealed an abnormal four chamber view and abnormal posterior cranial fossa. First trimester biochemical analysis ( free βhCG and PAPP-A) showed high risk for trisomy 18. By amniocenthesis ( at 16 weeks of gestation ) and karyotype evaluation trisomy 9 was diagnosed and at 20 weekstermination was conducted on maternal request.

15

Możliwości diagnostyki obrazowej infekcyjnego zapalenia wsierdzia – stan wiedzy na 2016 rok

75%

Majewski M. M., Dąbek J., Mitręga E., Gąsior Z. T.

Annales Academiae Medicae Silesiensis

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2016

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vol. 70

274-280

EN

Infective endocarditis (IE) is a life-threatening condition whose diagnosis often remains a major challenge in everyday clinical practice. Accurate and fast diagnosis of IE improves the patient’s prognosis. Over the past decades there have been significant changes in the aetiology, demographic characteristics of patients as well as in the clinical presentation. IE diagnosis requires evaluation of the clinical presentation, microbiological tests and cardiac imaging. Modified Duke University criteria enable the diagnosis of most IE cases but frequently they are insufficient, particularly in difficult-todiagnose patients. The 2015 European Society of Cardiology guidelines on IE have defined when new imaging modalities should be used to aid in the diagnosis of IE. The aim of this paper is to show the advantages and disadvantages of current imaging modalities in the diagnosis of IE.

PL

Infekcyjne zapalenie wsierdzia (IZW) jest zagrażającym życiu schorzeniem, którego rozpoznanie w codziennej praktyce klinicznej często pozostaje dużym wyzwaniem. Od szybkiego postawienia właściwego rozpoznania zależy rokowanie chorego. W ciągu ostatnich dekad doszło do istotnych zmian w zakresie etiologii, charakterystyki demograficznej pacjentów oraz w obrazie klinicznym IZW. Rozpoznanie IZW wymaga połączenia danych z obrazu klinicznego, badań mikrobiologicznych oraz wyników badań obrazowych. Stosowane do tej pory zmodyfikowane kryteria diagnostyczne z Uniwersytetu Duke pozwalają na postawienie rozpoznania w większości przypadków, jednak coraz częściej okazują się one niewystarczające. Opublikowana w 2015 roku przez Europejskie Towarzystwo Kardiologiczne aktualizacja wytycznych dotyczących postępowania w IZW pozycjonuje rolę nowych technik obrazowych, których użycie w wątpliwych diagnostycznie przypadkach pozwala na ostateczne postawienie rozpoznania u większości chorych. Celem niniejszego artykułu jest omówienie roli i znaczenia poszczególnych metod diagnostyki obrazowej w diagnostyce IZW z uwzględnieniem ich możliwości oraz ograniczeń.

16

Association between low-grade chronic inflammation and depressed left atrial compliance in heart failure with preserved ejection fraction: A retrospective analysis

75%

Sani C. M., Pogue E. P. L., Hrabia J. B., Zayachkowski A. G., Zawadka M. M., Poniatowski A. G., Długosz D., Leśniak W., Kruszelnicka O., Chyrchel B., Surdacki A.

Folia Medica Cracoviensia

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2018

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vol. 58

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issue 2

17

Mathematical and Ultrasonographic Model of the Left Ventricle: in Vitro Studies

75%

Olszewski R., Nowicki A., Wójcik J., Trawiński Z.

|

18

Ocena przydatności nowoczesnych technik echokardiograficznych wykorzystujących technikę śledzenia markerów akustycznych w warunkach pracowni doświadczalnej na przykładzie modelu ostrej choroby niedokrwiennej u myszy

75%

Garbacz M. A., Niklewski T., Jaźwiec T., Śliwka J., Domagała M., Kaczmarczyk M., Garbacz M., Karol F., Zembala M., Zembala M.

Annales Academiae Medicae Silesiensis

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2018

|

issue 72

172-183

EN

W ostatnich latach myszy stały się najczęściej wykorzystywanymi zwierzętami laboratoryjnymi w badaniach przedklinicznych. Wraz z rosnącym ich wykorzystaniem także w badaniach układu krążenia (zarówno w terapiach komórkowych regenerujących mięsień sercowy po zawale, leczeniu niewydolności serca, jak i w ocenie kardiotoksyczności leków) konieczne stało się opracowanie dokładnej metody oceny funkcji serca, która rzetelnie mogłaby określić skuteczność i bezpieczeństwo badanych terapii. Przeniesienie techniki śledzenia markerów akustycznych (speckle tracking echocardiography – STE) do warunków echokardiografii doświadczalnej pozwala na bardziej rzetelną i wiarygodną ocenę ich skuteczności i bezpieczeństwa. Pomiary regionalnej deformacji serca uzyskiwane tą metodą są dużo bardziej czułe i specyficzne niż parametry klasycznej echokardiografii. Technika STE wydaje się bardzo atrakcyjną metodą, nie jest jednak pozbawiona wad i ograniczeń. Analiza obrazów 2D techniką STE jest bardzo wrażliwa na artefakty, które zacierając granice wsierdzia, uniemożliwiają prawidłowe śledzenie markerów akustycznych. Uzyskanie powtarzalnych obrazów o dobrej jakości jest wciąż dużym wyzwaniem, szczególnie w warunkach echokardiografii doświadczalnej. W dostępnym piśmiennictwie techniczne i praktyczne aspekty tego badania są często pomijane lub opisane bardzo enigmatycznie, a nierzadko to właśnie one są podstawą do uzyskania zadowalających nas obrazów. Dlatego też celem niniejszego opracowania jest zarówno ocena przydatności nowoczesnych technik echokardiograficznych w warunkach pracowni doświadczalnej, jak i opisanie technicznych oraz praktycznych zagadnień przeprowadzenia badania echokardiograficznego u myszy.

PL

In recent years, mice have become the most commonly used laboratory animals in preclinical studies. With the increase in their use also in the study of the cardiovascular system (in heart muscle cell regenerating therapies after a heart attack, heart failure or assessing the cardiotoxicity of drugs), there was a need to develop accurate methods for assessing cardiac function, which could reliably determine the efficacy and safety of the studied treatments. The transfer of speckle tracking technology to echocardiography experimental conditions, allows a more reliable and credible assessment of the effectiveness of the studied treatments. Measurements of regional deformation of the heart obtained by this method are much more sensitive and specific than the parameters of classical echocardiography. Speckle tracking echocardiography (STE) seems to be a very attractive method but it is not devoid of drawbacks and limitations. Analysis of the 2D STE technique is very sensitive to artifacts, blurring the boundaries that prevent proper endocarditis tracking speckle. Therefore, obtaining reproducible images of good quality is still a major challenge, particularly in experimental echocardiography. In the available literature, the technical and practical aspects of this study are often overlooked or described very enigmatically, and often it is those aspects that are essential to achieve satisfactory images. Therefore, the aim of this study is to evaluate the usefulness of both modern echocardiographic techniques in experimental conditions in the laboratory and to describe the technical and practical issues of conducting echocardiography in mice.

19

Heart Segmentation in Echo Images

75%

Skalski A., Turcza P.

Metrology and Measurement Systems

|

2011

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issue 2

20

Echokardiograficzne rozpoznanie slingu płucnego ze zwężeniem początkowego odcinka lewej gałęzi tętnicy płucnej i drożnym przewodem tętniczym

63%

Mądry W., Karolczak M. A.

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vol. 13

|

issue 52

104-110

EN

Authors discuss methods of echocardiographic diagnosis of the pulmonary sling with stenosis and hypoplasia of the left pulmonary artery and patent arterial duct with massive left‑to‑right shunt, based on a case of the newborn with resistant to treatment heart failure, with initial diagnosis of patent ductus arteriosus, referred to surgical treatment. The optimal echocardiographic views permitting establish diagnosis of the pulmonary sling were suggested. The special attention was paid to high parasternal and suprasternal views visualizing vessels of the upper mediastinum as well as characteristic differences between the normal and pathologic picture. The typical features of the echocardiogram suggesting pulmonary sling, like the lack of the left pulmonary artery in its expected position, and the abnormal branching pattern of the right pulmonary artery were indicated. The greatest diagnostic difficulties in visualization of the abnormal route of the left pulmonary artery were related to the presence of air‑containing tissues, like lungs and central airways between the ultrasound probe and area of interest. The other was the masking influence of the large patent arterial duct, that may mimic the left pulmonary artery arising from the pulmonary trunk. The other entities requiring differentiation with sling, like aplasia of the left lung, the direct or indirect aortic origin of the left pulmonary artery, were discussed. The role of other visualization technics, like computed 3D tomography, and magnetic nuclear resonance, as well as direct visualization of central airways with bronchoscopy in establishing precise diagnosis were stressed.

PL

Autorzy przedstawiają metodykę badania echokardiograficznego slingu płucnego z towarzyszącym zwężeniem i hipoplazją lewej gałęzi tętnicy płucnej, z drożnym przewodem tętniczym oraz masywnym przeciekiem aortalno‑płucnym na przykładzie noworodka z oporną na leczenie zachowawcze niewydolnością krążeniowo‑oddechową. Pacjenta skierowano do Kliniki Kardiochirurgii celem leczenia operacyjnego, ze wstępnym rozpoznaniem drożnego przewodu tętniczego. W prezentowanej pracy przedstawiono optymalne projekcje echokardiograficzne ułatwiające ustalenie rozpoznania. Zwrócono szczególną uwagę na przydatność wysokich projekcji przymostkowych i projekcji nadmostkowych obrazujących naczynia górnego śródpiersia. Wymieniono elementy obrazu echokardiograficznego, które powinny nasuwać podejrzenie slingu, a także sposoby ich uwidocznienia. Należą do nich brak lewej gałęzi tętnicy płucnej w typowej lokalizacji – w przedłużeniu pnia płucnego oraz obecność dodatkowej gałęzi odchodzącej od prawej tętnicy płucnej w połowie jej długości. Wskazano na możliwe trudności diagnostyczne wynikające z obecności powietrznej tkanki płucnej oraz centralnych dróg oddechowych przesłaniających struktury naczyniowe, a także na problem maskującego wpływu przewodu tętniczego, który może imitować prawidłowy przebieg lewej gałęzi tętnicy płucnej. Przedstawiono jednostki chorobowe wymagające różnicowania ze slingiem, takie jak agenezja lewego płuca i różne postaci odaortalnego ukrwienia lewego płuca, oraz główne cechy umożliwiające ich wykluczenie. Podkreślono znaczenie innych metod diagnostyki obrazowej, takich jak tomografia komputerowa i rezonans magnetyczny, a także metody bezpośredniego obrazowania centralnych dróg oddechowych przy użyciu bronchoskopii.

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Cardiac valve calcifications and predictive parameters in hemodialysis patients

Does the age of patients with hereditary hemochromatosis at the moment of their first diagnosis have an additional effect on the standard echocardiographic parameters?

Double-chambered right ventricle in a 16-year-old patient with Williams syndrome

Does the age of patients with hereditary hemochromatosis at the moment of their first diagnosis have an additional effect on the standard echocardiographic parameters?

Comparison of clinical and echocardiographic parameters in patients with hypertrophic cardiomyopathy under and over 60 years of age

The influence of the menstrual cycle on diameter and respiratory collapsibility of inferior vena cava in the population of young, healthy women – preliminary results

Comparison of clinical and echocardiographic parameters in patients with hypertrophic cardiomyopathy under and over 60 years of age

The influence of the menstrual cycle on diameter and respiratory collapsibility of inferior vena cava in the population of young, healthy women – preliminary results

Prenatal invasive decompression therapy of an arachnoid cyst in a fetus with normal heart anatomy and no functional anomalies - a case report

Comments for “Recommendations for fetal echocardiography in singleton pregnancy in 2015”

Imaging techniques used to detect oncological treatment complications

Severe aortic stenosis in a patient with breast cancer

Reference intervals for transthoracic echocardiographic measurements in adult Dachshunds

Trisomy 9 In Prenatal Diagnosis - Case Report

Możliwości diagnostyki obrazowej infekcyjnego zapalenia wsierdzia – stan wiedzy na 2016 rok

Association between low-grade chronic inflammation and depressed left atrial compliance in heart failure with preserved ejection fraction: A retrospective analysis

Mathematical and Ultrasonographic Model of the Left Ventricle: in Vitro Studies

Ocena przydatności nowoczesnych technik echokardiograficznych wykorzystujących technikę śledzenia markerów akustycznych w warunkach pracowni doświadczalnej na przykładzie modelu ostrej choroby niedokrwiennej u myszy

Heart Segmentation in Echo Images

Echokardiograficzne rozpoznanie slingu płucnego ze zwężeniem początkowego odcinka lewej gałęzi tętnicy płucnej i drożnym przewodem tętniczym