Editorial Comment on “Predictive Value of Cardiac CT Angiography, Cardiac MRI, and Transthoracic Echocardiography for Cardioembolic Stroke Recurrence”

Author(s):  
Marcel Koenigkam-Santos
Heart ◽  
2018 ◽  
Vol 104 (15) ◽  
pp. 1307-1307 ◽  
Author(s):  
Maryam Shojaeifard ◽  
Hamid Reza Pouraliakbar ◽  
Golnaz Houshmand

Clinical introductionA 32-year old man was referred to our institution for transthoracic echocardiography (TTE) following detection of an incidental murmur on physical examination before blood donation. He was asymptomatic with no significant medical history. Physical examination revealed dual heart sounds with a grade II/VI systolic murmur heard in the left sternal border. An ECG was in normal sinus rhythm. TTE was performed (figure 1A–C, online supplementary videos 1–4) followed by cardiac CT angiography (CTA) (figure 1D,E).Figure 1(A) Transthoracic echocardiography, parasternal left ventricular long axis view. (B) Colour Doppler of modified short axis in the mid-left ventricular level. (C) Doppler flow velocity profile. (D) Cardiac CT angiography (CTA) sagittal reconstruction. (E) Three-dimensional CTA reconstruction of the heart.QuestionWhat is the diagnosis?Pericardial cyst.Ventricular septal defect.Kawasaki.Anomalous left coronary artery from pulmonary artery (ALCAPA).


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