Cardiac hydatidosis is a relatively rare complication of echinococcosis, with a potentially life-threatening condition. Here, we reported a large interventricular septal hydatid cyst with bulging in the left ventricle accompanied by a huge cervical lamp with recurrent hepatic cysts that underwent cardiac surgery to excise the cyst uneventfully.

Atrial fibrillation is associated with low-flow state and increased thrombogenicity in the left atrium (LA). Multiple echocardiographic presentations, including thrombosis, sludge, and smoke formation, have been demonstrated in just one biplane transesophageal echocardiographic view, along with normal structures, i.e., pectinate muscles and Coumadin ridge, which are highly educational for cardiologists.

Congenital heart disease is a risk factor for infective endocarditis. Ventricular septal defects and ventricular outflow tract obstructions are the most common causes of endocarditis in this population. We presented a patient diagnosed with leukocytoclastic vasculitis with renal and pulmonary involvement with right-sided infective endocarditis as an etiology for vasculitis.

In this case report, we are presenting a man with intermittent fever for three months with a history of aortic and pulmonary valve replacement and also recurrent blood culture-negative endocarditis. After several evaluations based on endemic epidemiology, the Real-time PCR and IFA (indirect immunofluorescence assay) were positive for Q fever.

Purpose: Introducing tricuspid annular systolic excursion (TAPSE)-slope and assessing inter-observer variability of its timing measurements Methods: We performed comprehensive Doppler echocardiographic examinations on 84 healthy subjects (mean age: 36.3 years, range: 30-50 years, 51 women, 33 men). In color-coded M-mode tracing of right ventricle’s free wall, peak systolic excursion was defined. TAPSE and time from initial QRS to peak systole in color-coded M-mode were measured, and TAPSE-slope was calculated based on this formula: TAPSE slope=TAPSE/TAPSE-t. For the evaluation of inter-observer variability, two other cardiologists measured TAPSE-t in offline mode separately. Results: The average (SD) of the “TAPSE-slope” was 7.0(1.0) cm/sec, the average (SD) TAPSE was 2.42(0.3) cm, and an average TAPSE-t of 343(27.6) msec. A significant difference was seen in TAPSE-slope between men and women (P value=0.001). No significant difference was detected in TAPSE-slope in people younger than 40 years old compared with participants older than 40 years. Intra-class correlation coefficient value of the TAPSE-t measurement was 0.886, showing excellent agreement between three different raters. Conclusion: TAPSE-slope may have added value compared to TAPSE alone for the assessment of right ventricular systolic function.