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Structure identification by transthoracic contrast echocardiography

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Advances in Echo Imaging Using Contrast Enhancement

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Abstract

The post-mortem anatomy of the heart has been well-defined in textbooks for decades. Pioneering work in echocardiographic structural identification was done by Edler [1] using an ultrasonic beam to obtain images of mitral valves from cadavers. He subsequently was able to demonstrate similar images in living patients. The capability to associate the clinical history and physical findings with structural cardiac abnormalities by echocardiogram has improved the way we practice medicine. It was not until 1968 that Gramiak and Shah [2] introduced the use of contrast echocardiography in clinical settings. These authors credit C. R. Joyner [3] for introducing the concept of the contrast echocardiogram. Originally, Feigenbaum and associates [4] used the technique developed by Gramiak et al. to produce a cloud of echoes within the left ventricular cavity, in order to distinguish intra-cavitary structural detail. They were able to clearly differentiate and validate echo signals originating from the ventricular epicardial and endocardial walls, anterior and posterior mitral valve leaflets, papillary muscles, and to visualize pericardial effusion.

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Authors
  1. Jayesh Patel
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  2. Jonathan Cox
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  3. Assad Movahed
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  4. William Reeves
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  5. Navin C. Nanda
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Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories, Director) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories, Director)

  2. Echocardiography Laboratories, The Kirklin Clinic, University of Alabama Health Services Foundation, Birmingham, Alabama, USA

    Navin C. Nanda MD (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories, Director) (Professor of Medicine and Director, Heart Station/Echocardiography Laboratories, Director)

  3. Clinical Development Diagnostics of Schering AG, Berlin, Germany

    Reinhard Schlief (Dr Med Dipl Phys, Head of Magnetic Resonance and Ultrasound Contrast Media) (Dr Med Dipl Phys, Head of Magnetic Resonance and Ultrasound Contrast Media)

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© 1993 Springer Science+Business Media Dordrecht

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Patel, J., Cox, J., Movahed, A., Reeves, W., Nanda, N.C. (1993). Structure identification by transthoracic contrast echocardiography. In: Nanda, N.C., Schlief, R. (eds) Advances in Echo Imaging Using Contrast Enhancement. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8126-4_9

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  • DOI: https://doi.org/10.1007/978-94-015-8126-4_9

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-015-8128-8

  • Online ISBN: 978-94-015-8126-4

  • eBook Packages: Springer Book Archive

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