Abstract. Primary thyroid lymphoma (PTL) is a relatively rare malignant tumor. Aggressive PTL is extremely rare, and there is limited literature regarding the imaging features of PTL with invasion into adjacent structures, including internal jugular vein, muscles, esophagus, trachea and carotid artery. In addition, the ultrasonographic features of the cases presented in the current report differ from those reported in previous studies. In the present study, two cases of PTL, who presented to The First Affiliated Hospital of Wannan Medical College (Wuhu, China) with a short history of a rapidly growing mass in the front of their neck, are reported. Both patients had undergone ultrasound examination, and the subsequent histopathological and immunohistochemical examinations confirmed that the two masses were primary diffuse large B-cell lymphoma. The ultrasonographic findings of these two cases are discussed in the present report.

We retrospectively analyzed the echocardiographic findings of eight patients with left ventricular noncompaction (LVNC) and concurrent coronary artery disease. This study was conducted in Yijishan Hospital between January 2012 and May 2017. Of the eight patients, six were diagnosed with coronary arterial atherosclerosis, one patient with coronary pulmonary fistula, and one with coronary myocardial bridge. Regional wall motion abnormalities were detected in all patients. Echocardiography can provide significant information about LVNC in patients with coronary artery disease. However, whether regional wall motion abnormalities are caused by coronary artery disease or noncompaction of the myocardium remains unknown in most patients.

Double-chambered right ventricle (DCRV) is a rare congenital heart disease in which the right ventricle (RV) is divided into two chambers by anomalous muscle bundles. Here, we report a case of DCRV associated with subarterial ventricular septal defect (VSD) and rupture of right coronary sinus aneurysm (RCSA); the patient was diagnosed by echocardiography and later confirmed by surgical operation.

We retrospectively analyzed the echocardiographic findings of 8 patients with atrial thrombus (AT). This study was conducted in Yijishan Hospital between January 2019 and September 2021. Of the 8 patients, right atrial mass was detected in 4 patients, and left atrial mass was detected in the rest 4 patients. All masses were initially diagnosed as myxoma, which were later confirmed as thrombus. Athough echocardiography can provide significant information about the nature of atrial mass in many patients, a small percentage of atrial masses remain difficult to make a qualitative diagnosis.

Objective To investigate the application value of echocardiography in the preoperative evaluation, intraoperative monitoring and postoperative follow-up of patients with aortic valve disease (AVD) receiving transcatheter aortic valve replacement (TAVR). Methods The clinical data of 79 AVD patients who received TAVR from March 2021 to September 2022 at the Cardiology Centre of Yijishan Hospital, Wannan Medical College, were retrospectively analysed. Twenty-six patients with severe aortic stenosis (AS, including those with pure severe AS and severe AS combined with mild aortic regurgitation (AR)) were included in group I, 31 patients with severe AR (including those with pure severe AR and severe AR combined with mild AS) were included in group II, and the remaining 22 patients with AS combined with AR (AS+AR) were included in group III. The patients’ basic data, preoperative comorbidities, preoperative multislice computed tomography (MSCT) assessment of the aortic root, intraoperative conditions, preoperative and 1-month postoperative echocardiographic parameters, and postoperative complications were collected. Results All patients underwent TAVR through the femoral artery, 79 patients were monitored by transesophageal echocardiography (TEE), 2 patients underwent TEE-guided transseptal puncture for retrograde crossing of the valve, and 6 patients underwent valve-in-valve (VinV) implantation. Immediate postoperative evaluation revealed 1 case of moderate paravalvular leakage (PVL), 4 cases of low-to-moderate PVL, 14 cases of low PVL, 8 cases of trace PVL, and 48 cases of no PVL. Comparing the data obtained at 1 month after surgery with preoperative data, for group I, the maximum aortic valve blood flow velocity (AV Vmax) and mean aortic valve pressure gradient (AVPGmean) significantly decreased (P<0.001), the interventricular septal thickness (IVST) and left ventricular (LV) posterior wall thickness (PWT) decreased (P<0.001), and the left ventricular ejection fraction (LVEF) increased (P<0.05); for group II, the effective regurgitant orifice area (EROA), regurgitant volume (RVol) and AR width significantly decreased (P<0.001), and the left ventricular end-diastolic diameter (LVEDD) significantly decreased (P<0.001); and for group III, AV Vmax and AVPGmean decreased significantly (P<0.001), EROA, Rvol and AR width decreased significantly (P<0.001), IVST decreased (P<0.05), PWT decreased (P < 0.05), LVEDD significantly decreased (P<0.001), and LVEF increased (P<0.05). During the follow-up, 5 patients died, and 13 patients were implanted with permanent pacemakers. Conclusion Echocardiography plays an important role in the preoperative assessment, intraoperative monitoring and postoperative follow-up of patients with different types of AVD receiving TAVR and can provide a basis for the evaluation of efficacy and prognosis of TAVR.