Echogram

Echocardiography cases and educational content

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What is this pathology?

#echofirst #cardiotwitter #MedTwitter #echocardiography #CardioEd @echo_stepbystep @alexsfelixecho @NMerke @StellEkaterina @The_echo_lady @drahmedmohsen85 @echotainment @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB @nat_echo @batman_echo

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Answer: Left atrial dissection
- a rare entity🍀
- most often a complication of MV surgery
- variable time to onset
- presentation ranges from haemodynamic instability to asymptomatic
- Rx: surgery or conservative
- superb review by Fukuhara et al.⬇️
https://t.co/K5wtCyhzzA

[Echogram @_echo_gram]

What is this pathology?

#echofirst #cardiotwitter #MedTwitter #echocardiography #CardioEd @echo_stepbystep @alexsfelixecho @NMerke @StellEkaterina @The_echo_lady @drahmedmohsen85 @echotainment @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB @nat_echo @batman_echo

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Asymptomatic patient after a recent mitral valve replacement.

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Rough surface of the liver in a patient with cirrhosis. Margo inferior hepatis.

#echofirst #cardiotwitter #MedTwitter #echocardiography #CardioEd @ASE360 @Echo_DGK_GER @EchofirstB

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@EchoBielefeld @kardioklick @NMerke @echo_stepbystep @Echo_DGK_GER @alexsfelixecho @rayjay2845 @nat_echo @dr_benoy_n_shah @KemalogluOz @The_echo_lady How about Endocarditis? Perhaps not acute, but LCC seems perforated, there is a clear Structure prolapsing in LA very suspicious for Vegetation…? HOCM Pat are often tending to IE

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*correction: s/p annuloplasty, no MVP

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A vegetation for meditation.
(on mv bio prosthesis)

#echofirst #cardiotwitter #MedTwitter #echocardiography @echo_stepbystep @alexsfelixecho @NMerke @StellEkaterina @The_echo_lady @VerwerftJan @echotainment @GE_IanMc @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB

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@alexsfelixecho @echo_stepbystep @NMerke @StellEkaterina @The_echo_lady @VerwerftJan @echotainment @GE_IanMc @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB Thank you very much 🙏🙏🙏

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@echo_stepbystep @alexsfelixecho @NMerke @StellEkaterina @The_echo_lady @VerwerftJan @echotainment @GE_IanMc @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB

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@EchoBielefeld @kardioklick @NMerke @echo_stepbystep @Echo_DGK_GER @AaronGoodman33 @mugander @alexsfelixecho @rayjay2845 @nat_echo @OAB1967 @dr_benoy_n_shah @JaeKOh2 @KemalogluOz @The_echo_lady Even the voltage of ecg tracing is low, have no doubt 😉

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@amin_mulji @StanSavj All correct. Ultimately underwent a surgery for aortic dissection.

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Patient transferred to us after an acute coronary syndrome with severe hemodynamic instability treated with LM stent.
What was the true initial problem? Can you name 3 crucial findings?
by @StanSavj

#echofirst #cardiotwitter #MedTwitter #foamed #echocardiography #CardioEd

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@Guusdewaard @StanSavj Interesting observation! I have no info about a RV infarction. However, that non-conducted P wave appears to be an early PAC, so I think this is a functional non-conduction rather than a pathological AV block.

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@signindoc @StanSavj LAA thrombus

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@InternSupp @StanSavj LAA thrombus

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@StellEkaterina @StanSavj You've got them all 🔥🔥🔥
Primarily unnoticed Ao dissection 🙊 with secondary LM obstruction. The LM stent was nevertheless probably life-saving. The thrombus likely due to cardiogenic shock.

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@echo_stepbystep @alexsfelixecho @GARCIAEDINSON95 @klinki_hh @EchoBielefeld @ASE360 @Echo_DGK_GER @EchofirstB @DrRajeshG1 @The_echo_lady

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@EchoBielefeld @alexsfelixecho @NMerke @echo_stepbystep @Echo_DGK_GER @AsyiqRaffali @EchofirstB @StellEkaterina @nepalpower1 @DennisLawin This aorta is doing some stretching exARcise 😄

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@EchoBielefeld @NMerke @alexsfelixecho @echo_stepbystep @EchofirstB @Echo_DGK_GER @GE_IanMc @echoguru Wow! So tempting to give UEA to assess vascularization...

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@TudorPoerner @echo_stepbystep @EchoBielefeld @NMerke @klinki_hh @ASE360 @Echo_DGK_GER @EchofirstB Severe pulmonary hypertension, no clipping 😔

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An en-face view from ventricular perspective on TV with severe secondary regurgitation, acquired from transthoracic approach.
Credited to @echo_stepbystep's generous mentoring! 🙏🙏🙏
#echofirst #cardiotwitter @EchoBielefeld @NMerke @klinki_hh @ASE360 @Echo_DGK_GER @EchofirstB