Álvaro H. Rodríguez C. MD, MSc

M. Internista-Cardiólogo-Ecocardiografista-Imagen cardiaca.NBE.Fellow SISIAC. Bioética. H. Cardiovascular de Cundinamarca-Cardio Colombia. Bogotá-Colombia.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

@ImagenCardiaca @iamritu @Ecoimagenescc @SISIACOficial @MattersoftheH14 Buenos días . Me interesa.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

A 17y/o male with NYHA 2 dyspnea. Parachute mitral valve. TTE and TEE showed thickened mitral leaflets with chordal attachments to isolated anterolateral papillary muscle (MP). MG across the valve was 16 mm Hg with HR of 80x’. No other structural abnormalities were identified.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

65 y/o male with CDI and a persistent left superior vena cava. TTE finding.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

A 35-year-old woman with severe aortic coarctation and collateral vessels. As a reminder, the chest X-ray shows the “Figure 3” sign and Roesler’s sign, which is the name given to the notch in the lower rib.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

8 y/o patient presenting with typical angina while running at school. ECG: LAH, symmetrical anteroseptal inverted T-waves. Coronary CT: anomalous origin of the left coronary artery from the pulmonary artery trunk (ALCAPA).

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

55 y/o female with a liver tumor invading the right atrium via the inferior vena cava

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

9 y/o patient. Single mass in the interatrial septum for 3 years; benign echocardiographic appearance that is growing. Cardiac magnetic resonance imaging consistent with cardiac lipoma.
T2 w: very hyperintense
T2 STIR fat-saturated imaging : low signal
Low perfusion
LGE min

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

60 y/o male, posteroinferior STEMI, treated with thrombolysis; 24 hr later pulmonary edema and cardiogenic shock, admitted in very poor general condition. Mechanical complication of AMI; VSD after AMI.

[Alexander Mladenow MD @alex1708ander]

65 yo female sent on a weekend from external hospital with the diagnosis of MV endocarditis. Dyspnea and fever, on antibiotics. History of recent TMJ surgery. Lockjaw - extremely limited jaw opening (no TEE). Same day surgery. Difficult airway. Thoughts #echofirst

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

63 y/o female, dyspnea and "almost fainting". TTE mass of benign echocardiographic characteristics in LA adhered to the interatrial septum by a pedicle and that in diastole produces dynamic obstruction of the entry tract of the VI. Left atrial myxoma

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

60 y/o male, ruptured right coronary sinus of Valsalva with severe AR (BAV). HF NYHA III.

[Daxiga @exp0sse]

18 year old female with dyspnea and palpitations? @DrRajeshG1 @swatigar @cardiodoc1988 @OungSavly

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

55 y/o female, SP > 90 mmHg, HR 82x’, BR 22x’; SpO2 92%, troponin 1455, NT ProBNP 2243. TTE did the Dx: acute PE, high intermediate risk

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

67 y/o male. Poor general condition, polypneic. TTE severe PE with echogenicities (membranes), WBC 20,000/ul. PW: 700 cc of pus drained: (pericardial fluid study, glu 3.7mg/dl, leu 14,000/ul, Ne 98%, very high LDH). CT scan showing right apical pneumonia.
Purulent pericarditis

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

Female 82y/o, loss of consciousness and dyspnea, right leg acute limb ischemia; TTE dilation of RV and RA, thrombus in transit through PFO, cerebral CT acute ischemic injury, chest TC angio thrombus in right PA, LE TC angio proximal obstruction right femoral artery.

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

72 y/o male. Replacement of aortic valve and mitral valve with bioprosthesis and tricuspid annuloplasty two months ago. Now presenting with mild dyspnea. TTE , TEE and CMR show shunt at the aortic ring level to the right atrium. Gerbode type 1 defect.?

[CardiovascularCorner @TrackYourHeart]

Vivid demonstration of a type A aortic dissection. Notice the false and true lumens formed by the dissection flap

[Álvaro H. Rodríguez C. MD, MSc @ahrodrig]

Male 70 y/o, symptoms of LHF with no history of ACS, TTE shows ventricular aneurysm vs v. pseudoaneurysm. CMR confirms inferolateral and anterolateral ventricular psudoaneurysm. He will be taken to qx.

[Marco Sales @MarcoSa52466127]

Prosthetic aortic valve endocarditis complicated with annular abscess.

#valvulopathies
#3DEcho
#echocardiography #transesophagealechocardiography
#cardiology
#EchoFirst
#TEE
@ASE360

[EVERSTRONG @everstrongever]

Ni uno