Kais A.

#EchoFirst / #FOAMcc

[Alexander Mladenow MD @alex1708ander]

💡 Caseous necrosis at the aortic valve is far rarer than at the mitral valve, with only isolated case reports.

It looks like an echogenic mass with a lucent center near the AV (toothpaste-like), so it can be easily mistaken for an abscess, tumor (PFE), thrombus, or vegetation.

[Kais A. @echovisionary]

@alex1708ander 20 years of excellence ever since;)

[Kais A. @echovisionary]

@icmteaching @ross_prager Finally! Really looking forward! Was the main outcome need for RRT?

[Kais A. @echovisionary]

@fiore_corrado Excellent case and imaging! 👌

[Kais A. @echovisionary]

@fiore_corrado @CASivaram1 @cardiopole Great work!

[Kais A. @echovisionary]

@michetomaselli @lpbadano @denisamuraru @noela_radu Beautiful images! Absolute top!

[Kais A. @echovisionary]

@iamritu @hahn_rt @escardio @ESCardioNews @psorajja @JoaoLCavalcante @JGrapsa @purviparwani @alex1708ander @alexsfelixecho @echo_stepbystep Figure S2. in the Supplementary - Sweet spot för TEER is in severe TR, too late when torrential? @hahn_rt

[Kais A. @echovisionary]

@JonW1993 @PulmCrit Yes SCAD as type 2 was always a joke

[Kais A. @echovisionary]

@kevin_domingues @denisamuraru @alex1708ander @NMerke @eromerodorta @StellEkaterina @alexsfelixecho @echo_batman @echo_stepbystep @VerwerftJan @echotalk @argulian @iamritu Really beautiful images ! 😄 Pioneer? If not endocarditis what else may cause? AMVL large perf and A2-flail. Color?

[Kevin Domingues @kevin_domingues]

What the mitral⁉️

Middle-aged♀️
'Congenital valvular issue' hx.
No hx of endocarditis (+ no other suggestive findings).

@denisamuraru @alex1708ander @NMerke @eromerodorta @StellEkaterina @alexsfelixecho @echo_batman @echo_stepbystep @VerwerftJan @echotalk @argulian @iamritu

[Kais A. @echovisionary]

@alex1708ander RCC prolapse with severe posteriorly directed excentric AR causing restricted AMVL ”echocardiographic austin flint”

[Kais A. @echovisionary]

@nihar_nayak2 Most likely rheumatic. Severe MR with restricted PMVL and chordal thickening. Significant AR, suspect rheumatic involvement. Severe TR most likely functional but need more views and TEE to rule out rheumatic involvement. Biv reduced function. @alex1708ander @DrHaniMahmoud

[Kais A. @echovisionary]

@alex1708ander @lpbadano @Obisht Yes a full echo assessment always requires both. Was your case @lpbadano multiple chordal ruptures with flail P2?

[Kais A. @echovisionary]

@lpbadano @alex1708ander @Obisht Will maybe be a more common problem in the future with AI post processing tools? Performing automated measurements on all images with values that do not fit the clinical picture, the imager spends more time removing values that shouldn’t have been performed in the first place.

[Kais A. @echovisionary]

@alex1708ander @lpbadano @Obisht Perhaps the greatest fault here is the imager’s assumption that this loop was adequate to perform LARS? What is the feasibility of LA strain with TEE?

[Kais A. @echovisionary]

@ThinkingCC @louiesanoudakis Could it be venous thoracic outlet syndrome?

[Kais A. @echovisionary]

@najibadn @alexsfelixecho @alex1708ander @CASivaram1 @StellEkaterina @bwoody58 @iamritu @DrRajeshG1 EF seems reduced as well, urgent surgery?

[Kais A. @echovisionary]

@CASivaram1 @argulian @iamritu @purviparwani @NMerke @echo_batman @alex1708ander @alexsfelixecho @Hragy @DocStrom @denisamuraru Really beautiful images, TrueVue is really👌. Large ASD with bidirectional flow. How high was CVP? Is this on PPV with moderate/high PEEP?

[Alexander Mladenow MD @alex1708ander]

The pulmonary valve isn’t called the “neglected valve” for nothing.

In this sexagenarian with a BAV, it’s easy to focus all your attention on the aortic valve - and miss the pulmonary valve pathology.

Don’t forget to look beyond the obvious. #echofirst

🕵️‍♂️ intraop TEE