Sujith Pereira 🇮🇳🇬🇧🏏🚴

Neonatologist & Researcher with interest in Haemodynamics, Echocardiography, POCUS. T+RT= own. Opinion ≠ endorsement

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

DORV with Subaortic VSD, double conus.
@iamritu @WGACHDChair @AEPCcongenital @CASivaram1 @echoleolopez @loomba_rohit @alex1708ander @DavidWienerMD @alexsfelixecho @SIwa23288585 @cardiopedhnn @sujithsp @CardioNeo

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

Persistent ❤️ rhabdomyoma at 5 years: epilepsy, intellectual disability, facial angiofibromas & ash leaf macules =TSC
🚩Severe neurological involvement favors a TSC2 phenotype
@AEPCcongenital
@ASE360
@WGACHDChair @iamritu @CASivaram1 @echoleolopez @SIwa23288585 @WithAScalpel

[AbdAllah Othman @CardioBeat_]

https://t.co/MC9dQhaIo5
💥 In-Depth Visual Guide to ECG rhythms🫀📊
#Cardiology #HeartHealth #Arrhythmia #ECG
#ecginterpretation

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

7-week-old, DORV/subaortic VSD
📌🔑 is the LV to Ao streaming through the VSD.
👉🏻Mimicking TGA
@AEPCcongenital @ASE360
@WGACHDChair @iamritu @alexsfelixecho @CASivaram1 @dkthekkoott @echoleolopez @WithAScalpel @SIwa23288585 @DavidWienerMD @sujithsp @CardioNeo @swatigar

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

@alex1708ander @GEHealthCare My case 5-day-old, 3kg.

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

📌 d-TGA/IVS: Restrictive PFO + PGE1 reopened ductal flow.
📌Document coronary origins using the Leiden convention before ASO.
👉🏻LCA(sinus 1), RCA(sinus 2)
@ASE360 @EACVIPresident @AEPCcongenital
@WGACHDChair @iamritu @CASivaram1 @echoleolopez @SIwa23288585 @WithAScalpel

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

9M, 5.6 kg,Supracardiac TAPVR
📌Dilated innominate vein = key clue
🚩Restrictive PFO=atrial level obstruction,even without obvious pulmonary venous obstruction @ASE360 @EACVIPresident @AEPCcongenital
@WGACHDChair @iamritu @CASivaram1 @echoleolopez @SIwa23288585 @WithAScalpel

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

3-day-old, term.
Not every D-shaped LV in Neonatal PPHN reflects isolated RV pressure overload👉🏻Left pneumothorax may lead pseudo-mechanical LV compression & Dilated Innominate V.
@WGACHDChair @ASE360 @iamritu @CASivaram1 @loomba_rohit @alex1708ander @SIwa23288585 @WithAScalpel

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

5-day-old, 3kg, dTGA/IVS
👉Parallel circulation only with adequate mixing at ASD***,VSD,PDA level.
👉Antero-posterior GAs+VA discordance : ASO/Lecompte maneuver restores normal physiology.
@WGACHDChair @iamritu @CASivaram1 @loomba_rohit @alex1708ander @SIwa23288585 @WithAScalpel

[Alexander Mladenow MD @alex1708ander]

Adult patient with failure of delamination #echofirst

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

Preterm neonate (34 weeks gestation)
📌pmVSD with posterior extension into the inlet muscular septum.
@WGACHDChair @iamritu @alexsfelixecho @CASivaram1 @dkthekkoott @echoleolopez @WithAScalpel @alex1708ander @SIwa23288585 @DavidWienerMD @sujithsp @CardioNeo @AmerAcadPeds

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

Infants with Wilms tumor:
📌A enlarged azygos vein : always interrogate the IVC obstruction by metastatic mass. @AEPCcongenital @ASE360
@iamritu @CASivaram1 @alex1708ander @SIwa23288585 @echoleolopez @loomba_rohit @alexsfelixecho @swatigar @argulian @sujithsp @cardiopedhnn

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

Left atrial isomerism, dextrocardia, AVSD, common atrium,intracardiac TAPVC, TOF/PS, Hepatic veins drain directly to atrium.
@iamritu @CASivaram1 @alex1708ander @SIwa23288585 @echoleolopez @loomba_rohit @alexsfelixecho @swatigar @argulian @WithAScalpel @sujithsp @cardiopedhnn

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

1-month-old. This is not a Simple PDA & Not a mirror artifact.
👉🏻This is a Malignant PDA associated with CoA.
@iamritu @CASivaram1 @alex1708ander @SIwa23288585 @echoleolopez @loomba_rohit @alexsfelixecho @swatigar @argulian @WithAScalpel @sujithsp @cardiopedhnn @Prasannasimha

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

Neonate with AORPA
📌 Not “ Hemitruncus” because there are two separate sigmoid valves
👉🏻 Right lung systemic pressure load.
@iamritu @CASivaram1 @alex1708ander @ASE360 @SIwa23288585 @echoleolopez @loomba_rohit @swatigar @argulian @WithAScalpel @sujithsp @cardiopedhnn @CardioNeo

[Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 @OungSavly]

6-month-old with pmVSD associated with anatomically PVS:
📌 Not DCRV
📌 Not dynamic infundibular obstruction @AEPCcongenital
@iamritu @CASivaram1 @alex1708ander @ASE360 @SIwa23288585 @echoleolopez @loomba_rohit @swatigar @argulian @WithAScalpel @sujithsp

[CardiovascularCorner @TrackYourHeart]

How many cusps does this aortic valve have?
1️⃣ Unicuspid
2️⃣ Bicuspid
3️⃣ Quadricuspid

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

For fellows. what are the mechanisms of sponntaneous tumor regressions, especially Rhabdomyomas

[Swati Garekar @swatigar]

The video shows ap4 ch and psax views
There is no TGA.

The diagnosis is RPA off the ascending aorta. With severe PH ofcourse.
The saturation was 95%.
The cxr shows cardiomegaly.

[Alexander Mladenow MD @alex1708ander]

@cardiopedhnn @Prasannasimha @OungSavly @Ahmed43101178 @ASE360 @AEPCcongenital @iamritu @WGACHDChair @CASivaram1 @alexsfelixecho @loomba_rohit @SIwa23288585 @swatigar @WithAScalpel @DavidWienerMD @sujithsp What makes sense is to understand the echocardiographic-morphologic-surgical correlation ♻️

👉 https://t.co/WciHLWDEQS

I visited this course a couple of times in the past - each pptx topic consists of morphological and echo part.

Highly recommended #echofirst 🇪🇺🇺🇸🇨🇦