11 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... #Defect #ASD #Echocardiogram ... #Contrast #a4c
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... Ivan_Echocardio #atrial #septal ... #defect #ASD #Bubble ... #Contrast #Echocardiogram
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... daptomycin, pip/tazo and ... ultrasound_vcu #MitralValve ... #clinical #a4c
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... that extends up and ... hits the septum ... #MitralValve #Endocarditis ... clinical #cardiology #a4c
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... patient underwent septal ... myectomy and MV ... clinical #cardiology #A4C
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
catheter • Recent dental ... mitral regurgitation ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... on this saline contrast ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c