9 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... septal myectomy and ... #Vegetations #POCUS ... #Echocardiogram ... clinical #cardiology #A4C
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... Here you see a vegetation ... that extends up and ... clinical #cardiology #a4c
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... secondary to endocarditis ... applying color Doppler ... Clinical #POCUS #Echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -mm left sided vegetations
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... stenosis #Causes #diagnosis ... #differential #
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Functional Mitral ... Infective/marantic endocarditis ... Vegetations seen ... Primary #Functional #Differential ... #Diagnosis #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Thrombus), Valve (Vegetation ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Paradoxical emboli via ASD ... -mm left sided vegetations ... #Differential #
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Right Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... #clinical #echocardiogram ... #s4c #pocus #bubble