10 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... septal myectomy and ... #Valve #Endocarditis ... #Vegetations #POCUS ... 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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... - Most Common Cause ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Causes of Mitral ... annulus valve: ... cardiomyopathy - VA ... Regurgitation #differential
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... #diagnosis #differential
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Causes of Ischemic ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis ... Ischemic #Stroke #CVA
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Treat underlying cause
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... #Functional #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 ... Septic emboli cause ... #Endocarditis #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... association with coronary ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis