12 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 ... Ivan_Echocardio #Atrial ... #Contrast #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... #washout #ASD # ... atrial #septal # ... defect #a4c #Echocardiogram
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... septal #defect #ASD
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... #Right #Atrium
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... Mitral valve doesn ... ASD with R/L shunting ... dilated #left #atrium ... #a4c #Echocardiogram
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... • Definite: (>2 ... Embolism #diagnosis #differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... bubbles = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... #Differential #