9 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... Paradoxical: Right to Left ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... #diagnosis #differential
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
false-negative results: vegetation ... , Vegetations often ... small (<1 cm), ... broad based and ... Predilection for left-sided
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... via ASD • Metastatic ... embolism Endocarditis ... -> TEE • Duke Criteria ... sided vegetations
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... Predilection for left-sided ... heart valves • ... likely to embolize ... • Cannot differentiate
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... via ASD • Metastatic ... → TEE • Duke Criteria ... sided vegetations ... #Endocarditis #Differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... or PFO with left ... echocardiogram #s4c ... #pocus #bubble
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
and Management ... Vascular (septic emboli ... Diagnosis: Duke Criteria ... (2 Major OR 1 Major ... bacteria, ECHO w/ vegetation
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c