8 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... Echocardiogram (a4c ... Mitral valve doesn ... ASD with R/L shunting ... a4c #Echocardiogram
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 ... Embolism #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... sided vegetations
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
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma ... )/ball valve thrombus ... Causes #diagnosis #differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Paradoxical emboli via ASD ... formation • Other vegetations ... sided vegetations ... #Endocarditis #Differential
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... annular plane into left ... parachute mitral valve ... Primary #Functional #Differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... shifts left ... In addition to dilated ... stretched PFO or ASD ... clinical #pocus #a4c