11 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... #Valve #Endocarditis ... #Vegetations #POCUS ... clinical #cardiology #A4C ... #S4C
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
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... (vegetations)/tumor ... (left atrial myxoma ... )/ball valve thrombus ... #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... 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
Infective/marantic endocarditis ... Vegetations seen ... plane into left atrium ... valve - Secondary ... #Functional #Differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... 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 ... - Most Common Cause ... non-culprit vessels • Atrial ... , PFO, ASD, h/o ... cardiac surgery, endocarditis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
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 ... #Endocarditis #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... of developing atrial ... mmHg developed atrial ... • Infective Endocarditis ... • Mitral Stenosis