15 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
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
Primary and Secondary ... Causes of Mitral ... • Prosthetic valve ... annulus valve: ... Regurgitation #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 ... sided vegetations
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... (a4c) It belongs ... Mitral valve doesn ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
- Differential ... Small secundum ASD ... or PFO with left ... echocardiogram #s4c ... #pocus #bubble
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... annular plane into left ... atrium. ... valve - Secondary
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... Paradoxical: Right to Left ... - Most Common Cause ... , PFO, ASD, h/o ... cardiac surgery, endocarditis
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