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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... (Vegetation, Thrombus ... , PFO, ASD, h/o ... , endocarditis or ... #differential #
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Marantic (NTBE) Differential ... via ASD • Metastatic ... embolism Endocarditis ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... via ASD • Metastatic ... -mm left sided vegetations ... #Endocarditis #Differential
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
signs/syrnptoms of embolic ... revealed 19% had cardiac ... valvular vegetations ... on mitral and aortic ... valve.
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... occur 10—20 years after ... Causes #diagnosis #differential
Causes of Renal Infarction - Differential Diagnosis
Thrombosis: Spontaneous
 • Atherosclerotic disease of aorta and renal artery
Renal Infarction - Differential ... • Cardiac source ... disease, Infective endocarditis ... , Marantic endocarditis ... infarction with mural
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... the context of embolism ... considered (principally vegetation ... are all of some value ... Echocardiogram #A4C
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... stretched PFO or ASD ... , and later (after ... PVeins (extra-cardiac ... clinical #pocus #a4c