13 results
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... that extends up and ... clinical #cardiology #a4c ... #plax
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... septal myectomy and ... #Vegetations #POCUS ... #Echocardiogram ... clinical #cardiology #A4C
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram ... #PLAX #Infective ... #Endocarditis #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... formation • Other vegetations ... Paradoxical emboli via ASD ... -mm left sided vegetations
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... disease: Most common cause ... Infective/marantic endocarditis ... Vegetations seen ... plane into left atrium
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Cardiomyopathy on Echocardiogram ... Though this case ... might look like asd ... An ASD with atria ... #cardiology #a4c
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Thrombus), Valve (Vegetation ... - Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... (a4c) It belongs ... Mitral valve doesn ... ASD with R/L shunting ... #a4c #Echocardiogram
Multi-chamber Myxoma in a case of Carney Complex (CC) on POCUS Echocardiogram
Carney Complex (CC) - characterized
Multi-chamber Myxoma in a case ... (CC) on POCUS Echocardiogram ... NephroPOCUS @NephroP #Atrial ... clinical #cardiology #a4c ... #plax