6 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #Bubble #Contrast ... #pocus #shunting
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... or PFO with left ... echocardiogram #s4c ... #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... via ASD • Metastatic ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... via ASD • Metastatic ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... #a4c #intrapulmonary