10 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... • Cardiac surgery ... catheterization • Thoracic ... deficit • Shock Treatment ... opiates • Control heart
Mitral Valve Vegetations on Echocardiogram

Surgery may be considered in pts with large (>15 mm) isolated aortic
Echocardiogram Surgery ... considered in pts ... 15 mm) isolated aortic ... Echocardiogram #clinical #cardiology ... #pocus
Mitral Valve Vegetations on Echocardiogram (PLAX)

Surgery may be considered in pts with large (>15 mm) isolated
Echocardiogram (PLAX) Surgery ... considered in pts ... 15 mm) isolated aortic ... Echocardiogram #clinical #cardiology ... #pocus
Intraoperative Bleeding from Myocardial Free Wall Rupture secondary to extensive Myocardial Infarction

- Dr. Joaquin Gundelach @JoacoGundelach

#Bleeding
Free Wall Rupture secondary ... #Bleeding #thoracic ... #surgery #CTS # ... rupture #cardiac #heart
Ex-vivo angiography of a transplant heart. Further widening of the donor pool!

- James Nadel @jimmy_nardel

#Exvivo #angiography
of a transplant heart ... fluoroscopy #transplant #heart ... #cardiac #thoracic ... #surgery #cts # ... clinical #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... risk (>5%): - Aortic ... one post op Cardiology ... Severe Aortic stenosis ... upper abdominal/thoracic
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
Stanford Type B thoracic ... The POCUS allowed ... the CV surgeon ... the confirmatory CTA ... and standard treatment
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
leaflet (*), and aorta ... (Ao) seen at its ... descending deep to the heart ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... hematuria, + RF Treatment ... antibiotics • Surgery ... Viridans Surgery ... Differential #Diagnosis #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
urine, sweat) - its ... / hypoxemia -> focus ... regional ischemia, surgery ... before beginning treatment ... glycol - HIV/HAART