16 results
Mitral Valve Endocarditis on POCUS Echocardiogram

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... patient underwent septal ... #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 ... Here you see a vegetation ... hits the septum ... #clinical #cardiology ... #a4c #plax
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
and Left Atrial ... (a4c) Mitral ... #Thrombus #a4c ... #Echocardiogram ... #clinical #cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... results: vegetation ... already embolised, Vegetations ... Predilection for left-sided ... Marantic #diagnosis #table
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Tricuspid Vegetations in Endocarditis on POCUS Echocardiogram (s4c)
There are times you do a bedside echo on
Tricuspid Vegetations ... on POCUS Echocardiogram ... bedside echo on a septic ... POCUS #Echocardiogram ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... Paradoxical emboli via ASD
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... disease Infective endocarditis ... (vegetations)/tumor ... (left atrial myxoma ... #differential #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
mitral regurgitation ... Libman Sacks) • Atrial ... tumor embolism Septic ... sided vegetations ... Differential #Diagnosis #cardiology