12 results
Massive Left Atrial Myxoma on Echocardiogram (TEE)
Pt admitted for SOB x 2 months with episode of
Massive Left Atrial ... (TEE) Pt admitted ... for SOB x 2 months ... @RussSayin #Atrial ... #cardiology #POCUS
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... , TEE, CT or MRI ... non-culprit vessels • Atrial ... scoring #criteria #cardiology
Severe Mitral Stenosis on Transesophageal Echocardiogram
Spontaneous contrast 'smoke' in the left atrium
AF + stasis = huge
Echocardiogram Spontaneous contrast ... left atrium AF ... = huge risk of thrombus ... #Stenosis #TEE ... Echocardiogram #Clinical #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... and left atria, ... atrial thrombus ... atrial occlusion
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
vegetations)/tumor (left ... atrial myxoma)/ ... ball valve thrombus ... occur 10—20 years after ... #differential #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left ... Atrial Thrombus ... No mitral stenosis.Simultaneous ... @odremanr #Atrial ... #LA #TEE #Echocardiogram
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... Microbubbles appear in left ... right atrial passage ... gas (ABC) analysis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... ASD, and later (after ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ Suspicion -> TEE ... diagnosis #management #cardiology