12 results
Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three
look for Aortic Valve ... "Mercedes Benz Sign ... #AorticValve #Aorta ... #mercedes #sign ... #Echocardiogram
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
the surface of valve ... left-sided heart valves ... embolize • Cannot differentiate ... absent How can we differentiate ... pathognomonic signs
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Clips 1 and 2 demonstrate ... mobile mitral valve ... consistent with a vegetation ... Clinical #POCUS #Echocardiogram ... #MitralValve #Vegetation
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Clinical #POCUS #Echocardiogram ... #AorticValve #Aorta ... #Vegetation #Endocarditis
Aortic Valve Endocarditis on POCUS Echocardiogram (PLAX)
50 yo female presents with fever & flu-like symptoms.
Aortic Valve Endocarditis ... on POCUS Echocardiogram ... vegetation (mobile ... EUSmkh #Aortic #aorta ... #POCUS #Echocardiogram
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
acceleration time; Ao = aorta ... TRPG = tricuspid valve ... and McConnell sign ... view E. 60/60 sign ... cmls) #TTE #Echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations ... Endocarditis #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... dissection • Aortic valve ... Pulse deficit/differential ... Dissection #diagnosis #management
Marantic Endocarditis 

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
patients with no signs ... Vegetations mostly ... just sit on valve ... destruction of valve ... Endocarditis #Diagnosis #Management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... duodenum Clinical Signs ... • Should be on differential ... de novo between aorta ... or within the aorta