8 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... This can be LA aneurysm ... idiopathic. 2. ... Long chronic severe ... #atrium #a4c #Echocardiogram
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
inferior vena cava; LA ...  = left atrium; ... LV = left ventricle ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... anatomic shunt (Type 2) ... Microbubbles appear in left ... cycles after right atrial ... blood gas (ABC)
Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
Transesophageal Echocardiogram ... ME-Long axis view ... ME Right Pulmonary ... Pulmonary veins ... ME Left Atrial Appendage
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... disease, left heart ... Transthoracic echocardiogram ... ventricular size, Right atrial ... ventricular septum 2)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... L shunt as RAP>LAP ... as atrial septum ... shifts left ... clinical #pocus #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Cerebral > Splenic, pulmonary ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... unless prior heart/lung ... and undergoing AAA ... medical and surgical management