Sharing the diagnosis of this case x.com/marciomp50/sta… This diagnosis was possible thanks to the reach that X/twitter has, enabling the sharing of knowledge, which is what my friend did Jorge Faerron .

35 YOM, Hx of 3 times cath ,last 2 pulmonary balloon dilatation in other hospital ( no report) . Came to our center for further assessment and follow up. Echo suprapulmonic stenosis with PG 118 mmHg, moderate PR. No other congenital defect

Do you agree NephroPOCUS Segun Olusanya (He/Him) [email protected] ?

#EHJIMP Papillary fibroelastoma or quadricuspid aortic valve? ✅ Multi-modality cardiac imaging will give the answer . doi.org/10.1093/ehjimp… ⁦Julia Grapsa⁩ ⁦EHJ-IMP Editor-in-Chief⁩ ⁦Alessia Gimelli⁩

Non contrast image also shows this well.

#echofirst ✅ The incremental contribution to diagnosis by 3D echo may be under appreciated ✅ 2D midesophageal 4CH view (1st image) shows ICD lead only in RV, but not RA ✅ With Live 3D however the RA extent of ICD lead is obvious (slightly off plane): black arrows ✅ A

Jingle bells .. jingle bells .. jingle all the way 🎵 2 different patients 1) CABG with LIMA to 🌈 2) Caseating MAC 🪨 American Society of Echocardiography Heart_SCCT TCTME+

Left atrial thrombus. Patient after mitral valve repair.

#echofirst ✅ PW sampled from LUPV: 1st composite image shows recordings 20 mins apart (GA for structural intervention) ✅ Explanations & comments? Ritu Thamman MD David H. Wiener, MD Edgar Argulian Vladyslav Kavalerchyk 🇺🇦 Alexander Mladenow MD John P Erwin III MD MBA MACC (#BigPoppy ) Hany Ragy Tuğba Kemaloğlu Öz, A/Prof Hatem Soliman, FRCP, FEACVI, FASE, FHEA

this is excellent! Edgar Argulian Julia Grapsa rafavidalperez

#EHJCVI 🫀 What are the differences between current diastolic dysfunction guidelines? 📖 This editorial by @jgrapsa, Edgar Argulian, Otto Smiseth reviews key differences and their impact 👉 Read more: doi.org/10.1093/ehjci/… #EchoFirst #CVImaging #Echocardiography

Flail commissural P1 segment with big P1/2 indent/cleft. Adjacent A1 prolapse. Eccentric MR. Was hard to work out on 2d but 3d saved day #echofirst #3DTOE Ritu Thamman MD Alexander Mladenow MD Edgar Argulian Ekaterina Stellbrink Alex Felix Nicolas Merke Tuğba Kemaloğlu Öz, A/Prof Benoy Shah MD Echo for fellows

Another 3d to rescue. Ca++MV disease with MR. Permanent AF. Valve looked a mess on 2d with 2 MR jets. 3d lots Ca++ with big bar in P2( DIY Alfieri ). P1/2 indent/cleft with defect & smallish central MR. P3/A3 prolapse into commissure with lump Ca++ in A3 creating bigger seperate

An elderly patient with hypertension, preserved LVEF, and no valve disease admitted with dyspnea. Mitral inflow PW Doppler is shown 2 months prior to admission and at admission. 1/2

Classical finding on echocardiography. What is this❓️ Video from MyHeart_net

14-old-boy #echofirst, no facial dysmorphia, no pressure difference left/right arm

Two descending thoracic aortas in parallel?!! Nope. It is a post operative case. Guess the surgery?

Severe mitral valve insufficiency. Prolapse/Flail P1 #valvulopathies #Mitral #3DEcho #echocardiography #cardiology #EchoFirst #CVImaging #TEE American Society of Echocardiography

great example! Chittur Sivaram MD MACP MACC Edgar Argulian

Forehead Venous Pulsations in Severe Tricuspid Regurgitation | New England Journal of Medicine nejm.org/doi/full/10.10…