38-G3P2, now 20-wks pregnant. Bicuspid AV w/ critical AS, moderate to severe AR. EF 65%. PASP 25. NYHA 2-3 on beta-B & diuretic. What to do?

[1] Termination ✅️or ❎️
[2] BAV now then AVR after delivery [severe AR anyways, but risk of CVA]
[3] C-section at 28 wks & AVR

First cases of #Evolut FX+ in the world with coronary cannulation and CT post showing the larger (4x bigger) cells 120° apart and perfectly located in front of coronary ostia. University Hospitals Dr. Gilbert Tang Medtronic Structural Heart Cristian Baeza, MD Anene Ukaigwe Sahil Khera vinayak bapat Mehdi Shishehbor, DO

Dr. Krzysztof Pujdak PCRonline 🫀 AGIK Mamas A. Mamas Bao Tran, MD jedicath աǟզǟʀ.ǟɦʍɛɖ Dr Shariq Shamim Jeffrey Wilson, MD key is not to over-engineer things. this is one i posted from last year with 1&2 year followup looking essentially the same. just stented across, took care of aneurysm without covered stents, coils, microcatheters, etc. think this was a 4.5 Synergy.

Who needs contrast when you can see LV thrombus even in the Subcostal view. #ACCFIT #echofirst BCM Cardiology

🔊Features of non-infective valvulitis (i.e., rheumatic heart disease, auto-immune) #WhyCMR #FOAMED
1⃣ Free-edge leaflet thickening
2⃣ Restricted leaflet mobility (mainly posterior mitral)
3⃣🏒*** Hallmark | Commissural fusion (given the appearance of a hockey stick opening)

I was lucky enough to meet Dr Braunwald in person during a cardiology fellows course with CVI in Philadelphia. Amazing person and great speaker. Inspirational.

And Dr. Braunwald starting the session with a 'brief' 154 years history of #HCM
#HeartFailure2024 #CardioTwitter

Here are the primary results of #aficamten in NEJM

nejm.org/doi/full/10.10…

#HeartFailure2024 #CardioTwitter

Excellent use of DCB in prox LAD STEMI 👇🏽 this will be the future of ACS PCI...IMHO stents will only be used for bailout. Looks like we've done a full circle 😁

45👨 w HTN. Asymptomatic.
👁️ #EchoFirst ➡️ PV = 3 m/s (descending Ao)
🎯 #YesCCT ➡️CoA
🪡Invasive P-P gradient=10 mmHg

➰3 Qs
1. Why are Echo & Cath gradients discordant?
2. Post-stenotic dilation or just aortopathy?
3. Management (Ao appears infolded)?

#CardioTwitter #ACCFIT

☺️thank you for amazing discussion. Here is the IVUS. Couldn’t not stent, after seeing it. Possible would have healed? Frame 790-1020

Simple Sunday Quiz For Fellows(No exemption even on Sundays😄🤭). What is the blue flow marked by the arrow to the left of PA?

Amazing talk on NT-Pro BNP.. especially changes in cut-off based on BMI !!! #HFA2024 #HeartFailure2024 #CardioX #CardioTwitter

Interesting to see ATTR-CM ads everywhere
#HFA2024

What’s your go to femoral antegrade closure device of choice? Why?
#CLTI

Kumar Madassery Sabeen Dhand Mark Lessne, MD Mike Watts Oleksandra Kutsenko, MD 🇺🇦 Lorenzo Patrone Varshana Gurusamy Keith Pereira MD, #VIrad Don Garbett drcostantino Jay Mathews MD, MS, FACC, FSCAI Zola N'Dandu August Ysa Fadi Saab BAO BUI Joseph L. Mills MD BackTable Vascular and Interventional

Constrictive pericarditis 🫀 From Oscar Moreno U. #medtwitter Dr Ihab Suliman. دكتور ايهاب فتحي سليمان Matters of the Heart 🫀 Sthanu Journal of Brown Hospital Medicine

Earth has a probable inferoseptal defect tonight

Today image

DCB have been available for 14 years in Europe and elsewhere outside USA. As US IC are excited for DCBs, note the results with POBA were not always perfect. We don't know the role of DCBs in setting of dissections and recoil.
Diffusel disease in LAD and didn't want a FMJ so…

SOTA PCCT - What can CT do for you and your patients?

A quantum HD dataset to let you enjoy the wonderful spatial resolution and staticity of the images (some post-myocarditic scarring of the LV).

#PCCT #photoncounting #QuantumHD #CT #yesCCT #CAD #naeotomalpha