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#echofirst #finding #left #upper & #lower #pulmonary #veins #TEE #techniques

Cardiac and hepatic hydatid cysts in 4.5 y.o child. Cardiac echinococcosis (CE) are extremely rare, especially in children, representing 0.5–2% of all human cases. More images ⬇️⬇️⬇️

A 22 years-old man with history of cardiac surgery in early childhood for heart failure without cyanosis. Pulmonary valve looks ok. #echofirst

Massive secondary MR in a 74 yo man with beautiful 3D images from TTE showing coaptation defect. #echofirst #CardioTwitter Benoy Shah MD Edgar Argulian Alexander Mladenow MD Dr Jason Dungu PhD FRCP FESC Ritu Thamman MD Tuğba Kemaloğlu Öz, A/Prof Ekaterina Stellbrink Dr G Rajesh (Gopalan Nair Rajesh).

Another hepatic vein Doppler tracing in a patient with dyspnea. What are the findings?

#EHJCVI 🚨 28-year-old woman admitted with chest pain lasting 15h. The day before: alcohol intake 🍷 → woke up with dizziness and chest pain. HR 114 bpm, BP 83/52. ECG: ST depression in II, III, aVF, V4–V6. Tn 240. What’s your diagnosis? 🤔

Sinus venous ASD and PAPVR. Right middle and lower pulmonary veins overriding the ASD and communicating with SVC.

#echofirst ✅ Impressions about this TEE? Alex Felix David H. Wiener, MD Edgar Argulian Ritu Thamman MD Priscilla Wessly Eric H Yang, MD Hena Patel MD V.L.Sorrell, MD (@CASEfromASE EIC) Vladyslav Kavalerchyk 🇺🇦 Echo for fellows Dr G Rajesh (Gopalan Nair Rajesh). Nadeen N. Faza, M.D. Dr. Purvi Parwani Zain Asad, MD, MS, FACC FAHA

Unroofed coronary sinus with persistent LSVC is rare but important to recognize. If you inject agitated saline from the left arm and see bubbles enter the left atrium via the coronary sinus, suspect this defect. It’s a clue you don’t want to miss. #ACHD ❤️‍🩹

HCM with endocarditis. HCM getting diagnosed at 65 years!

🍀Good night Echo Lovers 🍀

The 3D road to 2D Bicuspid AV & bicuspid PV #echofirst Oung Savly, MD,FACC,FASE,FESC,FAPSC 🇰🇭 Rohit loomba Alex Felix Ritu Thamman MD Tuğba Kemaloğlu Öz, A/Prof American Society of Echocardiography EACVI President 👉 Fused BAV - Raphe 🖖 RCC & LCC 👉 Fused BPV - Raphe 🖖 R & L ☑️ #3DTEE makes the difference, but ✅ #2DTEE is fundamental

BAV is commonly associated with CoA. BPV may occur in TOF(small annulus),but the association is less common.American Society of Echocardiography American College of Cardiology ESC WG on ACHD Chairperson Ritu Thamman MD Leo Lopez AEPC - Paediatric and Congenital Cardiology Rohit loomba Alex Felix Alexander Mladenow MD Deepak Thekkoott #am-writing MD Chittur Sivaram David H. Wiener, MD Tuğba Kemaloğlu Öz, A/Prof

Any thoughts on this late systolic septal dyskinesis post exercise ? Coronaries - normal. Is this benign , or some form of exercise induced conduction system abnormality? Tony Forshaw Batman-Echo Kaz Negishi@Cardiologist/ Heart Mafia Agatha Kwon Ritu Thamman MD Brian Wood

#EHJCVI 📏 What should we use in aortic regurgitation: LVESDi or LVESVi? 📊 Cut-offs: LVESDi ≥20 mm/m², LVESVi ≥45 ml/m² Both elevated → worse 10-year survival 📉 Even in asymptomatic patients or LVEF >55%, LV dilation = higher mortality. Read more 👉 doi.org/10.1093/ehjci/…

Newborn baby. What is the mechanism of MR? Coronaries normal in origin.

#echofirst ☑️ TEE midesophageal ☑️ Simple diagnostic quiz John-Henry Dean Justin Haloot Khawaja Hassan Akhtar Khushboo Agarwal Lukasz Zydzik Edgar Argulian Ritu Thamman MD Nadeen N. Faza, M.D. Dr. Purvi Parwani

Time to close out.🙏 for comments ☑️ Finding: Mitral-Aortic intervalvular fibrosa pseudoaneurysm (MAIVFPA) due to AV IE (see images ⬇️) ☑️ MAIVF PA is due to perivalvular extension of IE of AV ☑️ 3D ⬇️ shows how MAIVFPA looks from LA aspect. Also seen is a MV vegetation at P2-P3