PFO’s are associated w cryptogenic stroke: here’s a thrombus in transit through a PFO h/t @Bertolin_Car PFO size,R-L shunt grade, length(long-tunneled PFO), ASA,Chiari's ⬆️stroke risk by flow deceleration,🩸stagnation/thrombi formation w/in PFO #echofirst bit.ly/3SoHCk5

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Do you think this is Lambl’s excrescence or a papillary fibroelastoma?

Diagnosis???

5-month-old. pmVSD-prolapsed RCC. 👉🏻 Prominent muscle bundle crosses from septal to parietal wall ESC WG on ACHD Chairperson Ritu Thamman MD AEPC - Paediatric and Congenital Cardiology Alex Felix Chittur Sivaram MD MACP MACC Leo Lopez Rohit loomba Deepak Thekkoott #am-writing MD Alexander Mladenow MD David H. Wiener, MD Dr G Rajesh (Gopalan Nair Rajesh). Jennifer Co-Vu, MD, FACC, FAAP, FASE NeoCardioLab - Gabriel Altit

Post MVR, slowly progressive DOE for 3 months with worsening for 2 weeks. Mean gradient 28/16. No response to thrombolysis, given presumptively. Redo MVR? PETROS? Rethrombolysis?⁦Chittur Sivaram MD MACP MACC⁩ ⁦Benoy Shah MD⁩

Intraop TEE #echofirst septuagenarian female, single vessel disease, STEMI, apical infarction VSD. In the OR on admission, VSD-patch closure & LIMA-RIVA bypass. Long hospital stay then went to a rehabilitation facility

6-month-old, posterior malalignment VSD, causing tunnel-like LVOT👉🏻 Always check the aortic arch. Surgical perspective? Prasannasimha🇮🇳 ESC WG on ACHD Chairperson Ritu Thamman MD AEPC - Paediatric and Congenital Cardiology Alex Felix Chittur Sivaram MD MACP MACC Leo Lopez Rohit loomba Deepak Thekkoott #am-writing MD Alexander Mladenow MD David H. Wiener, MD

Master 3D echo

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Huge left atrium,❗ more than 1300 ml❗❗❗, in a patient with severe mitral stenosis and significant regurgitation. M, 47 y.o.

Our emergency patient today. A huge mass in the right side of the heart.❗❗❗

Acute Pericarditis : Inflammation of the pericardium, often presenting with pleuritic chest pain & characteristic ECG changes. Etiology: Idiopathic, MI, malignancy, infections. Diagnosis (≥2/4): Chest pain, ECG changes, pericardial rub, effusion. ECG Progression: 1️⃣ Diffuse ST

😱Trombo apical 👇🏼👇🏼 #echofirst #POCUS #MedEd Echofirst Bot

6-year-old girl. Idiopathic & Non syndromic myxomatous MVP (# Marfan or Ehlers–Danlos Sd) ESC WG on ACHD Chairperson Ritu Thamman MD Jeffrey M Vinocur Robert H. Pass AEPC - Paediatric and Congenital Cardiology Chittur Sivaram MD MACP MACC Leo Lopez Deepak Thekkoott #am-writing MD Alex Felix Rohit loomba David H. Wiener, MD Alexander Mladenow MD

8-year-old boy, HFrEF. BP 150/100mmHg. What reversible causes would you look for besides CoA & endocrine disorders such as hyperthyroidism or pheochromocytoma? Ritu Thamman MD Chittur Sivaram MD MACP MACC ESC WG on ACHD Chairperson AEPC - Paediatric and Congenital Cardiology Alex Felix Rohit loomba Swati Garekar Deepak Thekkoott #am-writing MD Alexander Mladenow MD

#echofirst

Adam tek başına bir ordu kuruyor, yedi düvele karşı Çanakkale’de, Sakarya’da, Dumlupınar’da çarpışıyor, gece gündüz cephede ama bir yandan 3.397 kitap bitiriyor (evet, saymışlar), geometri terimlerini Türkçeleştirip ders kitabı yazıyor, cumhuriyet kuruyor, alfabe devrimi yapıyor,

Yıkılmaz!

Vegetations usually affect the left side of the heart 👉 #echofirst quinquagenarian with double native valve endocarditis #3DTEE 👉 AV vegetations are attached to the LV side of the leaflets 👉 MV vegetations are attached to the LA side of the leaflets