This is a TTE clip from a trauma patient suspected of having a cardiac contusion who, incidentally had rheumatic mitral stenosis. This zoomed parasternal short axis clip demonstrates significant thickening of both the anterior and posterior mitral leaflets.

Added by: drdavemd
Tags: mitral stenosis rheumatic
Date: 2009-09-30

This subxiphoid TTE clip shows right ventricular dysfunction of the basal and mid portions while the apex still contracts. This is referred to as McConnells sign, the eponymous finding in patients with pulmonary embolus.

Added by: drdavemd
Tags: TTE PE embolus right ventricular dysfunction
Date: 2009-09-14

The patients rhythm can make echo interpretation challenging. In this clip the Hr is quite fast and irregular due to atrial fibrillation.

Added by: drdavemd
Tags: TTE transthoracic atrial fibrillation
Date: 2009-05-14

Anyone can you identify this mitral prosthesis?

Added by: DrO
Tags: TEE mitral prosthesis mechanical valve
Date: 2008-11-10

http://www.echochief.com/how-to.php

Added by: EchoChief
Tags: echocardiography,pisa,mitral regurgitation
Date: 2009-04-29

congenital aortic stenosis with severe congestive heart failure:Dilatation of the left ventricle with severe hypokinesia of ventricular walls

Added by: magehana47
Tags: aortic stenosis congenital valve
Date: 2009-11-03

When agitated saline is injected into the venous system, it opacifies the right atrium and ventricle. None should make it through to the left side of the heart. If bubbles appear on the left immediately, it is indicative of an intracardiac shunt, while bubble that appear within a few heartbeats are consistent with an intrapulmonary shunt. Neither are seen in this TTE loop.

Added by: drdavemd
Tags: normal apical TTE bubble
Date: 2009-03-25

This four chamber apical TTE clip shows bubbles or agitated saline being administered through a peripheral vein with the patient performing a valsalva maneuver. The result is immediate appearance of bubbles in the left circulation consistent with interatrial shunting. The quality is not great, but you can see the single bubbles floating in the LV within 1-2 beats of the heart after injection of the saline.

Added by: drdavemd
Tags: TTE transthoracic atrial shunt bubble study valsalva
Date: 2009-04-25

In this apical TTE clip, agitated saline is injected into the patients IV line and we look for evidence of bubbles in the LV. In this case, the bubbles show up in 2 heartbeats, consistent with a right to left shunt somewhere in the heart. This patient suffered a stroke, which prompted the study. Further review of the TTE did not reveal a shunt source and TEE would be an appropriate next step.

Added by: drdavemd
Tags: TTE apical bubble study positive
Date: 2010-09-15

This TEE clip demonstrates a vegetation on the aortic valve which was found incidentally in an asymptomatic 80 year old man. This clip was taken with a biplane/3D probe and two simultaneous views.

Added by: drdavemd
Tags: TEE aortic valve vegetation
Date: 2010-09-16

This parasternal long axis TTE clip shows an aortic valve that is, sclerotic with mild calcification and mild thickening. This is a common finding in the elderly. There was not a significant pressure gradient measured on doppler.

Added by: drdavemd
Tags: TTE transthoracic parasternal long axis aortic calcification sclerosis
Date: 2009-04-25

This parasternal long axis TTE clip shows that this patient has moderate LV dysfunction that is a result of inferior wall akinesis while the septum thickens normally. The rest of the study showed isolated akinesis of inferior segments of the heart.

Added by: drdavemd
Tags: TTE transthoracic inferior wall motion akinesis moderate ventricular dysfunction
Date: 2009-04-25

The D sign refers to septal flattening that occurs when right ventricular pressure is so elevated that it deforms the left ventricular cavity which usually remains in a doughnut or O shape, as in this parasternal short axis TTE clip.

Added by: drdavemd
Tags: TTE parasternal short axis RV pressure overload
Date: 2009-09-14

coarctation of the aorta:TTE suprasternal view,cw doppler recording shows systolic and diastolic gradient through the stenotic isthmus.

Added by: magehana47
Tags: coarctation aorta stenosis isthmus congenital echocardiography
Date: 2010-12-10

Parasternal long axis TTE loop of mild mitral regurgitation directed posteriorly into the left atrium.

Added by: drdavemd
Tags: mitral regurgitation transthoracic
Date: 2009-03-17

This TTE clip shows what appears to be a small VSD in a patient who recently underwent an AVR and presented with symptoms of lower extremity edema.

Added by: drdavemd
Tags: TTE aortic valve replacement ventricular septal defect
Date: 2010-09-17

This clip shows the septum of a patient with a large pericardial effusion that was causing tamponade and constrictive physiology. As a result, the normal contraction of the lateral wall of the LV is resulting in a 'shaking' motion of the septum.

Added by: drdavemd
Tags: tamponade effusion septal motion TTE
Date: 2010-02-25

This is an example of a complication of a recent myocardial infarction. See that the image shows traces of fibrin adyacent to the thrombus.

Added by: err
Tags: apicalthrombus
Date: 2009-10-24

Frequently, the descending aorta can be seen just behind the left atrium in the parasternal long axis view on TTE. In this case, a subtle finding is a serious one that must be detected. The linear echodensity across the aorta is an acute dissection of the aorta.

Added by: drdavemd
Tags: parasternal TTE aorta dissection
Date: 2010-04-01

A rare localisation of bacterial endocarditis

Added by: magehana47
Tags: endocarditis vegetation valve
Date: 2009-10-31