A ligated Left Atrial Appendage
Prior to cardioversion, this patient with prior CABG supposedly had the LAA ligated. The indentation in the atrium is the remnant of the LAA. Notice the faint spontaneous echo \smoke\.
Runtime: 0m:1s
(1 ratings)
From:
drdavemd
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10437
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Added:
3314 days ago
Adult with congenital heart defect (Part 2 of 2)
Patient with septic shock and congenital heart defect: in TEE we could see an ASD, a VSD and we had an idea, that there is a sinus venosus defect and a parietal thrombus in the right pulmonary artery
too.
Runtime: 0m:40s
(2 ratings)
From:
Emmel
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3982
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2
Added:
2380 days ago
Not yet rated
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From:
Emmel
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6244
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2396 days ago
Another HOCM Part 2
here the TEE of further patient with severe HOCM with SAM of AMS and following high grade mitral valve insufficiency and fluttering aortic valve respectively mesosystolic closure of aortiv valve
(unfortunately I still can“t convert my M-Mode-pictures of SAM and mesosystolic closure of aortic valve).
Runtime: 0m:30s
(1 ratings)
From:
Emmel
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8113
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1
Added:
2192 days ago
(1 ratings)
From:
magehana47
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13157
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0
Added:
2632 days ago
(2 ratings)
From:
drdavemd
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11117
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0
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2774 days ago
Aortic valve vegetation 2 of 2
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.
Runtime: 0m:2s
(2 ratings)
From:
drdavemd
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22044
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0
Added:
2774 days ago
(1 ratings)
From:
magehana47
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8202
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0
Added:
2882 days ago
(1 ratings)
From:
Emmel
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5070
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0
Added:
2396 days ago
(1 ratings)
From:
Emmel
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10072
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1
Added:
1551 days ago
biventricular failure caused by septic shock
about 80 y old patient with septic shock caused by severe pulmonary infection (gram-stain: gram-negative rod cells > pseudomonas).
TEE showed a biventricular hypodynamic septic cardiomyopathy, beside we could see a mitral insuffiziency (2. grade; PISA 0,6), no reflux in pulmonary veins. We administered high dose catecholamines
(norepinephrin, dobutamin), so we could stabilize the haemodynamic clinical situation.
Runtime: 0m:27s
(1 ratings)
From:
Emmel
Views:
7007
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1
Added:
2288 days ago
cardiogenic shock caused by posterolateral infarction (IABP)
This clip shows you the echocardiographic picture of posterolateral infarction after implantation of IABP.
After 1 day of implantation of IABP PA-cath showed following results: SVR 820 dyn*s*cm^-5, cardiac output 3,8 l/min, cardiac power 0,9 W!
Runtime: 0m:34s
(2 ratings)
From:
Emmel
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6085
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0
Added:
2286 days ago
cardiogenic shock caused by posterolateral-infarction (p-IABP implantation)
about 85 y old patient with STEMI. cardiac catheter showed an occlusion of ramus circumflecus.
In TTE and TEE we could see an akinesia of posterolateral wall. In PA-cath: SVR 1200 dyn*s*cm^-5, CO 2,8 l/min, cardiac power 0,51 W: this is compatible to the clinical and echocardiographic picture
of cardiogenic shock!
This clip shows cardiac wall movemnt disorder and restricted cardiac ejection fraction prae-implantation of IABP.
Runtime: 0m:17s
(2 ratings)
From:
Emmel
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5371
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0
Added:
2286 days ago
cardiogenic shock caused by thrombembolic occlusion of left main stem
about 75 y old patient with STEMI and about 45 minutes cpr. the patient was admitted from our ER after cardiac catheter to our ICU. In cardiac catheter we found a thrombotic occlusion of left main
stem, no plaques and no stenosis. in clinical history a permanent atrial fibrillation with condition after several thrombembolic strokes is known.
in TEE we found a distinct cardiac wall movement disorder of left ventricle and a small parietal residual of thrombus in LAA. we think that a thrombembolic cardiac infarction caused by thrombus in LAA
is the most plausible reason of this finding.
Runtime: 0m:19s
(2 ratings)
From:
Emmel
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6572
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2
Added:
2286 days ago
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From:
magehana47
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9157
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Added:
2452 days ago
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From:
magehana47
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14073
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0
Added:
2452 days ago
(1 ratings)
From:
magehana47
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8403
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0
Added:
2973 days ago
(1 ratings)
From:
magehana47
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9411
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0
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2973 days ago
Condition after cardiac surgery
about 35 y old patient with condition after mitral-valve reconstruction (Carpentier-ring 36 mm) because of severe high-grad symptomatic mitral-valve insufficiency caused by mitral-valve prolapse and
implantation of mechanical aortic prosthesis because of bicuspid aortic valve (SJM double tilting disk-prosthesis 25 mm). You can see a small prolapse of posterior mitral valve but no relevant m itral
valve insufficiency, no elevated transprothetic gradient (PGmean 2,7 mmHg). I used tissue-imagening to demonstrate mitral-valve movement.
Runtime: 0m:47s

(1 ratings)
From:
Emmel
Views:
14400
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0
Added:
2169 days ago
Cor pulmonale chronicum
About 70 y old patient with chronic dyspnoea, permanent atrial fibrillation (CHADS-Vasc-Scor 5), actually deterioration of clinical afflictions. A COPD is kown (stage III GOLD)
In TTE and TEE we ccould see a distinct RV-hypertrophy with systolic and diastolic septal bounce (D-sign) as a sign for RV-volume overload and RV-pressure overload (PAPsystolic about 70 mmHg + CVP).
In LAA you can see a distinct echocantrast (thrombus?).
An another interesting finding is a PFO with right-to-left-shunt.
Runtime: 1m:20s
(1 ratings)
From:
Emmel
Views:
11917
Comments:
2
Added:
1819 days ago