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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\.
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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\.
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Aneurysm1of2 of the ascending aorta
Aneurysmal dilatation of the ascending aorta,compressing the left atrium.TTE:apical 5 chamber view
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Aneurysmal dilatation of the ascending aorta,compressing the left atrium.TTE:apical 5 chamber view
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Aneurysm2of2 of the ascending aorta
Aneurysmal dilatation of the ascendig aorta compressing the left atrium.TTE:long axis view
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Aneurysmal dilatation of the ascendig aorta compressing the left atrium.TTE:long axis view
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Aortic dissection in parasternal long axis TTE
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.
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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.
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Aortic insufficiency in a patient with dissection
In this TTE zoom view of the aortic/mitral valves in the parasternal long axis with color doppler, you can see dramatic aortic insufficiency. Even more worriseome is the aorta, seen just behind the left atrium. Note that the circular structure has a linear density across it, which is a dissection flap and the cause of this patient\s acute aortic insufficiency.
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In this TTE zoom view of the aortic/mitral valves in the parasternal long axis with color doppler, you can see dramatic aortic insufficiency. Even more worriseome is the aorta, seen just behind the left atrium. Note that the circular structure has a linear density across it, which is a dissection flap and the cause of this patient\s acute aortic insufficiency.
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chordal rupture1of2 : long axis view
In this TTE long axis view,we can see clearly the ruptured chordal(anterior mitral leaflet)moving between LV during diastole and left atrium in systole
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In this TTE long axis view,we can see clearly the ruptured chordal(anterior mitral leaflet)moving between LV during diastole and left atrium in systole
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cor triatrium
cor triatrium: a rare congenital anomaly in a baby;TTE, apical view with color doppler and cw recording,shows the left atrial membrane with 2 jets through the membrane
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cor triatrium: a rare congenital anomaly in a baby;TTE, apical view with color doppler and cw recording,shows the left atrial membrane with 2 jets through the membrane
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Echo "smoke" on TEE
In this TEE clip prior to an electrophysiology procedure for atrial flutter, spontaneous echo contrast or "smoke" can be seen wisping through the left atrium due to blood pool stagnation from the atrial dysrhythmia.
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In this TEE clip prior to an electrophysiology procedure for atrial flutter, spontaneous echo contrast or "smoke" can be seen wisping through the left atrium due to blood pool stagnation from the atrial dysrhythmia.
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Huge Inferior Pseudoaneurysm 1 of 5
This is the first in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI.
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This is the first in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI.
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Huge Inferior Pseudoaneurysm 2 of 5
This is the second in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is 2 chamber apical without doppler.
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This is the second in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is 2 chamber apical without doppler.
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Huge Inferior Pseudoaneurysm 3 of 5
This is the third in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is a 2 chamber apical clip with color flow Doppler.
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This is the third in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is a 2 chamber apical clip with color flow Doppler.
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Huge Inferior Pseudoaneurysm 4 of 5
This is the fourth in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is a parasternal long axis clip without Doppler that demonstrates the pulsatile mass of blood collecting behind the left atrium.
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This is the fourth in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This is a parasternal long axis clip without Doppler that demonstrates the pulsatile mass of blood collecting behind the left atrium.
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Huge Inferior Pseudoaneurysm 5 of 5
This is the last in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This clip shows a small Doppler jet going into the right ventricle.
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This is the last in a series of clips from a patient with a very large inferior pseudoaneurysm that communicates with the RV and with a large pulsatile mass behind the LA compressing the atrium. The findings were also verified on Chest CT and invasive angiography. It is not known when this occurred in the patient, but he did undergo bypass surgery several years ago and recently suffered another MI. This clip shows a small Doppler jet going into the right ventricle.
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left ventricle to right atrial communication( Gerbode type defect)
communication between left ventricle and right atrium in a baby: Gerbode type defect(rare anomaly).apical view.
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communication between left ventricle and right atrium in a baby: Gerbode type defect(rare anomaly).apical view.
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Massive Biatrial enlargement
This patient suffers from massive biatrial enlargement, over 5 cm each!
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This patient suffers from massive biatrial enlargement, over 5 cm each!
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Massive Coronary Sinus
In this parasternal long axis clip, the structure just underneath the left atrium is a massively dilated coronary sinus in a patient with a persistent left superior vena cava which empties directly into the sinus.
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In this parasternal long axis clip, the structure just underneath the left atrium is a massively dilated coronary sinus in a patient with a persistent left superior vena cava which empties directly into the sinus.
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Mild Mitral Regurgitation
Parasternal long axis TTE loop of mild mitral regurgitation directed posteriorly into the left atrium.
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Parasternal long axis TTE loop of mild mitral regurgitation directed posteriorly into the left atrium.
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MS different aspects:spontaneous contrast TEE
TEE:sontaneous contrast in the LA and the left atrial appendage in a case of mitral stnosis in atrial fibrillatio.pectinate muscle is clearely visible.
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TEE:sontaneous contrast in the LA and the left atrial appendage in a case of mitral stnosis in atrial fibrillatio.pectinate muscle is clearely visible.
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Normal Bubble Study
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.
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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.
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RA collapse, is this tamponade?
In this apical TTE clip, the right atrium is collapsing. It is a little hard to say whether this is occurring as a result of atrial systole or during ventricular systole consistent with tamponade.
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In this apical TTE clip, the right atrium is collapsing. It is a little hard to say whether this is occurring as a result of atrial systole or during ventricular systole consistent with tamponade.
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Copyright (c) 2006-2007 EchoJournal: Echocardiography Videos and Discussions. All rights reserved.
