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acute pericardial effusion after PCI
about 45y old man with ST-elevated myocardial infarction. He was admitted to our hospital in cardiogenic shock after defibrillation and resusciation. the cardiac catheter showed a severe coronary disease. After PCI of 2 coronary arteries he was admitted to our ICU. It emerged a rapid hemodynamic instability. the transthoracic echocardiography showed an acute pericardial effusion
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about 45y old man with ST-elevated myocardial infarction. He was admitted to our hospital in cardiogenic shock after defibrillation and resusciation. the cardiac catheter showed a severe coronary disease. After PCI of 2 coronary arteries he was admitted to our ICU. It emerged a rapid hemodynamic instability. the transthoracic echocardiography showed an acute pericardial effusion
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Adult with congenital heart defect (Part 1 of 2)
about 50 y old patient with septic shock. A genetic defect is known. There exists no documents of clinical history. In Part 1 you can see the transthoracal echocardiography: we could see an ASD, a VSD. There is no sign of AV-canal or a stenosis of the pulmonary valve. Furthermore we see a distinct hypertrophy of the right cavum (about 14-15 mm; by comparison with the left ventricular: 12-13 mm).
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about 50 y old patient with septic shock. A genetic defect is known. There exists no documents of clinical history. In Part 1 you can see the transthoracal echocardiography: we could see an ASD, a VSD. There is no sign of AV-canal or a stenosis of the pulmonary valve. Furthermore we see a distinct hypertrophy of the right cavum (about 14-15 mm; by comparison with the left ventricular: 12-13 mm).
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aortic regurgitation due to aortic cusp prolapse
severe excentric aortic regurgitation due to significant anterior aortic cusp prolapse.TEE.
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severe excentric aortic regurgitation due to significant anterior aortic cusp prolapse.TEE.
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aortic valve fibroelastoma
aortic valve fibroelastoma attached to the anterior cusp (in a case of TIA).
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aortic valve fibroelastoma attached to the anterior cusp (in a case of TIA).
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aorto-right ventricular fistula
aorto-right ventricular fistula at the level of the right sinus of valsalva,with ao-rv systolic shunt(and small diastolic shunt).(TTE parasternal long axis view).
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aorto-right ventricular fistula at the level of the right sinus of valsalva,with ao-rv systolic shunt(and small diastolic shunt).(TTE parasternal long axis view).
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apical VSD
apical muscular ventricular septal defect,left to right shunt.parasternal and apical views.
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apical muscular ventricular septal defect,left to right shunt.parasternal and apical views.
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atrial septal defect and chiari network
large ostium secundum atrial septal defect with chiari network:subcostal and apical views
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large ostium secundum atrial septal defect with chiari network:subcostal and apical views
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atrial septal defect with closure device
ostium secundum atrial septal defect after closure with an amplatzer device.apical and subcostal views
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ostium secundum atrial septal defect after closure with an amplatzer device.apical and subcostal views
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atrial septal defect1
large ostium secundum atrial septal defect (with visible long eustachian valve).apical view.
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large ostium secundum atrial septal defect (with visible long eustachian valve).apical view.
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atrial septal defect2
large ostium secundum atrial septal defect:parasternal with m mode recording,apical and subcostal views show the defect,the right chambers dilatation and the paradoxical septal motion.
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large ostium secundum atrial septal defect:parasternal with m mode recording,apical and subcostal views show the defect,the right chambers dilatation and the paradoxical septal motion.
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cardiac arrest in septic shock
80 y old patient with septic shock and cardiac arrest. The subxiphoid echocardiography showed a picture compatible with a septic cardiomyopathy. After 6 min CPR there was a return of a spontaneous circulation. Unfortunately the patient died after 6 h he was admitted to our ICU.
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80 y old patient with septic shock and cardiac arrest. The subxiphoid echocardiography showed a picture compatible with a septic cardiomyopathy. After 6 min CPR there was a return of a spontaneous circulation. Unfortunately the patient died after 6 h he was admitted to our ICU.
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chordal rupture of both mitral leaflets:infective endocarditis
infective endocarditis:chordal rupture of both mitral leaflets with vegetations on both leaflets and severe mitral regurgitation.TEE.
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infective endocarditis:chordal rupture of both mitral leaflets with vegetations on both leaflets and severe mitral regurgitation.TEE.
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chordal rupture of the posterior mitral leaflet with flail mitral valve
infective endocarditis:vegetation and chordal rupture of the posterior mitral leaflet with flail mitral valve(and severe mitral regurgitation).poor echogenicity on TTE and better study on TEE (done just before surgery).
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infective endocarditis:vegetation and chordal rupture of the posterior mitral leaflet with flail mitral valve(and severe mitral regurgitation).poor echogenicity on TTE and better study on TEE (done just before surgery).
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coarctation of the aorta
coarctation of the aorta:TTE suprasternal view,cw doppler recording shows systolic and diastolic gradient through the stenotic isthmus.
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coarctation of the aorta:TTE suprasternal view,cw doppler recording shows systolic and diastolic gradient through the stenotic isthmus.
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cor triatriatum
cor triatriatum: 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,and dilated coronary sinus(persistant left superior vena cava)
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cor triatriatum: 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,and dilated coronary sinus(persistant left superior vena cava)
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coronary-left ventricular fistula
TTE parasternal long,short axis and apical views with color doppler recording,show a diastolic flow originating from a hole in the interventricular septum and directed toward the left ventricle.
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TTE parasternal long,short axis and apical views with color doppler recording,show a diastolic flow originating from a hole in the interventricular septum and directed toward the left ventricle.
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DCM
about 50 y old patient with dyspnoea and new diagnosed atrial fibrillation. In TTE we found a distinct decrease of myocardial function. In cardiac catheter there is no coronary disease. Approach to cardiac output by echocardiography: about 3,2 - 3,5 l/min.
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about 50 y old patient with dyspnoea and new diagnosed atrial fibrillation. In TTE we found a distinct decrease of myocardial function. In cardiac catheter there is no coronary disease. Approach to cardiac output by echocardiography: about 3,2 - 3,5 l/min.
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dissecting hematoma of the interventricular septum with biventricular apical small thrombi
In a case of anteroseptal myocardial infarction,TTE apical view shows dissecting hematoma of the interventricular septum with biventricular apical small thrombi(with mild mitral regurgitation).
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In a case of anteroseptal myocardial infarction,TTE apical view shows dissecting hematoma of the interventricular septum with biventricular apical small thrombi(with mild mitral regurgitation).
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ebstein anomaly 2/2
ebstein anomaly:apical displacement of the tricuspid valve with atrialization of part of the RV.subcostal view.
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ebstein anomaly:apical displacement of the tricuspid valve with atrialization of part of the RV.subcostal view.
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endocarditis of prosthetic aortic valve with paravalvulare abscess
about 50y old patient with extended weak and subfebrile temperature. He got a prosthetic aortic valve 2y ago. Now he has a new diastolic murmur. the transthoracic echocardiography shows an aortic insufficiency (pressure half time < 300 msec). in the transesophageal echocardiography we find a severe endocarditis of the aortic valve with a paravalvulare abscess.
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about 50y old patient with extended weak and subfebrile temperature. He got a prosthetic aortic valve 2y ago. Now he has a new diastolic murmur. the transthoracic echocardiography shows an aortic insufficiency (pressure half time < 300 msec). in the transesophageal echocardiography we find a severe endocarditis of the aortic valve with a paravalvulare abscess.
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