You´re right, diego! The PLAX in this case has a poor quality, but in this situation I couldn´t make a better fist of it! Actually I notice that "atypical" is the wrong word for a bad focussed PLAX (sorry, "atypical" it is misleading). It was - in my opinion - a hard TTE and a difficult TEE to visualise he aortic valve-prosthesis (during TEE the patient becomes haemodynamic unstable)
Such a nic clip Jorg ....Well I could agree with you with the diagnosis . And why? because looking at the brightness of the tissue glued on the prosthesis ..well It does depict a quite typical endocarditis ( just for the brightness of that tissue ) Nice the fact you combined color M mode in this evaluation . You really go Jorg
about 75 y old patient, admitted from another hospital to our ICU with new heart murmur and septic constellation. In clinical history there is a condition after aortic-valve-replacement (in the late 1990´s). In TTE we could see a distinct aortic insufficiency (verifiable in subclavian artery); for that reason we performed a TEE: it looks like a partial-avulsion of this prosthesis high suspicious for endocarditis of prosthesis.
Do you confirm with this diagnosis?
You´re right, diego! The PLAX in this case has a poor quality, but in
this situation I couldn´t make a better fist of it!
Actually I
notice that "atypical" is the wrong word for a bad focussed PLAX
(sorry, "atypical" it is misleading). It was - in my opinion - a hard
TTE and a difficult TEE to visualise he aortic valve-prosthesis
(during TEE the patient becomes haemodynamic unstable)
hey when you say atipical PLAX you mean...Off axis PLAX ??? yes?
Such a nic clip Jorg ....Well I could agree with you with the
diagnosis . And why? because looking at the brightness of the tissue
glued on the prosthesis ..well It does depict a quite typical
endocarditis ( just for the brightness of that tissue )
Nice the
fact you combined color M mode in this evaluation . You really go Jorg