RV pressure overload and septal bounce
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sorry after reading the question again it doesn't make sense, so hereit goes again keeping the followin statement in mind:in RVpressure overload there is leftward ventricular septal shift andreversal of septal curvature present throughout the cardiac cycle withmost marked distortion of the left ventricle at end-systole.In apatient with RV volume overload, the septal shift and flattening of VScurvature occurs predominantly in mid to late diastole with relativesparing of LV deformation at end-systole.With thisstatement in mind, does this still apply in a post-op septal state?
Just a question ~ will the use of the cardiac cycle to see when theflattening occur still be useful/accurate in the presence of theabnormal/bouncy septal motion(Post AVR)?
YEA DRDAVEMD IT DOES SEEM THAT THE FLATTENING OCCURS IN SYSTOLIC PHASEOF CARDIAC CYCLE , VERY TYPICALFOR RV ISOLATED OVERPRESSURE WITHOUTCONCOMITANT RV VOLUME OVERLOAD
Hey Jorg when you say COMET TAIL ....You mean water in theinterlobular septa of the wet lung or you talk about a real artifact???? I do think that is quite common this sign of extravascular waterin such patients....you talk about that??? Sorry for any interruptionbetween you and the sender of this nice clip
I'm very sorry, I've done an orthographic mistake: I intended towrite/ say "COMET-TAIL-ARTEFACT" not "COMMON-TAIL-ARTEFACT". Ithank for having patience.
Thanks a lot for this impressive vid!I´m under the impression,that there is a systolic (perhaps caused by a PH; is a lung dieseaseknown as underlying disease like COPD?) AND a diastolic (volumeoverload?) flattening of the IVS.I´ve noticed two artefacts:one artefact of the lung ventral to the left ventricle (seems like acommon-tail-artefact, respectively a rocket-artefact of the lung) >any indications of lung oedema except that artefact? the otherartefact flashes in the course of systole ventral to the leftventricle depicted as a bright stripe: It seems like an artefact ofthe lung, too, I couldn´t clearly distinguish, whether it is anartefact of the lung or of the pericardium. But I don´t think it isan artefact of the pericardium, because that would mean AIR in thepericardial sac.Thanks you very much for sharing that vid!
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