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Videos: 141 - 160 of 507
paravalvulare leak of prosthesis of mitral valve
about 80 y old patient; condition after operative implantation of mitral-prosthesis for years, actually the patient was admitted to our ICU after trans aortic valve implantation (TAVI). in TEE we could see a small paravalvulare leak of mitral-prosthesis and a desynchronous movement of leaf of prosthesis.
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about 80 y old patient; condition after operative implantation of mitral-prosthesis for years, actually the patient was admitted to our ICU after trans aortic valve implantation (TAVI). in TEE we could see a small paravalvulare leak of mitral-prosthesis and a desynchronous movement of leaf of prosthesis.
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Tako-Tsubo of a young patient
about 20 y old patient with severe anorexia. All electolytes were very low. In ECG we could see a long QTc (about 560 msec). Initially we found an echocardiographic picture of apical ballooning.
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about 20 y old patient with severe anorexia. All electolytes were very low. In ECG we could see a long QTc (about 560 msec). Initially we found an echocardiographic picture of apical ballooning.
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Is it a midventriculare Tako-Tsubo?
about 70 y old patient with high-malignant lymphoma, condition after multiple chemotherapy. Actually the patient was admitted to our ICU with the clinical picture of septic shock; first we found in TEE and TTE the echocardiographic picture of hyperdynamic myocardial movement. Among current therapy of septic shock with norepinephrin, pitressin we could see another echocardiographic picture of the patients heart. It looks like a midventriculare Tako-Tsubo caused by high dosed catecholamines. What do you think?
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about 70 y old patient with high-malignant lymphoma, condition after multiple chemotherapy. Actually the patient was admitted to our ICU with the clinical picture of septic shock; first we found in TEE and TTE the echocardiographic picture of hyperdynamic myocardial movement. Among current therapy of septic shock with norepinephrin, pitressin we could see another echocardiographic picture of the patients heart. It looks like a midventriculare Tako-Tsubo caused by high dosed catecholamines. What do you think?
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perforation of sinus valsalvae after Implantation of TAVI
about 80 y old patient; condition after trans aortic valve implantation. the patient had a complicated and complex clinical history with plenty of diseases, these required a long elaboreted long stay in ICU. In TEE and TTE we found a perforation of sinus valsalvae with flow towards the right atrium. (the video shows clips of TEE and TTE).
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about 80 y old patient; condition after trans aortic valve implantation. the patient had a complicated and complex clinical history with plenty of diseases, these required a long elaboreted long stay in ICU. In TEE and TTE we found a perforation of sinus valsalvae with flow towards the right atrium. (the video shows clips of TEE and TTE).
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Look inside TAVI
about 80 y old patient with condition after trans-aortic valve implantation. You can see a small flow along TAVI. besides the patient has a prosthesis of mitral valve, too. The TAVI-prosthesis is a Medtronic, CoreValve 29 mm-prosthesis.
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about 80 y old patient with condition after trans-aortic valve implantation. You can see a small flow along TAVI. besides the patient has a prosthesis of mitral valve, too. The TAVI-prosthesis is a Medtronic, CoreValve 29 mm-prosthesis.
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double chamberd right ventricle and large apical VSD
TTE parasternal long axis,atypical parasternal and apical views with color doppler recording,show large apical ventricular septal defect ; the right ventricle is divided by anomalous muscle bundle with turbulent flow originating from the middle portion of the right ventricle ( and aberrant chord in the left ventricle).
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TTE parasternal long axis,atypical parasternal and apical views with color doppler recording,show large apical ventricular septal defect ; the right ventricle is divided by anomalous muscle bundle with turbulent flow originating from the middle portion of the right ventricle ( and aberrant chord in the left ventricle).
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vegetation on mitral bioprosthesis with obstruction and dehiscence
infective endocarditis : large bioprosthetic mitral valve vegetation with dehiscence and obstruction.
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infective endocarditis : large bioprosthetic mitral valve vegetation with dehiscence and obstruction.
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hyperdynamic septic shock with midventricular gradient
A about 50 y old patient was admitted to our ICU from another hospital with severe septic shock. It was known a HIV-infection for over 15 y. In TEE we had no indication of endocarditic vegetation, but we could see a hyperdynamic RV and LV with a midventrcular gradient of the LV (> 2 m/sec).
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A about 50 y old patient was admitted to our ICU from another hospital with severe septic shock. It was known a HIV-infection for over 15 y. In TEE we had no indication of endocarditic vegetation, but we could see a hyperdynamic RV and LV with a midventrcular gradient of the LV (> 2 m/sec).
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septic shock with hypodynamic left ventricle
about 40 y old patient with B-ALL, condition after chemotherapy; now the patient had a mycotic septic shock caused by candida albicans. Probably infection caused by infected port-catheter in sup. vena cava.
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about 40 y old patient with B-ALL, condition after chemotherapy; now the patient had a mycotic septic shock caused by candida albicans. Probably infection caused by infected port-catheter in sup. vena cava.
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hypertrophic obstructive cardiomyopathy HOCM
Hypertrophic obstructive cardiomyopathy: septal hypertrophy,\"SAM\"(systolic anterior motion of the mitral valve),subaortic obstruction,with moderate mitral regurgitation (and left atrial dilatation-diastolic dysfunction)
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Hypertrophic obstructive cardiomyopathy: septal hypertrophy,\"SAM\"(systolic anterior motion of the mitral valve),subaortic obstruction,with moderate mitral regurgitation (and left atrial dilatation-diastolic dysfunction)
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trans-aortic valve implantation (TAVI)
about 80 y old patient with immediate condition after transaortic implantation of an aortic valve. It is a CoreValve-prothesis (31 mm; Medtronic)
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about 80 y old patient with immediate condition after transaortic implantation of an aortic valve. It is a CoreValve-prothesis (31 mm; Medtronic)
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concentric hypertrophic cardiomyopathy HCM
concentric hypertrophic cardiomyopathy,with \"SAM\"(anterior systolic motion of the mitral valve),without subaortic obstruction.
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concentric hypertrophic cardiomyopathy,with \"SAM\"(anterior systolic motion of the mitral valve),without subaortic obstruction.
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Tako Tsubo cardiomyopathy
about 80 y old patient with clinical picture of cardiogenic shock (cardiac output about 2,0, cardiac index about 0,2, SVR about 1100 dyn*cm-5), in cardiac catheter there was no coronary heart disease. in TTE we could see, that the apex of the right cavum is affected too.
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about 80 y old patient with clinical picture of cardiogenic shock (cardiac output about 2,0, cardiac index about 0,2, SVR about 1100 dyn*cm-5), in cardiac catheter there was no coronary heart disease. in TTE we could see, that the apex of the right cavum is affected too.
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decompensation of stenosis of aortic valve (Part 3 of 3, implantation of IABP)
Notwithstanding valvuloplasty, there was no reach for haemodynamic stabilisation, the clinical condition deteriorated rapidly, so we implanted a intra-aortic bolloon pump. Although there was a complete anticoagulation (PTT > 60 sec) with UFH, we found a thrombus in the left atrial app.
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Notwithstanding valvuloplasty, there was no reach for haemodynamic stabilisation, the clinical condition deteriorated rapidly, so we implanted a intra-aortic bolloon pump. Although there was a complete anticoagulation (PTT > 60 sec) with UFH, we found a thrombus in the left atrial app.
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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.
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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.
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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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huge endocarditic vegetation on tricuspid valve
about 80 y old patient. In medical history, the patient had a metastasizing carcinoma; concition after surgery and chemotherapy. Now the patient was admitted to our ICU with fever and a new heart murmur. In TEE we could found a huge endocarditic vegetation on the tricuspid valve, probably caused by an infected hickman-catheter.
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about 80 y old patient. In medical history, the patient had a metastasizing carcinoma; concition after surgery and chemotherapy. Now the patient was admitted to our ICU with fever and a new heart murmur. In TEE we could found a huge endocarditic vegetation on the tricuspid valve, probably caused by an infected hickman-catheter.
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septic shock with dynamic RVOTO and LVOTO
about 45 y old patient with septic shock, who was admitted to our ICU from another hospital. In TEE we could see a distinct biventriculare hypertrophy with dynamic RVOTO and LVOTO.
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about 45 y old patient with septic shock, who was admitted to our ICU from another hospital. In TEE we could see a distinct biventriculare hypertrophy with dynamic RVOTO and LVOTO.
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decompensation of stenosis of aortic valve (Part 1 of 3; prae-valvuloplasty)
about 75 y old patient with dyspnea. we found a high-grade stenosis of the aortic valve (middle pressure gradient about 45-50 mmHg, EF< 20%). Notwithstanding the use of dobutamine and levosimendan (haemodynamics permanent controlled by catheter in pulmonary capillaries) hemodynamic stabilisation was out of reach, so we performed a valvuloplasty.
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about 75 y old patient with dyspnea. we found a high-grade stenosis of the aortic valve (middle pressure gradient about 45-50 mmHg, EF< 20%). Notwithstanding the use of dobutamine and levosimendan (haemodynamics permanent controlled by catheter in pulmonary capillaries) hemodynamic stabilisation was out of reach, so we performed a valvuloplasty.
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Decompensation of stenosis of aortic valve (Part 2 of 3; Post-Valvuloplasty)
in part 2 you can see TEE immediate after Valvuloplasty: we were under the impression that the cardiac movement disorder are better oneself in comparison with cardiac movement disorder before valvuloplasty. The middle pressure gradient after valvuloplasty was only the half as before (about 20-25 mmHg; EF < 20%)
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in part 2 you can see TEE immediate after Valvuloplasty: we were under the impression that the cardiac movement disorder are better oneself in comparison with cardiac movement disorder before valvuloplasty. The middle pressure gradient after valvuloplasty was only the half as before (about 20-25 mmHg; EF < 20%)
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