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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.
Runtime: 0m:29s
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.
Runtime: 0m:29s
muscular VSD
muscular ventricular septal defect,left to right shunt.parasternal and apical views
Runtime: 0m:44s
muscular ventricular septal defect,left to right shunt.parasternal and apical views
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Post-CPR
about 85 y old patient with severe acute RV-failure in context of chronic ischemic RV-failure. No sign of pulmonary embolism in initial TEE and ct-scan. First TTE we found a distinct RV-wall movement disorder. haemodynamic deteriorated rapidly, so we had to start cardiac resusciation for 3 minutes. in TTE we could see a distinct rv-pressure-overload with systolic d-sign. Actually vasopressor and inotropics save the situation. Any other hints in treatment of acute RV-Failure except inotropics and/ or vasopressor?
Runtime: 0m:12s
about 85 y old patient with severe acute RV-failure in context of chronic ischemic RV-failure. No sign of pulmonary embolism in initial TEE and ct-scan. First TTE we found a distinct RV-wall movement disorder. haemodynamic deteriorated rapidly, so we had to start cardiac resusciation for 3 minutes. in TTE we could see a distinct rv-pressure-overload with systolic d-sign. Actually vasopressor and inotropics save the situation. Any other hints in treatment of acute RV-Failure except inotropics and/ or vasopressor?
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blue jet
Can anybody tell me what is the blue jet seemed to be originating from ant. wall of aorta?
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Can anybody tell me what is the blue jet seemed to be originating from ant. wall of aorta?
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DCM
about 80 y old patient with prolonged dyspnoea. In TTE we could see a distinct lost of myocardial function with asynchrone myocardial wall motion (SPWMD about 150 ms, IVMD about 60 ms); high grade mitral insufficiency because of dialatation of mitral valve annulus (Carpentier I) and secondary pulmonary hypertension (PAPsystolic about 50-55 mmHg + CVP, RAP-approach on dilatated VCI without inspiratory collaps about 20 mmHg). actually there is no optimal medical therapy established. Some therapeutical options should be dicussed in future: CRT-D, mitral valve clipping.
Runtime: 0m:34s
about 80 y old patient with prolonged dyspnoea. In TTE we could see a distinct lost of myocardial function with asynchrone myocardial wall motion (SPWMD about 150 ms, IVMD about 60 ms); high grade mitral insufficiency because of dialatation of mitral valve annulus (Carpentier I) and secondary pulmonary hypertension (PAPsystolic about 50-55 mmHg + CVP, RAP-approach on dilatated VCI without inspiratory collaps about 20 mmHg). actually there is no optimal medical therapy established. Some therapeutical options should be dicussed in future: CRT-D, mitral valve clipping.
Runtime: 0m:34s
LV Thrombus
This apical TTE clip demonstrated an lucency in the echo contrast in the LV apex consistent with a thrombus. This patient is known to have metastatic pancreatic carcinoma.
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This apical TTE clip demonstrated an lucency in the echo contrast in the LV apex consistent with a thrombus. This patient is known to have metastatic pancreatic carcinoma.
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subaortic membrane with mild aortic regurgitation
previously I have posted a part of this clip.today I upload the complete clip concerning a case of subaortic membrane with subaortic systolic gradient(stenosis) and mild aortic regurgitation.TTE parasternal long axis and apical views.
Runtime: 0m:54s
previously I have posted a part of this clip.today I upload the complete clip concerning a case of subaortic membrane with subaortic systolic gradient(stenosis) and mild aortic regurgitation.TTE parasternal long axis and apical views.
Runtime: 0m:54s
Large Atrial Myxoma
This is a parasternal long axis TTE clip of a patient with a large atrial myxoma that was subsequently removed surgically and has recovered well.
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This is a parasternal long axis TTE clip of a patient with a large atrial myxoma that was subsequently removed surgically and has recovered well.
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Focal Septal Hypertrophy and SAM
This loop shows a patient with focal septal hypertrophy and some anterior systolic motion of the mitral valve.
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This loop shows a patient with focal septal hypertrophy and some anterior systolic motion of the mitral valve.
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aortic dissection:transthoracic echocardiograms
aortic dissection : transthoracic echocardiograms
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aortic dissection : transthoracic echocardiograms
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Classic appearance of RV failure in acute pulmonary embolus 1 of 2
This transthoracic echo clip shows the right ventricle in response to acute PE with RV stretch and dysfunction, however the apex continues to contract. The radiology report from the patient\s CTPA reads: CT evaluation of the chest demonstrates a ginormous saddle embolus involving both main pulmonary arteries with smaller areas of thrombus extending into all lobes./nThe patient is 37 years old and has a glioblastoma.
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This transthoracic echo clip shows the right ventricle in response to acute PE with RV stretch and dysfunction, however the apex continues to contract. The radiology report from the patient\s CTPA reads: CT evaluation of the chest demonstrates a ginormous saddle embolus involving both main pulmonary arteries with smaller areas of thrombus extending into all lobes./nThe patient is 37 years old and has a glioblastoma.
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Another HOCM
Abozt 70 y old patient with suspicioon of sinu-atriale bradycardia and dyspnoea. In TTE we found a distinct lv-hypertrophy with LVOTO (PGmax. 110 mmHg) at rest!! and a consecutive high grade mitral valve insufficiency.
Runtime: 0m:12s
Abozt 70 y old patient with suspicioon of sinu-atriale bradycardia and dyspnoea. In TTE we found a distinct lv-hypertrophy with LVOTO (PGmax. 110 mmHg) at rest!! and a consecutive high grade mitral valve insufficiency.
Runtime: 0m:12s
fixed subaortic stenosis3/7in atrioventricular canal defect
parasternal short axis view illustrates the cleft mitral valve ( anterior leaflet)
Runtime: 0m:13s
parasternal short axis view illustrates the cleft mitral valve ( anterior leaflet)
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Rheumatic Mitral Valve 3 of 3
This parasternal long axis TTE clip demonstrates the appearance of a patient with severe mitral stenosis attributed to a history of rheumatic disease. This view adds color flow doppler to illustrate the turbulence of left ventricular filling and a small jet of mitral regurgitation as well.
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This parasternal long axis TTE clip demonstrates the appearance of a patient with severe mitral stenosis attributed to a history of rheumatic disease. This view adds color flow doppler to illustrate the turbulence of left ventricular filling and a small jet of mitral regurgitation as well.
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chordal rupture with severe mitral regurgitation TEE 2/2
TEE and color doppler recording shows the severe mitral regurgitation
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TEE and color doppler recording shows the severe mitral regurgitation
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fixed subaortic stenosis6/7in atrioventricular canal defect
apical 5 chamber view shows again the fixed subaortic stenosis caused by the attachment of part of the anterior mitral leaflet on the interventricular septum
Runtime: 0m:14s
apical 5 chamber view shows again the fixed subaortic stenosis caused by the attachment of part of the anterior mitral leaflet on the interventricular septum
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Dehiscence of a mechanical mitral valve 2 of 2
In this TEE clip the patient\s mechanical mitral valve can bee seen to be shifting markedly during the cardiac cycle. Dehiscence of the valve has resulted in significant regurgitant flow seen with color flow doppler.
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In this TEE clip the patient\s mechanical mitral valve can bee seen to be shifting markedly during the cardiac cycle. Dehiscence of the valve has resulted in significant regurgitant flow seen with color flow doppler.
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aberrant tendinous chorde,tethering of the tricuspid valve,severe tricuspid regurgitation1
case1:aberrant tendinous chorde,originating from the interventricular septum,tethering of the septal leaflet of the tricuspid valve and severe tricuspid regurgitation(with laminar flow).apical view.
Runtime: 0m:55s
case1:aberrant tendinous chorde,originating from the interventricular septum,tethering of the septal leaflet of the tricuspid valve and severe tricuspid regurgitation(with laminar flow).apical view.
Runtime: 0m:55s
ebstein anomaly in an adulte 1/2
ebstein anomaly in an adulte.apical view shows apical displacement of the tricuspid valve with atrialization of part of the RV.
Runtime: 0m:15s
ebstein anomaly in an adulte.apical view shows apical displacement of the tricuspid valve with atrialization of part of the RV.
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