This is a TTE clip from a trauma patient suspected of having a cardiac contusion who, incidentally had rheumatic mitral stenosis. This zoomed parasternal short axis clip demonstrates significant thickening of both the anterior and posterior mitral leaflets.

Added by: drdavemd
Tags: mitral stenosis rheumatic
Date: 2009-09-30

The patients rhythm can make echo interpretation challenging. In this clip the Hr is quite fast and irregular due to atrial fibrillation.

Added by: drdavemd
Tags: TTE transthoracic atrial fibrillation
Date: 2009-05-14

This subxiphoid TTE clip shows right ventricular dysfunction of the basal and mid portions while the apex still contracts. This is referred to as McConnells sign, the eponymous finding in patients with pulmonary embolus.

Added by: drdavemd
Tags: TTE PE embolus right ventricular dysfunction
Date: 2009-09-14

Anyone can you identify this mitral prosthesis?

Added by: DrO
Tags: TEE mitral prosthesis mechanical valve
Date: 2008-11-10

This four chamber apical TTE clip shows bubbles or agitated saline being administered through a peripheral vein with the patient performing a valsalva maneuver. The result is immediate appearance of bubbles in the left circulation consistent with interatrial shunting. The quality is not great, but you can see the single bubbles floating in the LV within 1-2 beats of the heart after injection of the saline.

Added by: drdavemd
Tags: TTE transthoracic atrial shunt bubble study valsalva
Date: 2009-04-25

This parasternal long axis TTE clip shows a patient with a bulge in the mid-wall of his left atrium. He recently underwent a Shumway procedure orthotopic heart transplant in which part of the recipients atrium is retained.

Added by: drdavemd
Tags: TTE transthoracic heart transplant Shumway procedure
Date: 2009-05-14

http://www.echochief.com/how-to.php

Added by: EchoChief
Tags: echocardiography,pisa,mitral regurgitation
Date: 2009-04-29

When agitated saline is injected into the venous system, it opacifies the right atrium and ventricle. None should make it through to the left side of the heart. If bubbles appear on the left immediately, it is indicative of an intracardiac shunt, while bubble that appear within a few heartbeats are consistent with an intrapulmonary shunt. Neither are seen in this TTE loop.

Added by: drdavemd
Tags: normal apical TTE bubble
Date: 2009-03-25

This parasternal long axis TTE clip shows that this patient has moderate LV dysfunction that is a result of inferior wall akinesis while the septum thickens normally. The rest of the study showed isolated akinesis of inferior segments of the heart.

Added by: drdavemd
Tags: TTE transthoracic inferior wall motion akinesis moderate ventricular dysfunction
Date: 2009-04-25

This is preoperative TEE. Mitral definitely got a problem...

Added by: DrO
Tags: mitral long axis view regurgitation TEE
Date: 2008-11-13

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 patients 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.

Added by: drdavemd
Tags: transthoracic TTE acute pulmonary embolus PE right ventricular dysfunction RV
Date: 2009-04-28

Parasternal long axis TTE loop of mild mitral regurgitation directed posteriorly into the left atrium.

Added by: drdavemd
Tags: mitral regurgitation transthoracic
Date: 2009-03-17

Accessory mitral valve tissue is a rare anomaly of embryologic development of the endocardial cushion and may cause substantial and progressive obstruction of the left ventricular outflow tract.

Added by: halil
Tags: Transhoracic mitral valve
Date: 2009-01-24

This transthoracic short axis clip shows color flow doppler of a patient with moderate pulmonary stenosis of unknown etiology, doppler tracing indicates a gradient mean 36 and peak 71.

Added by: drdavemd
Tags: TTE transthoracic pulmonary stenosis
Date: 2009-05-14

This clip shows color flow doppler of a patient with insufficiency of both the aortic and mitral valves.

Added by: drdavemd
Tags: TTE transthoracic AI MR
Date: 2009-05-14

The D sign refers to septal flattening that occurs when right ventricular pressure is so elevated that it deforms the left ventricular cavity which usually remains in a doughnut or O shape, as in this parasternal short axis TTE clip.

Added by: drdavemd
Tags: TTE parasternal short axis RV pressure overload
Date: 2009-09-14

Parasternal Long Axis TTE. This patient has no symptoms of outflow obstruction and no increase in his measured pressure gradient, but his LV is 21-22 mm thick throughout. His ECG shows massive LVH by voltage and he has a longstanding history of poorly treated hypertension. He also believes in the superiority of <br>atural remedies over Western medicine.

Added by: drdavemd
Tags: left ventricular hypertrophy LVH TTE
Date: 2009-03-27

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.

Added by: drdavemd
Tags: rheumatic mitral valve TTE transthoracic stenosis CFD doppler
Date: 2009-08-31

This short clip shows us a echo contrasted study of a patient with severe LV dysfunction and it is clear just how little blood moves forward with a given heartbeat.

Added by: drdavemd
Tags: echo contrast definity severe LV dysfunction TTE transthoracic
Date: 2009-05-14

Prior to cardioversion, this patient with prior CABG supposedly had the LAA ligated. The indentation in the atrium is the remnant of the LAA. Notice the faint spontaneous echo smoke.

Added by: drdavemd
Tags: TEE LAA left atrial appendage ligated
Date: 2009-03-26