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“Echocardiography Channel“Azin Alizadehasl, FASE
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Azin Alizadehasl, MD, FASE, FACC Echocardiography Learning Channel http://cardionco.com/
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🔺Kissing Vegetations
🔺NBTE ( Nonbacterial thrombotic endocarditis)
🔺SLE
🔺Sever rheumatismal MV Stenosis with round large mobile thrombus in LA.
🔺Primary cardiac sarcoma has a very poor prognosis as it does not give symptoms until advanced stages in addition to having an aggressive course.
🔺Echocardiography is usually the initial imaging modality since it is noninvasive and widely available.
“Spindle cell sarcoma”
🔺A common misconception is that a positive early bubble study in indicative of an atrial level defect.
🔺This is a nice example of a positive bubble study for a VSD patch leak.
🔺Notice how the bubbles are in the LV almost immediately after the cough [which increases the right sided pressures enough to create the right to left shunt] and not the LA; this typical for a small vsd patch leak and not related to a residual atrial level shunt.
🔺The ASD closure device is well seated.
