Cardiologist, FASE, FEACVI. Head of Cardiology Department and EchoLab at “Città di Lecce Hospital”. PreOP & IntraOP TOE. Videos are my own, educational purposes
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Jul 25, 2022 • 10 tweets • 4 min read
🧵👇
70 y F, affected by GPA (granulomatosis with poliangiitis called Wegener's), referred to our centre for SOB, swelling lower limb and plethoric IVC.
Are u thinking Constrictive Pericarditis ⚡️? Let's try to confirm this diagnosis step by step #echofirst@AJamilTajik@JaeKOh2
1⃣ SEPTAL BOUNCE
Paradoxical bouncing motion of IVS in early diastole, at the beginning directed towards LV and then away from LV ➡️ Sign of increased ventricular interdipendence
May 27, 2022 • 11 tweets • 4 min read
⚡️THE ANSWER IS IN 3D⚡️
Take a look this thread about MR assessment in a young patient referred for systolic murmur 🧵
A single #3Decho clip can explain your brainstorming in few minutes.
🔜 Never without 3D #echofirst2/ 2D-TTE shows an important prolapse of PML, likely P2 according to PLAX.
Leaflets are thickned, LA dilatated and everything seems easy.
Apr 13, 2022 • 10 tweets • 5 min read
1/⚡️How to assess tricuspid valve by TOE #echofirst?
➡️What's the role of X-plane?
➡️How to get the best 3D image?
➡️Tips and tricks about transgastric view
➡️What we need to know about pacemaker lead
Take a look this thread 🧵 @NMerke@iamritu@hahn_rt@denisamuraru@lpbadano2/
Usually 3 leaflets, but is not rare to find different morphologies (2 or 4 leafleats)
ANTERIOR➡️largest and longest in radial direction, most mobile
SEPTAL➡️shortest in radial directios and less mobile
POSTERIOR➡️often many scallops, shortest circumferentially
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