A 68-years-old man with atrial flutter and dyspnea. Central venous pressure of 8 mm Hg. Patent foramen ovale on TEE. Can you estimate left atrial pressure (wedge capillary pressure)?

Large mass in right chambers 3D Echo + perfusion #echofirst #UEA #3Decho Diagnostic possibilities? Alexander Mladenow MD Edgar Argulian Benoy Shah MD Batman-Echo Brian Wood Sabha Bhatti MD Chittur Sivaram MD MACP MACC Corrado Fiore Dr G Rajesh (Gopalan Nair Rajesh). David H. Wiener, MD Ekaterina Stellbrink Sarah Moharem Elgamal, MBBCh, MSc, PhD👩🏻‍⚕️🫀

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26 yo with polytoxicomania & PFO. Central venous pressure is 17 mmHg. What’s the left atrial pressure? #echofirst

How #echofirst labels 🏷️ the coronary ostia in TTE: Riding 🏇the Raphe (facing the PV) 👉 count clockwise 🔁 👉 RCA (Sinus 1), LMCA (Sinus 2) In TEE 👉 count counterclockwise 🔄, riding 🏇the Raphe (facing the PV) 👉also here RCA (Sinus 1), LMCA (Sinus 2)

Rohit loomba Alexander Mladenow MD Oung Savly MD FACC FESC FASE FAAP FAPSC 🇰🇭 ESC WG on ACHD Chairperson Deepak Thekkoott #am-writing MD Chittur Sivaram MD MACP MACC Alex Felix Leo Lopez David H. Wiener, MD Prasannasimha🇮🇳 Swati Garekar NeoCardioLab - Gabriel Altit Yes, fused phenotype R-L most common 70-80% & these patients have greater root dilation since flow impinges on outer curvature of proximal ascending aorta/root seen on 4D #whyCMR

In the absence of intracardiac shunt a similar stroke volumes are measured across LVOT & RVOT 👉 5 days old, 4 kg 👉 normal SV = 1 ml/kg 👉 LVOT SV = 4 ml 👉 RVOT SV = 4 ml 🏁 postop TEE after surgical correction for a complex/rare CHD 🏁 10T-D TEE probe #echofirst

Coronary ostia in TTE & TEE in the most common BAV type 👉 raphe between LCC & RCC) #echofirst 👉TTE slip in the raphe facing the IAS 👉TEE slip in IAS facing the raphe TTE - 1️⃣2️⃣ clockwise 🔁 TEE - 2️⃣1️⃣counter clockwise 🔄 🫀RCA from Sinus 1️⃣ R💪 🫀LCA from Sinus 2️⃣ L💪

Now I understand your question Prosto Echo It’s tough to say on a SAX static image Green arrow & ❓🤔

3VV not only delineates the spatial relationship of the PA, Ao, SVC but also reflects hemodynamic influences ESC WG on ACHD Chairperson American College of Cardiology Ritu Thamman MD Chittur Sivaram MD MACP MACC Leo Lopez Alex Felix Rohit loomba AEPC - Paediatric and Congenital Cardiology Deepak Thekkoott #am-writing MD Swati Garekar Alexander Mladenow MD David H. Wiener, MD NeoCardioLab - Gabriel Altit

Wonderful visual 🔥! Definitely check out WithAScalpel !

Complete AVSD - Single AVV annulus - Five leaflets - Zone of apposition between bridging leaflets—>leak ESC WG on ACHD Chairperson American College of Cardiology Ritu Thamman MD Chittur Sivaram MD MACP MACC American Society of Echocardiography Leo Lopez Alex Felix Rohit loomba AEPC - Paediatric and Congenital Cardiology Deepak Thekkoott #am-writing MD Swati Garekar Alexander Mladenow MD David H. Wiener, MD

Zone of apposition of the left AV valve is often mistaken for a cleft. (Not a true congenital cleft) ESC WG on ACHD Chairperson Rohit loomba Ritu Thamman MD Chittur Sivaram MD MACP MACC Leo Lopez Deepak Thekkoott #am-writing MD AEPC - Paediatric and Congenital Cardiology Alex Felix Alexander Mladenow MD David H. Wiener, MD Dr G Rajesh (Gopalan Nair Rajesh). NeoCardioLab - Gabriel Altit American Academy of Pediatrics

1. pmVSD jet beneath the RCC-NCC produces a Venturi effect —> secondary AR (Laubry–Pezzi Sd) 2. BAV morphology facilitates the development ESC WG on ACHD Chairperson Rohit loomba Ritu Thamman MD Chittur Sivaram MD MACP MACC Leo Lopez Deepak Thekkoott #am-writing MD AEPC - Paediatric and Congenital Cardiology Alex Felix Alexander Mladenow MD David H. Wiener, MD

Apex predator in the ocean You could become an apex imager in your #echofirst lab! How? Come and join us for Advanced #echofirst Workshop #3DEchoBerlin by ⁦DHZB Akademie⁩ ⁦Deutsches Herzzentrum der Charité⁩ 23.01. - 25.01.26 👉shorturl.at/VUsti register 👉 shorturl.at/J3Zdy

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