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An unusual combination of rheumatic and myxomatous changes

Be sure to tune in to ASE’s Echo Florida this weekend

Six month old Mechanical valve in the aortic position. Patient completely asymptomatic.

At our institution we insist that the left atrium wears a bowtie

A clue that you need to refresh your knowledge base on vascular Anatomy: “the layers of the vessel wall are the intima, media, and…… uh…..Santa Maria”

Is this an appendage within an appendage? The “Russian doll” effect

Bryon Gentile, our Structural Echo Director, Explains that this is a chicken wing appendage in the transverse sinus. It is surrounded by pericardial fluid.

An example of foreshortening In a patient who likely has a mid ventricular HCM

Total bicspidity is achieved here. Aortic dilation thrown in at no extra charge

My colleague John Dickey MD shared this with me. This is what we, in Worcester, call “the violent left bundle branch block” (That term was invented by sonographer Jeff Hill RDCS.) I will go out on a limb lead and say that this patient will respond nicely to CRT

For this and more come to Echo Florida

Dyssynchrony caused by a bypass tract. Eric Monahan RDCS obtained these spectacular images. Would not blame you if you thought this might be cardiac involvement in sarcoidosis

Editorial In JASE from our Echo Lab All you wanted to know about the history of diastolic function evaluation

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The Pathophysiology and Assessment of Diastolic Dysfunction: Important Clues From Stress Cardiomyopathy Timothy P. Fitzgibbons, Matthew F. Gottbrecht, Gerard P. Aurigemma

Dr. Saric served as the visiting professor at UMass. He did a phenomenal job teaching us and our fellows.