Just revealed at #ASE2025 the new @ase360 logo!!! Love the new modern style

Published @JournalASEcho: TEER preserves MV annular dynamics better than annuloplasty in FMR pts—potentially improving LV function. TEER maintains intercommissural motion & area dynamics; surgery restricts motion in all directions Link → bit.ly/43K7jSd

🫀 A deep dive into mitral annular disjunction (MAD) in MVP patients published this month in @JournalASEcho 🔍Pts with MVP were subclassified based on the mitral annulus phenotype in systole & diastole 📊True-MAD ➔ clear separation btw P2 & LV myocardium in both diastole & systole ⚖️Pseudo-MAD ➔ defined as the presence of only systolic apparent disjunction ⚠️ Pseudo-MAD linked to arrhythmic MVP features, including systolic curling and Pickelhaube appearance 📈 TTE proves is a reliable tool for identifying MAD phenotypes, with 89% accuracy & high intra-/interrater agreement 💡 Why it matters: Early recognition of Pseudo-MAD can help assess risk for arrhythmic MVP & guide treatment strategies, especially in advanced cases with severe MR 🔗Link ➔ bit.ly/4h3xA3E

Where do you measure LVOT if self-expanding TAVR is deep? ✱ Default LVOT measurement → edge–to–outer edge of TAVR (A, arrow) & PW is just prox to valve (B) ✱ Alternative approach → inner edge–to–inner edge diameter immediately prox to the cusps (D) & PW placed inside valve but prox to flow acceleration at the valve cusps (E). Velocity & VTI are larger if PW Doppler sample volume is placed inside valve (F vs C) @JournalASEcho ✱ New Prosthetic Valve Guidelines → bit.ly/3DkI8w5