Kais A. retweeted
Rare congenital anomaly(I’ve never seen)
rudimentary aortic chordae tendineae #echofirst
seen as ruptured fibrous strand attached to RCC free edge w partial flail causing severe aortic regurgitation OR confirmed bit.ly/3ULiWIb
Kais A. retweeted
💡 Caseous necrosis at the aortic valve is far rarer than at the mitral valve, with only isolated case reports.
It looks like an echogenic mass with a lucent center near the AV (toothpaste-like), so it can be easily mistaken for an abscess, tumor (PFE), thrombus, or vegetation.
Kais A. retweeted
What the mitral⁉️
Middle-aged♀️
'Congenital valvular issue' hx.
No hx of endocarditis (+ no other suggestive findings).
@denisamuraru @alex1708ander @NMerke @eromerodorta @StellEkaterina @alexsfelixecho @echo_batman @echo_stepbystep @VerwerftJan @echotalk @argulian @iamritu
Kais A. retweeted
The pulmonary valve isn’t called the “neglected valve” for nothing.
In this sexagenarian with a BAV, it’s easy to focus all your attention on the aortic valve - and miss the pulmonary valve pathology.
Don’t forget to look beyond the obvious. #echofirst
🕵️♂️ intraop TEE
Kais A. retweeted
KDIGO is going regret that definition of AKI for years. In this study dapa prevented AKI by not tripping over the oliguria trigger for AKI.
You don't say? The diuretic helped prevent oliguria. Unthinkable?
Kais A. retweeted
@DHZB_Akademie "3D Advanced Echocardiography Workshop" (happening January 22- 24, 2027) makes it clear why this is way "more than just 3D."
The program bridges advanced imaging with intensive clinical realities”specifically targeting ICU management, complex valvular heart disease, mechanical circulatory support (MCS), and heart failure.
Perfect for clinicians who want practical utility, not just pretty 3D pictures.
Yes, it’s a 3D workshop but we are taking it straight to the ICU
At the #echofirst Workshop , we aren't just looking at static valves. We’re tackling the tough cases:
Echo in ICU: Deep dives into ECMO hemodynamics and using echo to guide acute fluid management.
Critical Decision Making: Using acute heart failure echo to trigger therapy (from diuretics to MCS).
Live Knobology: Real-time mastering of GE & Philips systems.
Register & view the full program: backend.dhzb-akademie.de/app…
Just take a look at this GOAT line up 🔝
@alex1708ander @alexsfelixecho @dr_benoy_n_shah @iceman_ex @echo_batman @FGraziani_Grace @VictoriaDe32503 @Ph_Bertrand @StellEkaterina @echo_stepbystep @fiore_corrado @LunaGargani @ArgaizR @papadocardio @eromerodorta @mauripieroni72 @KemalogluOz @JanKnierim @echotainment @DonalErwan @FH_Verbrugge
Kais A. retweeted
Recommendation of the day: If you're preparing for advanced peri-op #TEE #echoBoards, follow @alex1708ander.
His cases are excellent for training your 👁️ to recognize a wide range of pathology. I wish I had found his handle before my exam, but I'm sure it'll be a valuable resource for the next generation of #POCUS enthusiasts.
Kais A. retweeted
Right after MCS implantation, intraoperative TEE guides BVAD cannula assessment - position, flow, and function 🚀
#echofirst #MCS #BVAD
Kais A. retweeted
#JADEL
We've heard about atrial septal pouches.
We may have even seen one.
But, did you ever think you'd see a thrombus-in-situ within an atrial pouch?
CASE reports help expand our understanding of uncommon events.
New in CASE @CASEfromASE
@ASE360
Kais A. retweeted
#echofirst
✅ Echo imaging of TAVI endocarditis is difficult
✅ Even with TEE, IE diagnosis can be challenging due to reverberation artifacts from TAVI components (the frame, skirt etc)
✅ An example of TAVI IE ⬇️. At the cusp level, no IE mass seen on TEE. Mass was below cusp level & within the valve frame. Easily shown by SAX view at subvalvular level (3rd clip)
✅ Comments on CW Doppler obtained from deep transgastric view?
@iamritu
@argulian
@NadeenFaza
@alex1708ander
@alexsfelixecho
@NMerke
@HeartOTXHeartMD
@hvanspall
@purviparwani
@PWengrofskyMD
@sudarshanballa
@VLSorrellImages
@GilbertTangMD
@PWesslyMD
@DrRajeshG1
Kais A. retweeted
Comprehensive tricuspid valve TEE analysis (mid-esophageal & transgastric views) @iamritu @OungSavly @CASivaram1 @NMerke @DrRajeshG1 @alexsfelixecho @WithAScalpel
1️⃣ ME 4Ch
2️⃣ ME RV in-out
3️⃣ ME bicaval
💚 anterior TV leaflet
💛 septal TV leaflet
💙 posterior TV leaflet
Kais A. retweeted
🚨Right ventricular-protective ventilation in ARDS: thinking beyond lung protection
@Douglas Slobod @drhaty @yourICM
link.springer.com/article/10…
Kais A. retweeted
Post-infarction ventricular septal defect & papillary muscle rupture are two catastrophic complications of acute myocardial infarction.
Their simultaneous occurrence is extraordinarily rare and potentially devastating. It’s just an insane combination #echofirst
Anterior papillary muscle rupture - a catastrophic complication of acute myocardial infarction #echofirst
State-of-the-art therapy 👉 MCS in an acute setting (e.g. ECMELLA) followed by surgery (MVR). Love @JMannisi “whole heart TEE imaging..”
@GEHealthCare
Kais A. retweeted
I revised my old post, so this one here is more accurate and fits better #echofirst Thanks @MuradAlsumat for your feedback
Kais A. retweeted
✨Video of the Week: Late Degeneration of a #TAVR Presenting With Flail Leaflet ▶️ hubs.ly/Q048mfHw0
@LeilaAlizadehMD @RoyaMousavi_MD @GilbertTangMD @LucySafi @KHERA_MD @SaminKSharma @AmithoodaMD @DLBHATTMD #cardioTwitter #cardioX #cardiology #interventionalcardiology
Kais A. retweeted
PR velocity can be used for assessing LV as well as RV pressures. The nice PR signal shows high early diast. velocity indicating PHT. Initial PR slope drops quickly indicating rapid rise of RV diastolic pressure, followed by late diastolic rise, indicating PAEDP > RVEDP from increased LVEDP. Would have been nice to have an ECG. Please see simultaneous PR CW Doppler and LV/RV pressure tracings(in A Fib), below.
EF ~20%, severe MR/TR. PR CW Doppler demonstrates late-diastolic notch with re-acceleration. What do you think is the main mechanism—backward pulmonary venous pressure transmission or something else? @argulian @JaeKOh2 @CASivaram1 @DrRajeshG1 @echo_batman
Kais A. retweeted
In pediatric DCM, the top diag. priority remains repeatedly excluding ALCAPA. After that, CoA & tachyarrhythmias. @jeffrey_vinocur
@iamritu @loomba_rohit @WGACHDChair @AEPCcongenital @CASivaram1 @dkthekkoott @alexsfelixecho @echoleolopez @alex1708ander @SIwa23288585 @swatigar
Normal left coronary artery origin.
@jeffrey_vinocur @RobertHPass @KaraMotonaga @iamritu @CASivaram1 @WGACHDChair @AEPCcongenital @SIwa23288585 @swatigar @loomba_rohit @alex1708ander
Kais A. retweeted
RA externally compressed by collapsed right lung from tension pneumothorax.
RA compression always consider extracardiac causes in NN.
@iamritu @AEPCcongenital @CASivaram1 @loomba_rohit @dkthekkoott @alexsfelixecho @echoleolopez @alex1708ander @SIwa23288585 @CardioNeo @swatigar
Kais A. retweeted
ASA physical status classification: a relic of a bygone time?
"... it is unlikely that another peri-operative stratification tool will enjoy such widespread uptake and longstanding performance."
#anaesthesia #MedTwitter
doi.org/10.1111/anae.70046
Kais A. retweeted
Do we need the ASA physical status classification system anymore?
#anaesthesia
doi.org/10.1111/anae.70046
