Alexander Mladenow MD
@alex1708ander
Cardiothoracic and Vascular Anesthesia, Pediatric Cardiac Anesthesia, Echocardiography EACVI Board Certification in TEE, TTE and CHD, @dhzcharite, #echofirst
ID:1513581137725214721
11-04-2022 18:14:20
511 Tweets
1,1K Followers
279 Following
#echofirst 👀3D TEE Basic Dataset👉just 1️⃣2️⃣3️⃣ 2D reference view needed
🔻switch off the respirator
🔻use multibeat (4-6)
🔻aim > 15 FPS
#CardioTwitter ⤵️
#echofirst knows how to diagnose LSVC👉contrast injection into left-sided central venous catheter results in immediate opacification of the coronary sinus and then the RA #CardioTwitter
#echofirst 👀 2D & 3D TEE in a young female with PV endocarditis on a Melody valve #CardioTwitter 👉 how 2️⃣♠️UE Ao Arch SAX for PV ⤵️
#echofirst shows detachment of anterior mitral valve leaflet 👉a rare complication in a patient undergoing 🫀surgical aortic valve replacement (SAVR) for aortic stenosis #CardioTwitter ⤵️
#echofirst 👀native pulmonary valve endocarditis & leaflet perforation in an adult male without past medical history 🫀TEE mid-esophageal & transgastric views #CardioTwitter
#echofirst shows how correspond TTE&TEE #volumetrics done by 2️⃣imagers INDEPENDENTLY‼️in a young male with a severe MR TYPE II, who undergoes minimally invasive MV-repair (MIC) #CardioTwitter ⤵️Nicolas Merke
#echofirst shows overriding & straddling in 🫀with anomalous biventeicular & univentricular AV-connection aka DOUBLE INLET VENTRICLE #CardioTwitter ⤵️
#echofirst 👀a case from my archive 👉I had 2️⃣patients at the same time: the1️⃣in a dramatic condition with Thr of mech AV prosthesis & LAD embolisation, the 2️⃣not yet ready to come out. At first just Thr removal was done. 1️⃣patient came back postpartum with AVR-abscess⤵️
#echofirst TEE post processing step by step
- Default
- HD on
- Translation line down to get ride of artifact
- z- rotate
- Gamma
- 4D & 2 D Gain
- FlexiLight using different positioning of the light source
- increase or reduce light intensity
Create your image as you like it…
#echofirst a routine intraoperative TEE guidance for minimally invasive mitral valve repair👉3D MV & #volumetrics for pre/postoperative evaluation, cannula insertion & post-repair assessment #CardioTwitter ⤵️👀
#echofirst 👀 THE LEIDEN CONVENTION👉coding, clocking & numbering of the coronary arteries🔁 the👌way 2️⃣understand spatial orientation is by 👀into your own 🫀 #CardioTwitter
If you want to learn from the echo experts join 👉the Satellite Symposium of the German Congress of Echocardiography in Leipzig #echofirst , #CardioTwitter 🫀 echokardiographie-leipzig.de/phone/sonntag.…
#echofirst 👀an advanced TEE cardiac imaging 👉intraoperative surgical guiding for LVOTO in a symptomatic adolescent without VHD2️⃣facilitate surgical membrane resection⚠️bad things can happen ⏭️don’t forget the quality check for the volumes 😉⤵️ #CardioTwitter
#echofirst shows a TEE of a pediatric patient with ccTGA:
🔺double discordance
🔺parallel arrangement of GA
🔺Ao is anterior & leftward to PA
#CardioTwitter ⤵️
Alexander Mladenow MD Christian-H. Heeger Thank you very much for your comment. I took the images in the LAO cranial view as I often work with LAO in fluoroscopy. I see the heart in LAO from an anterior perspective. Surgeons view the heart from a posterior perspective through the atria. Here is a brief description of…
#echofirst shows how surgical TEE view for MV-PPL (peri prosthetic leaks) localization corresponds to interventionalist’s view on fluoroscopy #CardioTwitter
doi.org/10.1016/j.jcin…
#echofirst knows that abnormal AV morphology doesn’t necessarily mean abnormal AV function #CardioTwitter ⤵️