Alexander Mladenow MD(@alex1708ander) 's Twitter Profileg
Alexander Mladenow MD

@alex1708ander

Cardiothoracic and Vascular Anesthesia, Pediatric Cardiac Anesthesia, Echocardiography EACVI Board Certification in TEE, TTE and CHD, @dhzcharite, #echofirst

ID:1513581137725214721

calendar_today11-04-2022 18:14:20

511 Tweets

1,1K Followers

279 Following

Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

👀3D TEE Basic Dataset👉just 1️⃣2️⃣3️⃣ 2D reference view needed
🔻switch off the respirator
🔻use multibeat (4-6)
🔻aim > 15 FPS
⤵️

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

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

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

shows detachment of anterior mitral valve leaflet 👉a rare complication in a patient undergoing 🫀surgical aortic valve replacement (SAVR) for aortic stenosis ⤵️

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

👀native pulmonary valve endocarditis & leaflet perforation in an adult male without past medical history 🫀TEE mid-esophageal & transgastric views

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

shows how correspond TTE&TEE done by 2️⃣imagers INDEPENDENTLY‼️in a young male with a severe MR TYPE II, who undergoes minimally invasive MV-repair (MIC) ⤵️Nicolas Merke

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

shows overriding & straddling in 🫀with anomalous biventeicular & univentricular AV-connection aka DOUBLE INLET VENTRICLE ⤵️

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

👀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⤵️

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Nicolas Merke(@NMerke) 's Twitter Profile Photo

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…

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

a routine intraoperative TEE guidance for minimally invasive mitral valve repair👉3D MV & for pre/postoperative evaluation, cannula insertion & post-repair assessment ⤵️👀

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

👀 THE LEIDEN CONVENTION👉coding, clocking & numbering of the coronary arteries🔁 the👌way 2️⃣understand spatial orientation is by 👀into your own 🫀

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

If you want to learn from the echo experts join 👉the Satellite Symposium of the German Congress of Echocardiography in Leipzig , 🫀 echokardiographie-leipzig.de/phone/sonntag.…

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

👀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 😉⤵️

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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

shows a TEE of a pediatric patient with ccTGA:
🔺double discordance
🔺parallel arrangement of GA
🔺Ao is anterior & leftward to PA
⤵️

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El Hamriti Mustapha(@melhamriti) 's Twitter Profile Photo

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…

@alex1708ander @ChristianHeeger 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…
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Alexander Mladenow MD(@alex1708ander) 's Twitter Profile Photo

shows how surgical TEE view for MV-PPL (peri prosthetic leaks) localization corresponds to interventionalist’s view on fluoroscopy
doi.org/10.1016/j.jcin…

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