Complex Cases in Echocardiography by Robert J. Siegel et al.

By Robert J. Siegel et al.

Complex situations in Echocardiography is a distinct textual content written by way of a workforce of best cardiologists at Cedars Sinai middle Institute. Drawing from their large library of echocardiograms, the authors characteristic seventy five situations demonstrating unusual and complicated echo findings. each one case starts off with a quick scientific presentation, and comparable photographs, via multiple-choice questions. specific solutions contain sufferer results and follow-up ideas. The circumstances comprise m-mode, 2-D, three-D echo, TEE, and Doppler ultrasound. furthermore, 3 fold-out matching quizzes current a selected actual discovering or electrocardiogram to be matched with the patient’s corresponding echocardiogram.

With the inclusion of situations visible in emergency occasions in addition to regimen readings in an echo laboratory, this article not just introduces the reader to strange instances, but in addition reinforces correct recommendations and applications..  A significant other site comprises the totally searchable textual content and contours extra circumstances, besides genuine case video clips.



  •  Case-based layout that includes seventy five strange and peculiar diagnostic dilemmas
  •  Questions and solutions linked to each one case
  •  3 targeted fold-out quizzes
  •  A better half web site with absolutely searchable textual content and forty five extra cases 

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Figure 23-2. Based on the TEE findings: A. You initiate antibiotic therapy B. You call for surgical consultation the next day C. You arrange for emergent aortic valve replacement D. You send the patient for a CT scan to rule out aortic dissection E. You initiate antibiotic therapy and arrange for emergent aortic valve replacement 48 (c) 2015 Wolters Kluwer. All Rights Reserved. CASE 23 / 49 Answers ANSWER 1: E. The aortic valve is bicuspid with a raphe between the right and left coronary cusp, at times creating the illusion of a trileaflet aortic valve.

Figure 16-1. Figure 16-3. Figure 16-2. QUESTION 1. Figures 16-1 to 16-3 show: A. A vegetation attached to the left atrial (LA) and left pulmonary vein connection B. A thrombus attached to the anterior right atrial (RA) to superior vena cava (SVC) connection C. A vegetation attached to the posterior RA to SVC connection D. A thrombus attached to the LA body to appendage connection 35 (c) 2015 Wolters Kluwer. All Rights Reserved. 36 / COMPLEX CASES IN ECHOCARDIOGRAPHY Answers ANSWER 1: C. Considering the positive culture, the mobile structure is likely infected, that is, a vegetation.

Hypertensive cardiomyopathy D. Discrete membranous subaortic stenosis Figure 15-2. Pulse and continuous wave Doppler, mitral inflow. QUESTION 2. Echocardiogram findings include which of the following (select all that apply)? A. Systolic anterior motion of the mitral valve (SAM) B. Cavity obliteration C. Bright subendocardial stripe D. Color Doppler demonstrating a concomitant mitral regurgitation (MR) and increased left ventricular outflow tract (LVOT) velocities E. Echogenic structure consistent with an implantable defibrillator Figure 15-3.

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