Muhammad Usman Zia
@DocUsmanZia
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Fellow in Pediatric Cardiology | CHD, Echo, ICU | Member: ASE, ACC, ESC, ERS, HFSA, APPCS, PPA | Faisalabad, Pakistan
Punjab, Pakistan
Joined July 2025
“In IVC–type sinus venosus defect, obtain a true bicaval view is essential to avoid misdiagnosis @WGACHDChair @iamritu @escardio @dkthekkoott @CASivaram1 @alexsfelixecho @echoleolopez @DavidWienerMD @alex1708ander @loomba_rohit @swatigar @SIwa23288585 @WithAScalpel @CardioNeo
9-month-old, infant, 7kg. Failure to thrive. @jeffrey_vinocur @RobertHPass @KaraMotonaga @iamritu @CASivaram1 @escardio @ecgandrhythmRoe @ecgrhythms @Ecgloverr @loomba_rohit @swatigar @alex1708ander @SIwa23288585
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Parallel IVC and aorta on the same side on subcostal view — consistent with right atrial isomerism. @WGACHDChair @iamritu @jeffrey_vinocur @RobertHPass @dkthekkoott @CASivaram1 @alexsfelixecho @echoleolopez @DavidWienerMD @alex1708ander @loomba_rohit @DrRajeshG1 @swatigar
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Acquired cleft MV with severe MR from MRSA endocarditis. Aggressive valvular destruction. #CardioTwitter #EchoFirst #InfectiveEndocarditis
5-year-old. Acquired mitral cleft @escardio @ACCinTouch @ASE360 @iamritu @WGACHDChair @CASivaram1 @echoleolopez @DavidWienerMD @alexsfelixecho @loomba_rohit @dkthekkoott @alex1708ander @CardioNeo @SIwa23288585 @konstantinov_ie @WithAScalpel
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Double-barrel RVOT noted. Surgeon used an RV-to-PA conduit during TOF repair due to LAD crossing the RVOT. #PediatricCardiology #TOF #CongenitalHeartDisease #CardiacSurgery
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6-month-old with supracardiac TAPVR; pulmonary venous confluence drains via a vertical vein to SVC, with right-to-left interatrial shunt and a small LA.
Non obstructed, Supracardiac TAPVR (VV-IV-SVC).
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8-month-old with transitional AVSD: large primum ASD, small inlet VSD, balanced ventricles, and severe AV valve regurgitation. #Echo #PedsCardiology #AVSD
4-month-old, Complete AVSD, good AV valves, balanced ventricles 👉 Ideal candidate for complete repair @ASE360
@WGACHDChair @iamritu @echoleolopez @loomba_rohit @CASivaram1 @AEPCcongenital @alexsfelixecho @swatigar @SIwa23288585 @CardioNeo @DavidWienerMD @alex1708ander
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Neonate with PDA and PFO on echo,a normal remnant of fetal circulation. Both typically closes spontaneously @alex1708ander @argulian @dr_benoy_n_shah @echo_batman @bwoody58 @SabhaBhatti @CASivaram1 @fiore_corra @DavidWienerMD @StellEkaterina @Sarah_Moharem @iamritu
28-week fetal cardiac scan performed due to a history of outlet VSD in the 1st child. 👉🏻 Eustachian valve serves a critical function in the fetus as it directs highly oxygenated blood originating from the ductus venosus to the foramen ovale in a caudal to cranial flow pattern.
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Large truncal VSD with a single arterial trunk giving rise to both aorta & main pulmonary artery → Truncus Arteriosus Type I. #PediatricCardiology #CHD #EchoTeaching #TruncusArteriosus #CongenitalHeartDisease
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Retrograde diastolic flow from the LCA into the PA on Doppler is pathognomonic for ALCAPA @WGACHDChair @iamritu @jeffrey_vinocur @loomba_rohit @RobertHPass @echoleolopez @CASivaram1 @alexsfelixecho @dkthekkoott @DavidWienerMD @sujithsp @alex1708ander @SIwa23288585 @CardioNeo
3-month-old infant presents with severe HF (LVEF 20%). On PSAX/TTE at the aortic valve level: A.Coronary imaging is normal B.ALCAPA @WGACHDChair @iamritu @loomba_rohit @echoleolopez @CASivaram1 @alexsfelixecho @dkthekkoott @DavidWienerMD @sujithsp @alex1708ander @SIwa23288585
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ALCAPA is the most common causes of myocardial ischemia & infarction in children(Echobright MV chordae) @ASE360 @escardio @WGACHDChair @ACCinTouch @echoleolopez @iamritu @dkthekkoott @loomba_rohit @DrJenniferCo_Vu @CardioNeo @alexsfelixecho @sujithsp @alex1708ander @Prasannasimha
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IVC type Sinus Venosus ASD with small OS-ASD and PFO @DrRajeshG1 @Sujathavip @MattersoftheH14 @IAEecho
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5-day-old with Ebstein anomaly: sail-like anterior TV leaflet, apical displacement of septal TV leaflet, RV dysfunction, and functional pulmonary atresia. Large PDA supplying pulmonary arteries _saving life. #PediatricCardiology #Echo #NeonatalICU #CongenitalHeartDisease
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3-month-old infant presents with severe HF (LVEF 20%). On PSAX/TTE at the aortic valve level: A.Coronary imaging is normal B.ALCAPA @WGACHDChair @iamritu @loomba_rohit @echoleolopez @CASivaram1 @alexsfelixecho @dkthekkoott @DavidWienerMD @sujithsp @alex1708ander @SIwa23288585
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Watching from Pakistan CSI Africa 2025 Topic today: Interventional challenges — excellent clinical discussions and real-world cath lab problem solving. Great learning going on 🔥 @CSIcongress
#CSIAfrica #CSIVirtual #PediatricCardiology #InterventionalCardiology #CHD #CathLab
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