Irina Akhmedova
@Irina67790690
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Echocardiography/Cardiosurgery | International Higher School of Medicine(IHSM)| Scientific Research Institute of Cardiac Surgery|🇰🇬 Kyrgyzstan/Bishkek 🇰🇬 |
Kyrgyzstan
Joined July 2019
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Last Seen Profiles
Parachute mitral valve with VSD. Have the idea of having a mitral supravalvular ring🤷♀️
#echofirst
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611
Today's case.
Biatrial myxoma. Small ASD.
The patient is in the hospital with a stroke last week.
F, 44 y.o.
#Cardiotwitter
#echofirst
20
75
260
We have no ideas.
F, 22 y.o.
No history of heart disease.
No history of other pathologies.
She returned 10 days ago after a holiday in Sri Lanka.
#Cardiotwitter
#echofirst
More images below.
⬇️⬇️⬇️⬇️⬇️
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249
F, 48 years old.
History of mild shortness of breath.
First visit in clinic.
#Cardiotwitter
#echofirst
23
40
230
Emergency patient today.
Acute Aortic Dissection.
M, 60 y.o.
9
60
208
Hypertrophic cardiomyopathy, with left ventricular outflow tract obstruction. LVOT gradient 55 mmHg at rest.
T, 19 y.o.
6
55
202
Subaortic Stenosis (subaortic membrane). AV gradient - 113 mmHg.
Bicuspid Aortic Valve.
Coarctation of the aorta.
F, 33 y.o.
#Cardiotwitter
#echofirst
7
56
190
Mitral Valve Prolapse.
Or Mitral Valve Disjunction?
Severe Mitral Regurgitation.
M, 64 y.o
#Cardiotwitter
#echofirst
20
31
177
Lutembacher's syndrome.
Large ASD, Severe Mitral Regurgitation, Moderate Mitral Stenosis.
F, 46 y.o.
6
36
173
Echinococcosis hydatid cyst of the left ventricle.
Boy, 6 y.o.
Child has a history of surgery for an Echinococcosis hydatid cyst in the liver 2 years ago.
#echofirst
#Cardiotwitter
⬇️⬇️⬇️⬇️
5
46
173
Male 28 years old.
2 years ago produced plastic ASD Myxoma of the right atrium.
#echo
#echofirst
2
66
168
My new case.
Bicuspid Aortic Valve. Dilatation of the aortic root.
Mitral Annular Dysfunction.
F, 25 years old.
Has all the features of Morfan's syndrome.
#Cardiotwitter
#echofirst
11
44
168
Ebstein anomaly.
Arrhythmia.
T, 16 y.o.
Image is inverted.
2
29
161
Dilation of the root and ascending aorta.
Marfan syndrome.
T, 12 y.o.
8
33
158
Huge thrombus in the LA. Significant dilatation of LA.
Severe Mitral Stenosis.
Rheumatic Heart Disease.
F, 49 y.o.
5
37
154
Today's case.
Hypertrophic cardiomyopathy.
F, 24 y.o.
Pregnancy 29 weeks.
7
34
147
Our patient. has a history of VSD closure in childhood.
And yes, the pulmonary artery is significantly dilated.
But what do we see on the right?
Now, we are waiting CT.
43
22
137
Just a beautiful image.
Single ventricle.
T, 14 y.o., has history Bidirectional Glenn Procedure.
The image is inverted!
8
22
135
Multivalve heart disease:
Severe Aortic Stenosis, Moderate Aortic Regurgitation.
Severe Mitral Stenosis, moderate Mitral Regurgitation.
#Cardiotwitter
#echofirst
⬇️⬇️⬇️⬇️⬇️
4
36
132
Mitral arcade. Congenital mitral valve stenosis. MVA 1.1 cm².
Pmax- 25 mmHg, Pmean 13 mmHg.
#echofirst
10
36
132
Mitral Valve Prolapse and Mitral Valve Disjunction?
Mitral Regurgitation.
T, 14 y.o.
14
28
133
Bicuspid Aortic Valve. AR stream prevents full opening of the anterior leaflet of the mitral valve. Dilatation of the root and ascending aorta.
M, 18 y.o.
#Cardiotwitter
#echofirst
6
35
131
Severe aortic stenosis, Severe aortic regurgitation.
Large PDA.
Significant LV dilatation. ED LV - 227 ml
Moderate decrease LV EF. .
Severe mitral regurgitation.
Child, 11 y.o. Weight 35 kg.
#Cardiotwitter
#echofirst
4
29
130
Very interesting case.
Child 7 y.o.
Unicuspid Aortic Valve with Severe Aortic Stenosis.
Patent Ductus Arteriosus.
Significant Mitral regurgitation (Rheumatic Heart Disease)
#Cardiotwitter
#echofirst
The Parasternal Long Axis.
Next image ⬇️⬇️⬇️
6
30
127
Severe Mitral Regurgitation.
Significant dilatation of LA.
Rheumatic Heart Disease.
F, 45 y.o.
5
35
125
Large VSD covered by the septal valve of the TV, with the formation of a Gerbod defect. M, 26 y.o.
#echofirst
#Cardiotwitter
4
51
117
Our emergency patient for the weekend. Acute thrombosis of the mitral valve prosthesis.
#echofirst
3
31
120
Severe Mitral Stenosis, Mild Mitral Regurgitation and Moderate Tricuspid Stenosis, Moderate Tricuspid Regurgitation.
Rheumatic Heart Disease.
F, 32 y.o.
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5
37
122
Lutembacher’s syndrome (LS) refers to an uncommon combination of acquired mitral stenosis (MS) and congenital atrial septal defect (ASD).
#echofirst
0
46
118
Papillary muscle rupture.
In this case due to severe arterial hypertension.
F, 64 y.o.
#Cardiotwitter
#echofirst
3
39
119
Hypertrophic cardiomyopathy.
LVOT gradient is 45 mmHg.
Boy, 5 y.o.
#Cardiotwitter
#echofirst
4
25
116
Significant tricuspid regurgitation (TR RV 291 ml ?!). Significant dilatation RV, RA.
I don't know the reasons for this situation yet.
#Cardiotwitter
#echofirst
18
31
114
Interesting image today.
Aortic Root Dilatation.
Severe Aortic regurgitation.
M, 49 y.o.
7
24
115
Aortic dissection.
M, 29 y.o.
Without history of cardiac pathology.
#Cardiotwitter
#echofirst
6
35
114
Аnd another unicuspid aortic valve with moderate regurgitation and moderate stenosis. Dilatation of the root and ascending aorta.
F, 28 y.o.
#Cardiotwitter
#echofirst
6
40
107
Concentric LV hypertrophy.
Random patient with arterial hypertension.
F, 48 y.o.
7
21
109
Rupture of the chordae of the posterior leaflet of the mitral valve with prolapse and severe regurgitation.
M, 51 y.o.
#Cardiotwitter
#echofirst
2
26
106
Hypertrophic cardiomyopathy.
T, 16 y.o.
Has history family's HCP.
Hypertrophic cardiomyopathy.
T, 16 y.o.
Has history family's HCM.
⬇️⬇️⬇️
3
6
19
3
22
104
Arrhythmic mitral valve prolapse and mitral annular disjunction.
F, 20 y.o.
#Cardiotwitter
#echofirst
3
32
105
Rupture of the chordae tendineae of the Posterior Leaflet of the Mitral Valve. coronary arteries are normal.
M, 58 y.o.
#Cardiotwitter
#echofirst
3
32
103
Rupture of the chordae from the AL of the mitral valve in the A3 segment, with severe mitral regurgitation.
M, 67 y.o.
5
27
102
Severe Aortic Stenosis, Mild Aortic Regurgitation.
Bicuspid Aortic Valve.
F, 57 y.o.
4
30
101
Critical Mitral Stenosis, Severe Mitral Regurgitation. MVA - 0.6 cm².!!!
Rheumatic Heart Disease.
M, 52 y.o.
#Cardiotwitter
#echofirst
6
28
101
Mitral Annular Calcification.
Moderate mitral regurgitation.
The patient has a long history of diabetes and chronic kidney disease.
F, 70 y.o.
⬇️⬇️⬇️⬇️⬇️⬇️
7
27
101
Mitral Annular Disjunction with moderate regurgitation.
T, 14 y.o.
#Cardiotwitter
#echofirst
4
40
101
Significant low ejection fraction.
Severe Mitral Regurgitation.
Coronary arteries are normal.
F, 60 y.o.
9
24
101
I have some doubts.
What's going on with MV?
F, 44 years old.
Has a history of infectious myocarditis.
An pacemaker was implanted. Coronary angiography is normal.
⬇️⬇️⬇️
27
25
100
Acute myocarditis.
LV EDV - 128 ml. Significant reduction in LV ejection fraction. EF - 31%.
Severe mitral regurgitation.
Positive test for Covid 19.
Ch, 10 y.o.
Has a history of balloon valvuloplasty of the PV.
#Cardiotwitter
#echofirst
6
28
97
Partial Atrioventricular Septal Defect. Combined with moderate stenosis of the pulmonary valve, PVmaxPG-36 mmHg.
F, 36 y.o.
The patient presented for the first time with moderate shortness of breath.
What is your opinion about left atrioventricular valve? MVA 3.4 cm².
4
25
98
Dilated cardiomyopathy.
Child, 10 years old.
EDLVV 189 ml.
EF 29%.
Significant Mitral regurgitation.
7
23
96
Aortic aneurysm in a 29-year-old young woman with dyspnoea. Aneurysm diameter 8.6 cm.
#echofirst
13
35
96
Patient has history of Congenital Heart disease .
The ASD was closed more than 30 years ago.
M, 65 y.o
5
15
95
New Case
#echofirst
.
Subaortic membrane is an uncommon cause for left ventricular outflow tract obstruction. (Pmax - 99 mmHg, Vmax - 4.97 m/s) Bicuspid aortic valve. Severe Coarctation of the aorta. W, 32 y.o, no genetic syndrome.
2
30
92
Large ventricular septal defect in an adult. Esenmenger's syndrome.
#Cardiotwitter
#echofirst
2
28
93
Another aortic stenosis.
Aortic valve area - 0.8 cm², AV max.PG- 108 mmHg, and severe regurgitation.
EF 49 %
#Cardiotwitter
#echofirst
4
24
96
Rupture of the chords of the posterior leaflet of the mitral valve.
Severe Mitral regurgitation.
M, 66 y.o.
5
25
96
Critical Mitral Dtenosis. Moderate Aortic Regurgitation.
Rheumatic Heart Disease.
Patient's first visit. N, 43 y.o.
#Cardiotwitter
#echofirst
3
30
95
Rupture of the chords of the posterior leaflet of the mitral valve.
Severe mitral regurgitation.
F, 76 y.o.
1
25
94
And another random patient.
Thrombus in the LV, significantly reduced EF. PAP is significantly increased.
F, 35 y.o.
Has a history of pulmonary embolism 3 weeks ago.
9
22
93
Mitral valve dysfunction in a patient with ASD. F, 38 y.o.
Lutembacher syndrome or not?
#Cardiotwitter
#echofirst
9
31
93
Thrombus in the pericardium in a patient with an aneurysm and dissection of the ascending aorta.
#echo
#echofirst
2
24
90
Severe Aortic Stenosis ( AV - 136 mmHg). Severe Mitral Regurgitation and Stenosis.
F, 68 y.o.
8
20
93
Severe mitral regurgitation and Severe mitral stenosis.
Rheumatic Heart Disease.
F, 32 y.o.
#Cardiotwitter
#echofirst
2
30
91
Aortic aneurysm. Severe aortic regurgitation.
EDV LV - 321 ml.
Ascending aorta- 66 mm
#echofirst
#Cardiotwitter
6
29
92
Unicuspid Aortic Valve.
Moderate aortic stenosis and moderate aortic regurgitation.
F, 32 y.o.
#Cardiotwitter
#echofirst
4
27
90
Aortic regurgitation as one of the causes of rupture of chordae tendineae of the ALMV.
Severe Aortic Stenosis, Severe Aortic Regurgitation. Severe Mitral Regurgitation.
Significant dilatation left side of the heart.
F, 68 y.o
3
26
91
Descending aorta afterBental operation: proximal entry rupture closed and false lumen thrombosis.
5
23
90
Severe Mitral Regurgitation.
Rheumatic Heart Disease.
F, 64 y.o.
4
24
87
Focus on Aortic Valve.
Is not typical for RHD.
And ascending aorta is dilatation ( 52 mm)
What happens to the posterior leaflet MV?
Severe Mitral Regurgitation, Moderate Mitral Stenosis.
Severe Aortic Regurgitation.
Severe Tricuspid Regurgitation.
Significant dilatation of the LA and RA.
Has history Rheumatic Heart Disease.
And Ascending aorta Dilatation.
4
12
57
8
16
87
And one more interesting image.
Beautiful visualization of the mitral prosthesis.
2
18
87
Unicuspid Aortic Valve.
AV gradient 49 mmHg.
M, 27 y.o.
6
16
88
Aortic dissection.
This patient.
3
16
83
Mitral valve replacement more than 12 years ago.
With complete removal of the papillary muscles and chordae tendineae of the mitral valve.
These are the long-term results 🤷♀️
EDV LV - 405 ml.
M, 54 y.o.
⬇️⬇️⬇️⬇️
5
21
86
Mitral valve prolapse with severe regurgitation.
Part of the chords PLMV is shortned, part of the chords are attached directly to the wall of the ventricle.
#echofirst
5
20
84
Another critical mitral stenosis and severe mitral regurgitation this week.
Rheumatic Heart Disease.
F, 62 y.o.
#Cardiotwitter
#echofirst
4
28
83
Mitral Valve Prolapse with Mitral Annular Disjunction. Middle Mitral Regurgitation.
Ch, 6 y.o, has history closed VSD.
1
16
83
Multiple and Mixed Valvular Heart Disease.
Severe Mitral Stenosis and Severe Mitral Regurgitation. Severe Aortic Stenosis and moderate aortic regurgitation. Moderate Tricuspid Stenosis and Severe Tricuspid Regurgitation.
F, 38 y.o.
Rheumatic Heart Disease.
⬇️⬇️⬇️
4
25
83
This also happens unfortunately.
The apical 4 - chamber view.
SatO2 - 40 - 45 %
M, 16 y.o.
(the rest of the images are not very high quality)
7
14
84
The most difficult situation. patient after mitral valve replacement.
Rheumatic Heart Disease.
M, 37 y.o.
#Cardiotwitter
5
19
80
Patient after mitral valve replacement 3 months ago. Rheumatic heart disease.
Moderate fever for a month.
This is the image we got.
F, 22 y.o.
#Cardiotwitter
#echofirst
7
19
80