#Sharing is learning When one thing goes wrong… suddenly everything follows. Complications everywhere! 😩🧐🧐🥹🥹😇😇😡😡How many can you spot??

Apical displacement of tricuspid valve with plastering of septal & posterior leaflets to IVS.Sail-like anterior leaflet,Ebsteinoid TV morphology. Large primum ASD with moderate MR (not shown). Rare echo clip of Ebstenoid TV in partial AVSD. #echofirst #CHD #PediatricCardiology

@kaznegishi @dr_benoy_n_shah @IAEecho @aae_echo @jesukrupa @CASivaram1 @DrRajeshG1 @EACVIPresident @ppsengupta1 @MDMankad @iamritu @rajdoc2005 https://t.co/qakJv89okg Pls find the link

Myocardial active strain energy density and contractance: novel prognostic tools for left ventricular function and cardiovascular risk by @EHJIMPEiC David H MacIver et al. https://t.co/fEbA2YVSXZ @EACVIPresident @EchoSoliman @strain_rate @iamritu @KemalogluOz @JaeKOh2

Prosthetic Mechanical Mitral Valve Thrombosis and paravalvular leak. #3DEcho #echocardiography #cardiology #EchoFirst #CVImaging #TEE @ASE360

#OUCVGR 🔥Excited to announce the next OU Virtual CV GR on 10/09/25 featuring Dr. Marat Fudim from Duke 🔥Join us for a stimulating discussion on how to manage congestion in heart failure by an exceptional scientist https://t.co/U6ZdI2WK53 @OUCollegeofMed @FudimMarat

Posterior annular hyperechogenic mass with a hypoechogenic center in a 60-year-old woman with heart failure and LBBB, scheduled for CRT. Could this be a simple annular calcification or something else? #echofirst @alexsfelixecho @iamritu @argulian @alex1708ander @StellEkaterina

#EHJIMP Functional and Morphological Determinants of Left Ventricular Fibrosis in Patients with Mitral Annular Disjunction in CMR @EHJIMPEiC @saramoscatelli7 @JGrapsa @iamritu @purviparwani @Sarah_Moharem https://t.co/WhIOjYGxqr #CardioTwitter #CardioEd

#ACCLegConf #ACCAdvocacy @Cardiology @ACCMaryland @ACCinTouch Register today for Midwest ACC Women in Cardiology. https://t.co/baIjpgEnZY @gina_lundberg @Drroxmehran @ditchhaporia @iamritu @DrJMarine @GarimaVSharmaMD @KateLangMD @Pooh_Velagapudi

#EHJIMP VO₂peak relates closely to heart size in health, but this link is blunted in subclinical diastolic dysfunction—already resembling heart failure. VO₂peak/THV ratio may help distinguish health from overt HF @EHJIMPEiC @JGrapsa @iamritu https://t.co/t60qTIwrYj

1. pmVSD jet beneath the RCC-NCC produces a Venturi effect —> secondary AR (Laubry–Pezzi Sd) 2. BAV morphology facilitates the development @WGACHDChair @loomba_rohit @iamritu @CASivaram1 @echoleolopez @dkthekkoott @AEPCcongenital @alexsfelixecho @alex1708ander @DavidWienerMD

Delighted to share the final typeset version of the 1st Joint EACVI/ACVC/@EACTAIC Expert Consensus on Cardiac Ultrasound in Cardiovascular Emergency & Critical Care — now the most-read article in EHJ–CV Imaging! 🫀 #EACVI #EchoFirst #POCUS #CriticalCare Open access 👇

Complete AVSD - Single AVV annulus - Five leaflets - Zone of apposition between bridging leaflets—>leak @WGACHDChair @ACCinTouch @iamritu @CASivaram1 @ASE360 @echoleolopez @alexsfelixecho @loomba_rohit @AEPCcongenital @dkthekkoott @swatigar @alex1708ander @DavidWienerMD

Zone of apposition of the left AV valve is often mistaken for a cleft. (Not a true congenital cleft) @WGACHDChair @loomba_rohit @iamritu @CASivaram1 @echoleolopez @dkthekkoott @AEPCcongenital @alexsfelixecho @alex1708ander @DavidWienerMD @DrRajeshG1 @CardioNeo @AmerAcadPeds

#echofirst ✅ Periaortic complication after bioprosthetic MVR & AVR (homograft) ✅ Large mitral-aortic intervalvular fibrosa pseudoaneurysm (MAIVF-PA) ✅ SAX shows extension of MAIVF) posterior to AV ✅ Probably chronic, since MAIVF-PA wall is thick @DavidWienerMD @argulian

6-year-old. BAV (R-N) Serial FU is essential even if function is normal 👉🏻because of progressive AS, AR, AA dilation. @WGACHDChair @ACCinTouch @iamritu @CASivaram1 @echoleolopez @alexsfelixecho @loomba_rohit @AEPCcongenital @dkthekkoott @swatigar @alex1708ander @DavidWienerMD

To Continue with the TDI cases ! Wha do u think about this finding(same in the lateral annulus ) ?! @RODRIGOVISCONT1 @echo_stepbystep @ejchammas @echotalk @strain_rate @EchoAshwag @GARCIAEDINSON95 @gonzaeperez @iamritu

17-day-old. IIA type B/VSD/PDA Postoperative JET. ✍️ QRS polarity change after recovery reflects conduction variability, not VT. (Maybe transient bundle branch or fascicular conduction delay) @jeffrey_vinocur @RobertHPass @KaraMotonaga @iamritu @loomba_rohit @AEPCcongenital

@mmamas1973 @rblument1 @purviparwani @iamritu @HeartOTXHeartMD @DBelardoMD @ASPCardio @HeartDocSharon Proof of life with you, @HeartOTXHeartMD , @purviparwani, @DBelardoMD, @iamritu - all of which request the ginger shot (or make them at home too!)…

Powerful start to the #ACCWIC Leadership Conference with @cmvalentineMD & @DrItchhaporia leading “Difficult Conversations: Being Assertive and Being Respected.” 💬 Insights on executive presence, communication, and leading with confidence and empathy. 💪❤️ #ACCWIC @ACCinTouch