I would like to invite everyone to join me for this webinar presentation discussing “Mechanical complications from myocardial infarctions”. I will cover numerous interesting cases utilizing 3D and other echographic techniques to assess these patients.

I am happy to announce that I will be giving a presentation covering Mitral Regurgitation. This webinar will be available to all IAME members for a CME. Click the link below to get details on how to register and become a member. #echofirst.

Torrential TR. Beyond severe. #echofirst

Here’s some of the highlights of my Mitral Regurgitation talk. @nishath_quader @NMerke @denisamuraru #echofirst

RT @nishath_quader: @rayjay2845.

In honor of Valve Disease Day, here’s a mitral valve with Type II dysfunction. Text book example of Barlow’s syndrome. Bileaflet prolapse with thick and bulky leaflets billowing into the left atrium during systole. #echofirst

Here’s one of my favorite cases edited to show the under appreciated value of m-mode in a patient with (PLSV). You can see exactly when the bubbles enter the cs before entering the RV. This showcases m-modes superior temporal resolution. #echofirst

Here’s a nice case of pulmonic vegetation. All other valves were clean. #echofirst

Here’s a nice 3D of aortic valve from both sides. This can be one of the most challenging valves to image. #Echofirst

Hello , please come out and support our annual symposium. This year’s topics will be 1.) The Unforgettable Tricuspid Valve 2.)LVAD’s 3.) Cardiac Masses 4.) Endocarditis . For only $40 you’ll get breakfast, 4 CME’s and have your name placed in a drawing to win a $25 visa card.

Please come out for a day of learning, fun and food. This year’s symposium will be exciting. #echofirst

Differentiating a pseudo from a true aneurysm is critical because of the high risk sudden of death. This patients echo demonstrated the classic signs for pseudoaneurysm. Can you name them? #echofirst

Here’s a textbook example of Type IIIb secondary Mitral Regurgitation. Notice how the leaflets are apically displaced and tethered due to LV dilitation. #echofirst

Here’s another example of RVVO This unfortunate patient has a history of chronic IVDU . Echo shows massive TV vegetation on the anterior leaflet with severe regurgitation. There is also a vegetation attached to the posterior leaflet of the MV without MR. #echofirst

RVVO pt. 2. Here’s the post-op images from my previous post. Notice how the RV changes from classic volume overload to classic pressure overload. After the TVR the prominent diastolic septal flattening changes to septal flattening in both diastole and systole. #echofirst

#echofirst This is a classic example of (RVVO) in a patient with a flail leaflet of the TV. The TV was damaged during heart cath. With a history of severe PHT, previous echo showed D-shaped LV with prominent systolic septal flattening. Now there’s prominent diastolic flattening

Has anyone ever noticed when viewing a cropped 3D zoomed image of the AV obtained in the PLAX that the ncc and the lcc are transposed displaying a mirror image? The red circle marks the artifact in the 2D an 3D image to show that they are flipped. #echofirst

CTEPH patient with type IIIB Tricuspid valve. #echofirst, @ASE360 ,@CASEfromASE

Having a great time in Irvine, Ca learning how to screen patients for the CLASP II device. 80 Sonographers from all over the country are here to share ideas and experiences about doing the TTE screening exam on these TR patients.Thanks Edwards for making this happen. #echofirst