Sujith Pereira ๐ฎ๐ณ๐ฌ๐ง๐๐ด
@sujithsp
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Neonatologist & Researcher with interest in Haemodynamics, Echocardiography, POCUS. T+RT= own. Opinion โ endorsement
London, England
Joined February 2009
4-month-old, Complete AVSD, good AV valves, balanced ventricles ๐ Ideal candidate for complete repair @ASE360
@WGACHDChair @iamritu @echoleolopez @loomba_rohit @CASivaram1 @AEPCcongenital @alexsfelixecho @swatigar @SIwa23288585 @CardioNeo @DavidWienerMD @alex1708ander
On subcostal view, a primum ASD may mimic a sinus venosus IVC type if the plane is not true bicaval ( IVC is not seen) @WGACHDChair @iamritu @echoleolopez @loomba_rohit @CASivaram1 @AEPCcongenital @alexsfelixecho @swatigar @SIwa23288585 @CardioNeo @DavidWienerMD @alex1708ander
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6-year-old - Subarterial VSD(Asian usage)or - Supracristal/Doubly Committed Outlet VSD The defect may be small but the AV problem is large. @WGACHDChair @iamritu @loomba_rohit @echoleolopez @AEPCcongenital @CASivaram1 @alexsfelixecho @DavidWienerMD @alex1708ander @SIwa23288585
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Suspicion for 22q11 deletion in neonate with: - Truncus arteriosus - IAA type B - Conotruncal malformations + facial dysmorphism @WGACHDChair @iamritu @loomba_rohit @echoleolopez @AEPCcongenital @CASivaram1 @alexsfelixecho @DavidWienerMD @alex1708ander @SIwa23288585 @CardioNeo
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6-year-old. SV defect SVC type. more than just a โhole,โ itโs a PV connection anomaly (RUPV) @WGACHDChair @iamritu @echoleolopez @loomba_rohit @CASivaram1 @EACVIPresident @alexsfelixecho @swatigar @SIwa23288585 @CardioNeo @DavidWienerMD @alex1708ander
https://t.co/3OfwfSua0O
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2-month-old 1.Subcostal view is the door before entering into the โค๏ธ 2. It provides: situs, venous connection, diaphragmatic motion 3. IVC position anterior & rightward to the Ao (never side by side) @WGACHDChair @iamritu @echoleolopez @AEPCcongenital @CASivaram1 @alexsfelixecho
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TV dysplasia & Ebstein anomaly may represent a disease spectrum - Difficult to distinguish echocardiographically from one another - The anatomic & echocardiographic criteria could be helpful. @WGACHDChair @iamritu @echoleolopez @AEPCcongenital @CASivaram1 @alexsfelixecho
1-day-old baby presents with respiratory distress & cyanosis What is the most likely diagnosis? A. Ebsteinโs anomaly B. TV dysplasia C. Uhlโs anomaly D. Functional tricuspid regurgitation secondary to PH @AEPCcongenital @iamritu @alexsfelixecho @CASivaram1 @ASE360 @SIwa23288585
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Normal Crossing of the Outflow Tracts : ๐๐ปconfirms ventriculo-arterial concordance and ๐๐ปhelps rule out transposition of the great arteries and other conotruncal anomalies. @AEPCcongenital @iamritu @alex1708ander @loomba_rohit @ASE360 @SIwa23288585
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The 3VV is one of the most powerful and informative views in fetal echocardiography, as it allows comprehensive assessment of the outflow tracts, great vessel alignment, and spatial relationships, helping detect a wide range of congenital heart defects.
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10-year-old boy. No single echocardio criteria is sufficient to diagnose LVNC (Chin, Jenni) in children. Echo+CMR+clinical+ genetic. @iamritu @echoleolopez @loomba_rohit @CASivaram1 @VDelgadoGarcia @alexsfelixecho @swatigar @SIwa23288585 @CardioNeo @DavidWienerMD @alex1708ander
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PPHN needs Goldilocks Oโ. Our study showed early hypoxemia and severe hyperoxemia associated with โ mortality; 60โ99 mmHg PaOโ had 0% mortality in our cohort. Hit SpOโ goals, then wean FiOโ to avoid overshoot. #PPHN #NICU #Neonatology #iNO: https://t.co/4MataKp7uX
@KBabata
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PPHN needs Goldilocks Oโ. Our study showed early hypoxemia and severe hyperoxemia associated with โ mortality; 60โ99 mmHg PaOโ had 0% mortality in our cohort. Hit SpOโ goals, then wean FiOโ to avoid overshoot. #PPHN #NICU #Neonatology #iNO: https://t.co/4MataKp7uX
@KBabata
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Case for Oct 2025 by Drs. Nouraeyan and myself. It features a late preterm infant with severe LV dysfunction from enterovirus myocarditis. The case shows how POCUS and echocardiography guided management/stabilization. https://t.co/2ZYoR0oPXv
@NeoHemodynamics @NeoPocusCollab
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๐๐ปAlways consider isolated branch PA hypoplasia in a child with asymmetric lung fields or unexplained hypoxemia. (If Acute ๐๐ปForeign body) @iamritu @alexsfelixecho @ASE360 @loomba_rohit @CASivaram1 @alex1708ander @AmerAcadPeds @CardioNeo @swatigar @DrRajeshG1 @RCPCHtweets
12-year-old,dyspnea on exertion. SpO2 78% on room air. ๐๐ปCxR: Hyperinflation of right lung ๐ซNo visible heart shadow in the middle:cardiac apex ? @WGACHDChair @iamritu @echoleolopez @AEPCcongenital @loomba_rohit @CASivaram1 @alexsfelixecho @swatigar @DrRajeshG1 @alex1708ander
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RAA malformations are associated with chromosomal aneuploidy such as trisomy 21 & 22q11 microdeletion. ๐๐ป3-week-old, IIA type B, VSD, RAA/right PDA. @WGACHDChair @iamritu @loomba_rohit @alexsfelixecho @CASivaram1 @AEPCcongenital @CardioNeo @alex1708ander @swatigar @dkthekkoott
Aortic Arch Pattern and Embryology โ #3 Right Aortic Arch: The right aortic arch forms when the right 4th aortic arch and its continuity with the right dorsal aorta persist, while the left-sided counterparts regress distal to the left 4th arch. The ductus arteriosus is typically
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In TOF, besides the presence of a BPV & cephalad deviation of the conal septum, the PA bifurcation is frequently abnormal ๐๐ปLPA arises at a more acute angle, rather than a straight bifur @WGACHDChair @iamritu @AEPCcongenital @CASivaram1 @echoleolopez @dkthekkoott @alex1708ander
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๐๐ปAbsent/hypoplastic thymus is a key indirect marker for 22q11.2 deletion(DiGeorge ): conotruncal anomalies (truncus, IAA, TOF) & aortic arch abnormalities @WGACHDChair @iamritu @jeffrey_vinocur @RobertHPass @AEPCcongenital @CASivaram1 @echoleolopez @dkthekkoott @alexsfelixecho
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I am trying for a Ductal view in a new born with low saturation. Probe at upper left sternal border with marker towards 12 o clock position. Usually we see only a small part of aorta while taking Ductal view. Why here the entire aorta seen? Diagnosis?
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A complicated infective endocarditis case. Patient became afebrile with antibiotics, ECG shows PR 200 ms, absolutely asymptomatic and hence not convinced about the need for surgery !!!
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Sinus Venosus Atrial Septal Defect associated with anomalous pulmonary venous return. Subcostal viewโ
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