Alexander Mladenow MD

#echofirst #CardioTwitter The road to #3DTEE in two steps

To reduce the risk of stroke in selected patients with AFib, LAA closure may be considered. There are two main approaches to do that: surgical & interventional. 👉 Lariat procedure is a combined approach 🔻 LAA-clipping 🔻 LAA-exclusion (Lariat) #echofirst @iamritu @ASE360

An important #POCUS differential of the quoted image. #echofirst #FOAMed 🔗 ahajournals.org/doi/10.1161/01…

1-minute video highlighting the right side structures, pulmonary trunk, and pulmonary arteries in a #heart with paivs! youtube.com/shorts/yCaAxoz… #cardiology #anatomy #pathology @CardioNeo @swatigar @Prasannasimha @OungSavly @dokzayne @alex1708ander

TEE in patients with paraneoplastic SVC & IVC thrombus #echofirst Last video shows a thrombus pulled out from IVC with Fogarty catheter, developed in 1961 by Dr. Thomas J. Fogarty Dr Fogarty completed his residency in Portland under Dr Albert Starr @EdwardsLifesci @ASE360

1️⃣ Lambl‘s excrescences - appear downstream (on the aortic surface of AV) 2️⃣ AV Endocarditis - vegetations appear upstream (on the ventricular surface of AV) #echofirst Thanks for sharing @NephroP Vilém Dušan Lambl 1824 - 1895

What are these filamentous things on the aortic valve that can be confused with pathology on #POCUS #echofirst? #Nephpearls #FOAMed

In Europe 🇪🇺 #echofirst I have seen them even in tricuspid & pulmonary position 1️⃣ is a solo 2️⃣ is a duo 3️⃣ is a trio 4️⃣ is a team @ASE360 @EACVIPresident @iamritu @NMerke

In this case it was a native AV thrombosis #echofirst

Does M mode still have a role in hemodynamic assessment? Two elderly patients with dyspnea, mitral M modes shown. What are the findings and implications?

🚨 Specimen walkthrough 🚨 This week we have a #Heart with dorv with subaortic interventricular communication! youtu.be/rqGjkOAr3cc #cardiology #pathology #anatomy #chd #pediatrics @OungSavly @swatigar @Prasannasimha @alex1708ander @CardioNeo