Lukasz Zydzik
@lukasz_zydzik
Cardiology resident, interested in cardiac imaging, University Hospital in Krakow #Echofirst #WhyCMR #CVimaging
🫀 Patient referred to TEE pre cardioversion due to AFib. Aortic papillary fibroelastoma caught in the act: Incidental yet significant—these rare tumors may silently set the stage for embolic events. Would you shock it? Check how close to LM…
A patient with shortness of breath. A zoomed parasternal long axis view is shown. What are the structures and abnormalities seen on this limited view?
🚨 A 63-year-old 🧑🦳 with a 2-year history of allergic asthma presented with 10-day chest tightness & dyspnoea. Multiparametric imaging revealed Löffler’s endocarditis 🫀 📚 Yangjie Xiao et al. 🔗 doi.org/10.1093/ehjci/… 🧵 via @EHJCVIEiC #echofirst #LöfflerEndocarditis #EHJCVI
50 year old man with this scarry yet interesting echo recording 🧐 What are your views? What can be the DDs possible? #cardiotwitter #echocardiography #echofirst
Acquired pulmonary stenosis , very good case taka a look 👇🏻 #echofirst @echo_stepbystep @alexsfelixecho @alex1708ander @lukasz_zydzik
Echo | 🫀 A 25-year-old female presented with only shortness of breath. Her first echo showed a large mass outside the heart compressing the main pulmonary artery (PG = 98 mmHg) 👀 #echo #echofirst #echocardiography
A patient with several weeks of intermittent chest pain, 3D TTE. What is the diagnosis?
Such a great case and presentation ! 🙌
**VALVE CASE OF THE MONTH** Mid 40s, exertional dyspnoea Loud ESM on examination Referred for echocardiography Question - What is the severity of aortic stenosis? #CardioTwitter #MedTwitter #ACCFIT
TEE in severe PH, especially the upper transesophageal views of great vessels can give enough evidence for the cause of PH. A case of chronic thromboembolic PH. See the RA appendage towards the end of the video, how common is it the only source for CTEPH? Veins were all normal!
Active IVDU with tissue MVR & IE. Complementary 2D cut thru data with mobile & bulky veg on vent surface strut. 3D billowing leaflets with mobile veg extending from bulky veg on the strut in 7 o’clock position en face view/5 o’clock vent surface view. Lesion impeding the motion…
Patient admitted with fever of one month duration
Young patient with shortness breath What is the etiology of tricuspid valve stenosis? Considering that surgery of MV is also indicated, what would you do with this TV? #echofirst @ASE360 @argulian @alex1708ander @KemalogluOz @alcantaramonica @drahmedmohsen85 @AntonioBarros_…
The arterial circle of Vieussens is a rare anatomical variant that can significantly impact cardiac function. This @CASEfromASE presents a 21-year-old patient diagnosed w/ classical Hodgkin lymphoma who experienced nonspecific right-sided chest tightness. bit.ly/3HIHD1c
Bioprosthetic mitral valve, 3D TEE, LV perspective. What is the pathology?
Time to close out.🙏 for comments ☑️ Finding: Mitral-Aortic intervalvular fibrosa pseudoaneurysm (MAIVFPA) due to AV IE (see images ⬇️) ☑️ MAIVF PA is due to perivalvular extension of IE of AV ☑️ 3D ⬇️ shows how MAIVFPA looks from LA aspect. Also seen is a MV vegetation at P2-P3…
#echofirst ☑️ TEE midesophageal ☑️ Simple diagnostic quiz @JohnHenryDean @DrHaloot @khawaja6216 @KAgarwalMD @lukasz_zydzik @argulian @iamritu @NadeenFaza @purviparwani
Newborn baby. What is the mechanism of MR? Coronaries normal in origin.
#echofirst #finding #left #upper & #lower #pulmonary #veins #TEE #techniques
Many techniques for finding pulmonary veins. For the left, I start by anteflexing at a multiplane angle which shows LAA and LUPV. Then retroflex +/- probe advancement to LLPV. Small adjustments in probe rotation often needed. More to follow.
Any thoughts on this late systolic septal dyskinesis post exercise ? Coronaries - normal. Is this benign , or some form of exercise induced conduction system abnormality? @echoguru @echo_batman @kaznegishi @agathakwon @iamritu @bwoody58
#EHJCVI 📏 What should we use in aortic regurgitation: LVESDi or LVESVi? 📊 Cut-offs: LVESDi ≥20 mm/m², LVESVi ≥45 ml/m² Both elevated → worse 10-year survival 📉 Even in asymptomatic patients or LVEF >55%, LV dilation = higher mortality. Read more 👉 doi.org/10.1093/ehjci/…