Echocardiography Case 85 | Echo Case Series | Echocardiogram Interpretation made easy for Beginners
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A 20 year old male
A 20 year old male presented with dyspnea. Spot the findings on the basis of echocardiography clips shown, answer is given after thirty seconds with explanation of findings.
Case 85 : FINDINGS & DIAGNOSIS:
Para sternal long axis view is showing sail like tricuspid valve floating freely in Right ventricle. RV is dilated. Apical four chamber view is showing dilated RA and RV with apical displacement of septal leaflet of tricuspid valve (TV). Color Doppler and continuous wave Doppler is suggestive of severe TR.
Ebstein anomaly is a rare form of congenital heart disease in which the tricuspid valve annulus is apically displaced producing to variable degrees heart failure. The septal and posterior leaflets of the tricuspid valve fail to delaminate from the myocardium in development, leading to annular displacement and atrialization of the right ventricle (RV) that produces RV dilation and dysfunction. The anterior tricuspid valve leaflet is often redundant and commonly described as “sail-like.” This unbalanced deformation leads to a rotational displacement of the tricuspid valve into the right ventricular outflow tract (RVOT) causing a variable degrees of RVOT obstruction. The severity of disease can vary and is dependent on the degree of valve displacement, degree of atrialized RV, RVOT obstruction, and ventricular dysfunction. Initial presentation can vary from prenatal to late adulthood.
Goals of Echocardiography Exam:
1. Apical displacement of the septal leaflet of the tricuspid valve is measured as an index of the mitral valve annulus septal attachment (measurement obtained in the apical 4-chamber view in either systole or diastole and divided by patient’s BSA). An index of ≥8mm/m2 is supportive of the diagnosis of Ebstein anomaly.
2. Morphology of tricuspid valve (size (Z-score), dysplastic thickened and rolled leaflets, fenestrations, multiple orifices, shortened chordae, underdeveloped papillary muscles, restricted mobility/tethering, or stenosis).
3. Assessment of tricuspid regurgitation by color and Spectral Doppler (can be difficult to quantify given compliance of the atrialized RV and multiple jets of regurgitation.
Watch Lecture on Echo Criteria Here: Video
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✅ WATCH 🎥: Echocardiography Standard Protocol Step by Step : Echocardiography Standard Protocol | ...
✅ WATCH 🎥: Echo MOCK Exam Part 1: Thirty Echo Cases in 30 minutes : Echocardiography Mock Exam 1 | Collec...
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✅ WATCH 🎥: Echo MOCK Exam Part 3: Practice Twenty Echo cases in 30 mins: Video
✅ BROWSE FREE ECHO LIBRARY HERE: https://www.drmusmanjaved.com/p/echoc...
✅ WATCH Echocardiography for beginners - Complete Playlist: Echocardiography Spot Diagnosis Case ...
==========================================
#echocardiography #cardiology #echo #echocase #congenitalheartdefect
Case 85 : FINDINGS & DIAGNOSIS:
Para sternal long axis view is showing sail like tricuspid valve floating freely in Right ventricle. RV is dilated. Apical four chamber view is showing dilated RA and RV with apical displacement of septal leaflet of tricuspid valve (TV). Color Doppler and continuous wave Doppler is suggestive of severe TR.
Ebstein anomaly is a rare form of congenital heart disease in which the tricuspid valve annulus is apically displaced producing to variable degrees heart failure. The septal and posterior leaflets of the tricuspid valve fail to delaminate from the myocardium in development, leading to annular displacement and atrialization of the right ventricle (RV) that produces RV dilation and dysfunction. The anterior tricuspid valve leaflet is often redundant and commonly described as “sail-like.” This unbalanced deformation leads to a rotational displacement of the tricuspid valve into the right ventricular outflow tract (RVOT) causing a variable degrees of RVOT obstruction. The severity of disease can vary and is dependent on the degree of valve displacement, degree of atrialized RV, RVOT obstruction, and ventricular dysfunction. Initial presentation can vary from prenatal to late adulthood.
Goals of Echocardiography Exam:
1. Apical displacement of the septal leaflet of the tricuspid valve is measured as an index of the mitral valve annulus septal attachment (measurement obtained in the apical 4-chamber view in either systole or diastole and divided by patient’s BSA). An index of ≥8mm/m2 is supportive of the diagnosis of Ebstein anomaly.
2. Morphology of tricuspid valve (size (Z-score), dysplastic thickened and rolled leaflets, fenestrations, multiple orifices, shortened chordae, underdeveloped papillary muscles, restricted mobility/tethering, or stenosis).
3. Assessment of tricuspid regurgitation by color and Spectral Doppler (can be difficult to quantify given compliance of the atrialized RV and multiple jets of regurgitation.
Watch Lecture on Echo Criteria Here: Video
============================= =============
👉 Subscribe for more Videos
👉 Share this video to spread knowledge
👉 Watch other educational videos here:
✅ WATCH 🎥: Echocardiography Standard Protocol Step by Step : Echocardiography Standard Protocol | ...
✅ WATCH 🎥: Echo MOCK Exam Part 1: Thirty Echo Cases in 30 minutes : Echocardiography Mock Exam 1 | Collec...
✅ WATCH 🎥: Echo MOCK Exam Part 2: Thirty Echo Cases in 30 minutes : Video
✅ WATCH 🎥: Echo MOCK Exam Part 3: Practice Twenty Echo cases in 30 mins: Video
✅ BROWSE FREE ECHO LIBRARY HERE: https://www.drmusmanjaved.com/p/echoc...
✅ WATCH Echocardiography for beginners - Complete Playlist: Echocardiography Spot Diagnosis Case ...
==========================================
#echocardiography #cardiology #echo #echocase #congenitalheartdefect
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