Black Swan. #cardiology #echofirst #diagnosis 30 yo, female, no cardiovascular history, evaluated due to cardiac murmur. Black Swans: Are rare events. Have an extreme impact. Can only be predicted retrospectively. Surgery, discharge. Pathology: myxoma (less than 2% ventricular)

@LHoyesWouter @iamritu Great images! I see the leaflets a little thicker than normal and a diastolic flattening of IVS, is there a volume overload? Maybe ASD or pulmonary regurgitation?

@khaledzeid Pulmonary veno-occlusive disease.

Thrombosed Popliteal aneurysm.

@echologists Sure. Go ahead. Thanks for your interest.

@Peso8888888 CMR probably in a few days. Thanks for your comment.

Non compacted myocardium or excessive trabeculation? I agree with @VerwerftJan in use the more appropriate latter term.

@MEducationPub Here GLS.

@tonchi88_gp @drahmedmohsen85 Missing Coca Cola bubbles in the 4 chambers.

@ross_prager Thorough and thoughtful analysis. IMHO older age (i.e. >70) can be added as a predictor of "AF responsible". In cases where there's no arterial line, what do you think of a pulse oximeter instead?

Woman of 90 yo with hypertension. Pulmonic vein PW Doppler: very large Ar wave, duplicated "ghost" waves. Why?

RT @chriskairis1: @K_Letsas @FGraziani_Grace @iamritu @alexsfelixecho @mariovar55 @ParrasJorge2 @MagdaCarvalho10 @RodrigogpLima Long-term…

@222_alrasheed Yes!

@KemalogluOz IMHO most of them are moderate stenosis with an LVOT measure underestimated.

@22tabbah_randa Nice images!

@lukasz_zydzik @argulian @alex1708ander @KemalogluOz @DrRajeshG1 @iamritu @dr_benoy_n_shah @purviparwani @echo_stepbystep @JGrapsa @papadocardio I’ve never seen something like that, but I’m wondering if the patient underwent a procedure with catheters, maybe a dissection.

This is another example (never too much) of the importance of non apical views (suprasternal in this case) to get maximum velocity in aortic stenosis.

@swatigar @DrRajeshG1 There is a volume overload (diastolic flattening of IVS), enlarged right chambers, so, my two cents are tricuspid (and / or pulmonic) severe regurg, maybe Ebstein (AF present)