Ultrasound Case 091
A 56 year old woman presents with chest pain and shortness of breath. Her ECG demonstrates widespread precordial ischaemic change.
OVERVIEW can use bubble testing to ID calculate gradients if L->R shunt reverses due to pulmonary hypertension it is Eisenmenger syndrome Echo may not detect extra-cardiac shunts ASD patent foramen ovale (30% incidence in general population) ostium secundum ostium primum…
OVERVIEW causes: degeneration, infective endocarditis, dilated aortic root, aortic dissection. SEVERITY ASSESSMENT large regurgitant jet on CFD— if takes up more than 65% of LVOT then severe flow reversal in aorta LV dilation— LV end-systolic diameter > 5.5cm large regurgitant…
the case. 28 year old male presents to your tertiary emergency department with chest pain, exertional dyspnoea and left calf pain.