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Echocardiography 5 minutes before starting  



Examples of pathological findings

—Echocardiographic examinations

—Cardiac function and PA pressure

—Examples of pathological
findings


Valvular heart disease
Intracardiac masses
Pericardial disease
Cardiomyopathies
Aortic dissection
Congenital heart disease
echo|case



Intracardiac masses


Tumors | Other intracardiac masses

Thrombi

Two examples of thrombi in the left atrial appendix (LAA) seen at a TEE examination.

Left: this thrombus has a wide attachment in the LAA, but also an extreme mobile part, that prolapses in part as far as the mitral valve.

Right: large wall-adherent thrombus in LAA.

Two examples of thrombi in the left atrium at the TEE examination.

Left: a large, in part wall-adherent thrombus at the LA roof can be seen in a severe mitral stenosis case.

Right: a large free-floating thrombus bounces at irregular intervals against a mitral valve prosthesis.

Two other examples of thrombi in the LA.

Left: the TEE examination of a thrombosed mitral prosthesis shows a large wall-adherent LA thrombus that reaches to the prosthesis.

Right: mitral stenosis TTE examination. A large mobile thrombus in LA mimics an atrial mymoma.

Two examples of LV thrombi at the TTE examination.

Left: wall-adherent thrombus in LV apex aneurysm.

Right: wall-adherent, echolucent thrombus in LV apex in a dilatative cardiomyopathy.

Two further examples of thrombi in the LV apex at the TTE examination.

Left: wall-adherent thrombus, but with a narrow attachment.

Right: here a similar case. Echolucent aspect and myxoma-like movement speak for a relative recently formed thrombus.



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Tumors

Two examples of LA myxomas at the TEE examination.

Left: large characteristic left atrial myxoma with attachment at the atrial septum. The myxoma prolapses in the LV through the mitral valve during diastole.

Right: mid-size, round myxoma with attachment in the superior portion of the atrial septum.

Two further examples of masses at the TTE examination.

Left: large metastasis of a renal cell carcinoma in the RV.

Right: large mediastinal mass at the level of the great vessels.



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Other intracardiac masses

Two examples of valvular vege- tations at the TEE examination.

Left: large vegetation attached to a bioprosthesis in aortic position.

Right: large vegetation on a native mitral valve.

Left: large round vegetation on a native tricuspid valve at the TEE examination.

Right: Chiari network in RA at the TTE examination. Notice a hypermobile atrial septum and the clear ultrasound shade due to mitral annular calcificacion.

Left: pronounced spontaneous echo contrast in LAA at the TEE examination.

Right: cardiac involvement of hypereosinophilic syndrome. Well defined masses fill completely the apical regions of both ventricles.



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