Photos Flashcards
1
Q
Mitral Valve Assessment 1
A
2
Q
Mitral Valve Assessment 2
A
3
Q
Mitral Valve Stenosis Scoring System
A
4
Q
Normal Hepatic Vein Flow
A
5
Q
A
Tetrology of Fallot
6
Q
A
Doubly-committed subarterial VSD
7
Q
ASDs
A
8
Q
VSDs
A
9
Q
Glenn and Fontan Procedure
A
10
Q
Norwood Procedure
A
11
Q
Hypoplastic Left Heart
A
12
Q
Tricuspid Atresia
A
13
Q
Double Inlet LV
A
14
Q
Stages of Diastolic Dysfunction
A
15
Q
A
Lipoma
- Second most common in adult (10%)
- Usually ventricle origin, occasional atrial
- Sessile, increased echogenicity, smooth
- Slow growing, large
- Distinguish from lipomatous hypertrophy
16
Q
A
Lipomatous Hypertrophy
- Common in older women
- Spares the fossa ovalis
17
Q
A
Papillary Fibroelastoma
- Small, pedunculated, mobile, echogenic
- Originate at valve leaflets, occasionally
endocardium (AV, then MV) - High risk of embolism
- Mistaken for vegetations
* Fibroelastoma grow on aortic side of AV,
vs. ventricular side as vegetations
18
Q
A
Lambl Excrescences
19
Q
A
Fibroma
(2nd most common in kids) (Rhabdomyoma #1)
- Originate in ventricles or AV groove
- Large single mass with central calcification
20
Q
A
Sarcoma
- Malignant cardiac tumors
- Originate from ventricular myocardium
- Large and invade surrounding tissue
- **Enhance with ultrasound contrast due to
vascularity**
21
Q
A
Left Atrial Appendage Thrombus
22
Q
A
Migrating Thrombus across PFO
23
Q
A
Myxoma
(30% primary cardiac tumors - Most common adult)
- Left atrium (occasionally RA or ventricles)
- Attaches to fossa ovalis from left atrial side
- Obstructs mitral valve flow
- Slow growing, pedunculated, large, smooth
- Friable and embolize
24
Q
A
Rhabdomyoma
Most common in kids
- Strong associated with tuberous sclerosis
- Arise from ventricles (often multiple)
- Large, cause obstruction
- May spontaneously resolve
25
Q
A
Christa Terminalis
- originates at the junction of the SVC and Right atrium
- separates trabeculated appendage of atrium from smooth tubular portion
Eustachian Valve/Chiari Network
- reminent of embryologic right venous valve (directs IVC blood across the fossa ovalis)
- originates at junction of IVC and right atrium
26
Q
A
Pericardial Fat
27
Q
A
Mirroring
- Result of quadrature phase demodulation, which allows the echo to separate out the Doppler shifted signals from the complex returning signal
28
Q
A
Range Ambiguity of Pulsed Wave Doppler
- Strong reflected signals originating from blood flow at two to three times the depth of the pulsed wave sample arrive at the transducer the same time as the target, and are super imposed
- Best example, LVOT and AV velocities superimposed on pulse wave mitral flow
29
Q
A
Moderator Band
30
Q
A
1 = SVC
2 = Right Upper Pulm Vein
3 = Right Lower Pulm Vein
