Most Popular Videos

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Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
Journal: Anesthesia & Analgesia
Multiple beats are shown in this clip and the image does not remain still because the patient was severely dyspneic. The patient has significant hypertrophy of the anterioseptal wall of the left ventricle. In multiple cardiac cycles the anterior mitral leaflet can be seen to impinge on the left ventricular outflow tract.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:11
Journal: Anesthesia & Analgesia
Subcostal four chamber in a patient with pericardial effusion and tamponade. The effusion is seen as a large echolucent space around the heart. The right atrium appears collapsed in ventricular systole and the right ventricle appears compressed in ventricular diastole. These findings are both consistent with tamponade physiology.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
Journal: Anesthesia & Analgesia
The right ventricle is under the transducer. There is normal excursion and coaptation of the aortic and mitral valves. The chambers are normal in size. There is brisk excursion of the aortic root, brisk opening of the mitral valve, a normal descent of the base of the MV, and normal thickening of the left ventricular segments.
Creator: Massimiliano Meineri, MD
Duration: 1:16
Journal: Anesthesia & Analgesia
A ME long axis view and a ME four chamber view are selected and analyzed using the Cardiac Motion Quantification (CMQ) analysis software package. First the aortic valve closure is identified and aortic valve closure time set. The ME four chamber is then selected and the LV long axis strain model is applied to the RV to allow correct labeling of septal segments. Tracking is qualitatively assessed and manually adjusted to capture the myocardium. The RV is divided into seven segments and the global strain is measured at – 29.8% with regional peak variability with all segments within limits of normal. RV Septum is de-selected to obtain RV free wall strain that is measured at -31.4%.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:08
Journal: Anesthesia & Analgesia
The apex of the left ventricle is directly under the ultrasound transducer. All four chambers can be visualized. There is normal global and regional biventricular systolic function, normal excursion and coaptation of the mitral and tricuspid valves, and normal chamber sizes.
Creator: Andrej Alfirevic
Duration: 25:00
Journal: Anesthesia & Analgesia
Epicardial long-axis view color-flow Doppler showing VSD and CWD gradient measurement. Epicardial AV long axis view 2D and color-flow Doppler and AS gradients measurement.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:06
Journal: Anesthesia & Analgesia
The aortic valve is heavily calcified and does not open well. The degree of stenosis cannot be quantified from this view, but with excursion this limited the assumption should be that the patient has severe stenosis until it is proven otherwise. In addition to aortic valve calcification, the mitral annulus is heavily calcified, there is left ventricular hypertrophy, and the left atrium is enlarged.
Creator: J. Kirk Edwards, MD
Duration: 0:07
Journal: Anesthesia & Analgesia
3D transesophageal echo (TEE) en-face view of the aortic root and valve from the aortic perspective. The false lumen is seen overriding the noncoronary leaflet, with extension over the right coronary leaflet.
Creator:
Duration: 0:27
Journal: Anesthesia & Analgesia
First part: The modified ME5ch view demonstrates two masses (“proximal” and “distal”). The echogenicity of the distal mass is lower than that of the proximal mass. Second part: Simultaneous orthogonal plane to the proximal mass. Third part: Simultaneous orthogonal plane to the distal mass. Fourth part: Color flow Doppler (CFD) analysis in the ME bicaval view. Fifth part: ME RV inflow-outflow view. Sixth part: CFD analysis in the ME RV inflow-outflow view. Seventh part: ME 4-chamber view. Eighth part: CFD analysis in the ME 4-chamber view. ‘#’ indicates intra-mass calcification.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:10
Journal: Anesthesia & Analgesia
At the top of the image is the liver. The right atrium and right ventricle are seen well, as is the left ventricle. There is normal global biventricular systolic function. It is important to remember that, while this view often shows all four cardiac chambers, the cross section is not exactly the same as the apical four chamber.
Creator: Dr. Josh Zimmerman, MD, FASE
Duration: 0:07
Journal: Anesthesia & Analgesia
The right ventricle is seen to the left of the screen, with the anterior portion of the left ventricle closest to the probe. The papillary muscles are seen, identifying this as the mid-portion of the left ventricle. Six segments of the left ventricle are seen, representing all three main coronary artery territories.
Creator: i-movie
Duration: 0:18
Journal: Anesthesia & Analgesia
Prebypass mid-esophageal view of the left atrial appendage showed no thrombus by 2 D images, and no filling defect by color flow Doppler at orthognal views. Please notice the prominent pectinate muscle (arrow).
Creator: Massimiliano Meineri, MD
Duration: 0:48
Journal: Anesthesia & Analgesia
A ME long axis view and a ME four chamber view are selected and analyzed using the Velocity Vector Imaging (VVI) software package. First the aortic valve and mitral valve closures are identified using anatomical M Mode on a static 2D image. The ME four chamber is then selected, the RV strain model is applied and the endocardium traced excluding trabeculations and the moderator band. Tracking is qualitatively assessed. Parametric display provides measurements for each of the six RV, global strain and quantification of RV apical rocking. The latter is a measurement of apical myocardial transverse motion and it is increased with dyssynchrony. Peak global strain is normal and measures -29.5%. Regional peak variability can be appreciated with the mid septal segment being the only one below normal limits. The septum de-selected to obtain global RV free wall strain that is negative 36.
Creator: J. Kirk Edwards, MD
Duration: 0:09
Journal: Anesthesia & Analgesia
3D transesophageal echo (TEE) of the aortic root, obliquely looking towards the right and noncoronary leaflets with an overriding dissection flap.
Creator: J. Kirk Edwards, MD
Duration: 0:07
Journal: Anesthesia & Analgesia
2D transesophageal echo (TEE) view of the mid-esophageal (ME) color Doppler x-plane of the short axis (SAX) and long axis (LAX). Color Doppler displays moderate to severe eccentric aortic insufficiency (AI) directed away from the noncoronary leaflet.
Creator: Dr Neelam Aggarwal
Duration: 00:24
Journal: Anesthesia & Analgesia
A thin rim of valve tissue is seen at pulmonic annulus in modified ME RV inflow-outflow view (sector angle at 800) and modified ME aortic valve long-axis view (sector angle at 1150)
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