Echocardiogram Basic Step 12

Sample Video Clip Review (1 hour)

Review TTE7 to TTE13

TTE7:

Parasternal Long Axis with dilated right ventricle, which should be correlated clinically for volume overload or possible pulmonary embolism. A formal evaluation of right heart function may be clinically indicated for further evaluation.


 

TTE8:

This image depicts a parasternal long axis view with a large clot in the left atrium, that intermittently lapses through the mitral valve into the left ventricle. This would warrant anticoagulation and a cardiac evaluation by the cardiology service.


 

TTE9:

This view depicts the inferior vena cava. As you can see, the IVC collapses greater than 50% (nearly 100% in this particular image), which is indicative of hypovolemia and the need for volume resuscitation.


 

TTE10:

This view depicts a LV short axis with a dilated right ventricle, which is causing a D sign of the left ventricle. This may be indicative of pulmonary embolism or poor right heart function. Formal echocardiogram should be considered in the evaluation of right heart dilation.


 

TTE11:

This view depicts a parasternal long axis view with a large clot in the left ventricle. This would warrant emergent anticoagulation and an emergent cardiovascular evaluation.


 

TTE12:

Parasternal long axis with moderate pericardial effusion.


 

TTE13:

This image depicts an LV short axis view that shows right ventricular dilation with D sign.