Images by James Dent McConnell’s sign is akinesis of the basal and mid segments of the RV free wall but apical preservation / hyperkinesis. It is sensitive but not specific for pulmonary embolus Parasternal long axis of the left ventricle, (PLAX) demonstrating that the right ventricular, (RV) anterior wall is not contracting well. The RV Read more about Pulmonary Embolus[…]
Images by Genevieve Carbonatto Subcostal view. Large right ventricle, small left ventricle, intraventricular septum flattened Subcostal 4-chamber view demonstrating severely dilated right heart with significantly reduced right ventricular contractility. The interventricular septum is flattened more during diastole. Small cavity left ventricle. (RV is the “preload” of the LV). There is the appearance of a small amount Read more about Pulmonary embolus (PE)[…]
Images by Genevieve Carbonatto PSAX view Jet from PDA, flow from aorta to pulmonary artery Parasternal long axis of the left ventricle, (LV). The LV appears to be a little dilated. Image is slightly tilted towards the right hip, as part of the tricuspid valve is seen, this can make the Right Ventricle (RV) appear Read more about PDA (Patent ductus arteriosus)[…]
Images by Genevieve Carbonatto Apical 4-chamber view showing the posterior mitral valve leaflet prolapse that was and should be diagnosed on the parasternal long axis view. Parasternal long axis view of the LV displaying the prolapse of the posterior mitral leaflet during systole. Apical 4-chamber view showing the prolapsing PMVL protruding into the LA during systole. Read more about Posterior Mitral valve prolapse[…]
Images by Genevieve Carbonatto Parasternal long axis view, (PLAX) of the left ventricle showing bileaflet mitral valve prolapse, (MVP) but much more prominent in the posterior leaflet. The PLAX is the best window to use to diagnose MVP. Parasternal long axis view, (PLAX) of the left ventricle showing bileaflet mitral valve prolapse. The posterior MV prolapse Read more about Posterior Mitral Valve prolapse[…]
Images by Genevieve Carbonatto Apical 4-chamber view demonstrating Automatic Implantable Cardioverter Defibrillator, (AICD) lead passing between the coaptation point of the tricuspid valve leaflets. There is a focus of increased echoes on the lead on the right atrial aspect of the tricuspid valve. Differential diagnosis on echo: Thrombus, pannus or vegetation. (Patient’s clinical status must be Read more about FB on AICD[…]
Images by Genevieve Carbonatto Parasternal Long axis (PLAX) of the left ventricle demonstrating a large circumferential pericardial effusion, (passes anterior to the descending thoracic aorta). Note the RV anterior wall appears as though it may be collapsing in early diastole when RV pressure is at its lowest. Has the appearance of someone jumping on a trampoline. Read more about Pericardial effusion and metastasis[…]
Images by Genevieve Carbonatto PLAX view. Very large pericardial effusion. Heart “swinging” in fluid Size should be measured at the end of diastole. To be accurate this should be done using the ECG for timing. Practically speaking the exact size of the effusion is not important. This effusion is circumferential and is over 2cm in Read more about Large pericardial effusion[…]
Images Genevieve Carbonatto Parasternal long axis (PLAX) of the left ventricle demonstrating asymmetric septal hypertrophy, compare the thickness of the interventricular septum, (IVS) in diastole with the infero-lateral (posterior) LV wall. The IVS / LVPW > 1.3 : 1. The LV cavity almost completely obliterates, “kissing walls” suggesting hypovolaemia. The left atrium, (LA) is Read more about Amyloidosis[…]
Images by Genevieve Carbonatto Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip showing a dilated right ventricle, (RV). There is elongation and thickening of the anterior mitral valve leaflet. Parasternal long axis, (PLAX) of the left ventricle with the probe tilted slightly towards the right hip with Read more about Chronic pulmonary hypertension[…]