Cardiac Imaging in Disease

Introduction

There isn't much to say, from the humble Med I perspective, on the Cardiac Imaging (CV 40) which we have done so far. We had a one hour lecture which was a lightning quick tour through several modalities and several presentations. Unlike the chest x-ray stuff, this is going to be much easier to get through, and I'll do it all on this one page.

Echocardiography

This science features both 2-D images and echo doppler images, which are hemodynamic studies. Your CV 40 notes are quick, concise and well-written, so I refer you back to them. However, your notes don't have pictures, so here's a little more eye-candy.

Imagery

The patient has huge thrombus that transverses the atrial septum through a patent foreman ovale. The thrombus actually extended through the mitral valve. It was removed immediately, without incident.

Thrombus lodged in PFO has been frequently reported, and the above image demonstrates an extremely large thrombus that was lodged in the atrial septum and extended through the mitral valve and tickled the outflow tract. The patient went to emergent surgery for removal of the thrombus.

The above image was recorded in the emergency room of a fifty year old man with chest pain that radiated to his back. It demonstrates aortic dissection.

By manipulation of the probe and the addition of color (image on right), a high velocity jet can be found entering the false lumen from the higher pressure true lumen.

Well, kids, it's been one crazy year. Have a groovy summer. I sure know I will. :)

Forward to Case 13:Normal Pituitary Gland

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