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Alexander Mladenow MD

@alex1708ander • 5,158 subscribers

Pediatric & Adult Cardiothoracic Anesthesia | 💉🫀Echocardiography | EACVI Board certified in TEE, TTE and CHD Echo @dhzcharite 🇩🇪#echofirst #3D Education

Shorts

Coronary artery territories in TTE #echofirst

Coronary artery territories in TTE #echofirst

44,723 Aufrufe

Adult patient with normal segmental anatomy (no CHD). Which are the structures labelled with 🔢? #echofirst Learning point: 3D echo anatomy

Adult patient with normal segmental anatomy (no CHD). Which are the structures labelled with 🔢? #echofirst Learning point: 3D echo anatomy

18,899 Aufrufe

PML retraction resulting in eccentric MR. A good example from Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 nicely demonstrating that the eccentricity can be caused either by hypermobility of one leaflet or hypomobility of the other one #echofirst Same MR jet direction, different causes

PML retraction resulting in eccentric MR. A good example from Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 nicely demonstrating that the eccentricity can be caused either by hypermobility of one leaflet or hypomobility of the other one #echofirst Same MR jet direction, different causes

15,100 Aufrufe

#echofirst what is this ⁉️🤨#CardioTwitter

#echofirst what is this ⁉️🤨#CardioTwitter

61,667 Aufrufe

Adult male with dyspnea. What do you see #echofirst?

Adult male with dyspnea. What do you see #echofirst?

14,298 Aufrufe

To label the LV walls in TTE, use the same mnemonics (A-L-P-I-S) but read the letters clockwise 🔁. If you don’t like A-L-P-I-S, delete the letter “P” and make L-I-S-A instead #echofirst

To label the LV walls in TTE, use the same mnemonics (A-L-P-I-S) but read the letters clockwise 🔁. If you don’t like A-L-P-I-S, delete the letter “P” and make L-I-S-A instead #echofirst

13,502 Aufrufe

What is this #echofirst

What is this #echofirst

10,481 Aufrufe

#echofirst M. 60 yo, TIA recently. Depression. No other past medical history. What do you think? #CVimaging American Society of Echocardiography

#echofirst M. 60 yo, TIA recently. Depression. No other past medical history. What do you think? #CVimaging American Society of Echocardiography

16,694 Aufrufe

#echofirst #CardioTwitter #CHD What is the name of this procedure?

#echofirst #CardioTwitter #CHD What is the name of this procedure?

15,595 Aufrufe

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You are called in from home ☎️ on a weekend for a 60 yo patient with DCMP and LCO who is admitted from external hospital for urgent Impella support. The patient is not intubated. In the OR you perform preop TTE and see this. Would you proceed with Impella? #echofirst

You are called in from home ☎️ on a weekend for a 60 yo patient with DCMP and LCO who is admitted from external hospital for urgent Impella support. The patient is not intubated. In the OR you perform preop TTE and see this. Would you proceed with Impella? #echofirst

Alexander Mladenow MD

11,994 Aufrufe • vor 9 Tagen

52 yo male collapsed after intense emotional stress. Coronary angiography showed normal coronaries. What would you be concerned about? #echofirst

52 yo male collapsed after intense emotional stress. Coronary angiography showed normal coronaries. What would you be concerned about? #echofirst

Alexander Mladenow MD

22,648 Aufrufe • vor 20 Tagen

$In this #3D TEE mid-esophageal RV in-out view you can better understand the location of different types of VSD in echo #echofirst supracristal VSD lying more cranial than the infracristal. 👉 for more morphological details check this out$

In this #3D TEE mid-esophageal RV in-out view you can better understand the location of different types of VSD in echo #echofirst supracristal VSD lying more cranial than the infracristal. 👉 for more morphological details check this out

Alexander Mladenow MD

28,527 Aufrufe • vor 2 Monaten

Are we on the same page #echofirst ? How would you report this? Two patients, one pediatric 👶and one adult 👩, with remarkably similar echo findings (seen on TTE & TEE). LV myocardial hypertrophy and LV wall thickening are closely related, but they are not exactly the same.

Are we on the same page #echofirst ? How would you report this? Two patients, one pediatric 👶and one adult 👩, with remarkably similar echo findings (seen on TTE & TEE). LV myocardial hypertrophy and LV wall thickening are closely related, but they are not exactly the same.

Alexander Mladenow MD

15,048 Aufrufe • vor 1 Monat

Family member collapsed while visiting patient on ICU #echofirst #FOAM #EUS #POCUS (PLAX & PSAX) in sitting 🪑 position (⏲️10s)

Family member collapsed while visiting patient on ICU #echofirst #FOAM #EUS #POCUS (PLAX & PSAX) in sitting 🪑 position (⏲️10s)

Alexander Mladenow MD

16,953 Aufrufe • vor 1 Monat

We gave this patient a chance. On ECMO he has gradually stabilized, EEG was normal throughout. 10 days after the admission we decided to operate on him - infarction VSD patch closure, MVR & temporary RVAD, which was later removed. Patient was discharged on POD # 90 Deutsches Herzzentrum der Charité

We gave this patient a chance. On ECMO he has gradually stabilized, EEG was normal throughout. 10 days after the admission we decided to operate on him - infarction VSD patch closure, MVR & temporary RVAD, which was later removed. Patient was discharged on POD # 90 Deutsches Herzzentrum der Charité

Alexander Mladenow MD

38,926 Aufrufe • vor 6 Monaten

Left & Right Pulmonary Veins in TEE wan 📌 To get both LLPV & LUPV use the ME 2Ch view 📌 To get both RLPV & RUPV use the ME bicaval view

Left & Right Pulmonary Veins in TEE wan 📌 To get both LLPV & LUPV use the ME 2Ch view 📌 To get both RLPV & RUPV use the ME bicaval view

Alexander Mladenow MD

10,874 Aufrufe • vor 1 Monat

When blindly introducing a Swan Ganz PA-catheter from the left neck side, another dangerous surprise could be the unexpected presence of LSVC (left superior vena cava) #echofirst ⚠️ Inflating the balloon of the catheter can cause a fatal rupture of the coronary sinus ⚠️

When blindly introducing a Swan Ganz PA-catheter from the left neck side, another dangerous surprise could be the unexpected presence of LSVC (left superior vena cava) #echofirst ⚠️ Inflating the balloon of the catheter can cause a fatal rupture of the coronary sinus ⚠️

Alexander Mladenow MD

24,322 Aufrufe • vor 5 Monaten

Coronary artery injury is not common but a possible complication in patients undergoing surgery for valve heart disease ⚠️ #echofirst ➡️ following MV surgery - 👀 postero-lateral LV wall (possible RCX lesion) ➡️ following AV surgery- 👀 inferior LV wall (possible RCA lesion)

Coronary artery injury is not common but a possible complication in patients undergoing surgery for valve heart disease ⚠️ #echofirst ➡️ following MV surgery - 👀 postero-lateral LV wall (possible RCX lesion) ➡️ following AV surgery- 👀 inferior LV wall (possible RCA lesion)

Alexander Mladenow MD

21,378 Aufrufe • vor 5 Monaten

Restriction or constriction #echofirst Chittur Sivaram MD MACP MACC Edgar Argulian Jae K. Oh

Restriction or constriction #echofirst Chittur Sivaram MD MACP MACC Edgar Argulian Jae K. Oh

Alexander Mladenow MD

13,342 Aufrufe • vor 2 Monaten

Anatomic relationship of the mitral and aortic valves #echofirst in #3DTEE from atrial (surgeon’s) and ventricular aspect Ritu Thamman MD Nicolas Merke Alex Felix Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Ekaterina Stellbrink Vladyslav Kavalerchyk 🇺🇦 Brian Wood Batman-Echo Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Benoy Shah MD Jorge Parras

Anatomic relationship of the mitral and aortic valves #echofirst in #3DTEE from atrial (surgeon’s) and ventricular aspect Ritu Thamman MD Nicolas Merke Alex Felix Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Ekaterina Stellbrink Vladyslav Kavalerchyk 🇺🇦 Brian Wood Batman-Echo Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Benoy Shah MD Jorge Parras

Alexander Mladenow MD

13,528 Aufrufe • vor 3 Monaten

RV volume overload 🆚 RV pressure overload #echofirst 🔻Volume overload 👉 enddiastolic D-sign 🔻Pressure overload 👉 endsystolic D-sign Credit:

RV volume overload 🆚 RV pressure overload #echofirst 🔻Volume overload 👉 enddiastolic D-sign 🔻Pressure overload 👉 endsystolic D-sign Credit:

Alexander Mladenow MD

24,885 Aufrufe • vor 9 Monaten

60 yo male - post infarction VSD, papillary muscle rupture, severe MR. Initially stabilized on ECMO - later CABG, mech MVR & temporary RVAD. Discharged after 90 days in hospital Sasha Still MD #echofirst

60 yo male - post infarction VSD, papillary muscle rupture, severe MR. Initially stabilized on ECMO - later CABG, mech MVR & temporary RVAD. Discharged after 90 days in hospital Sasha Still MD #echofirst

Alexander Mladenow MD

15,744 Aufrufe • vor 5 Monaten

#echofirst 👀 how animation helps to better understand 2DTEE #CardioTwitter

#echofirst 👀 how animation helps to better understand 2DTEE #CardioTwitter

Alexander Mladenow MD

41,505 Aufrufe • vor 2 Jahren

Teenager with PPH (primary pulmonary hypertension). Scheduled for lung transplantation. While waiting for a donor, on ECMO support, a new LA mass was seen (TTE & TEE) #echofirst

Teenager with PPH (primary pulmonary hypertension). Scheduled for lung transplantation. While waiting for a donor, on ECMO support, a new LA mass was seen (TTE & TEE) #echofirst

Alexander Mladenow MD

12,243 Aufrufe • vor 4 Monaten

#echofirst #CardioTwitter The road to #3DTEE in two steps

#echofirst #CardioTwitter The road to #3DTEE in two steps

Alexander Mladenow MD

31,314 Aufrufe • vor 1 Jahr

Intraop TTE for Impella 5.5 implantation in axillary approach #echofirst Conscious patient (light sedation) with NSTEMI (ischemic cardiomyopathy) No tube, no TEE, no fluoroscopy! Just TTE … and #volumetrics

Intraop TTE for Impella 5.5 implantation in axillary approach #echofirst Conscious patient (light sedation) with NSTEMI (ischemic cardiomyopathy) No tube, no TEE, no fluoroscopy! Just TTE … and #volumetrics

Alexander Mladenow MD

10,901 Aufrufe • vor 5 Monaten

#echofirst knows how to get all 4️⃣pulmonary veins 🫁🫀with TEE in a simple way 👀⤵️#CardioTwitter

#echofirst knows how to get all 4️⃣pulmonary veins 🫁🫀with TEE in a simple way 👀⤵️#CardioTwitter

Alexander Mladenow MD

31,109 Aufrufe • vor 2 Jahren

Coronary ostia in TTE & TEE in the most common BAV type 👉 raphe between LCC & RCC) #echofirst 👉TTE slip in the raphe facing the IAS 👉TEE slip in IAS facing the raphe TTE - 1️⃣2️⃣ clockwise 🔁 TEE - 2️⃣1️⃣counter clockwise 🔄 🫀RCA from Sinus 1️⃣ R💪 🫀LCA from Sinus 2️⃣ L💪

Coronary ostia in TTE & TEE in the most common BAV type 👉 raphe between LCC & RCC) #echofirst 👉TTE slip in the raphe facing the IAS 👉TEE slip in IAS facing the raphe TTE - 1️⃣2️⃣ clockwise 🔁 TEE - 2️⃣1️⃣counter clockwise 🔄 🫀RCA from Sinus 1️⃣ R💪 🫀LCA from Sinus 2️⃣ L💪

Alexander Mladenow MD

12,455 Aufrufe • vor 8 Monaten