Alexander Mladenow MD's banner

Alexander Mladenow MD

@alex1708ander • 5,972 subscribers

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

Shorts

Vascular ultrasound assessment prior to central venous catheter placement in a young patient undergoing elective cardiac surgery. What is the flap most likely? 🫀 #echofirst #POCUS #echofirst NephroPOCUS Ross Prager Robert Jones, DO

Vascular ultrasound assessment prior to central venous catheter placement in a young patient undergoing elective cardiac surgery. What is the flap most likely? 🫀 #echofirst #POCUS #echofirst NephroPOCUS Ross Prager Robert Jones, DO

23,426 просмотров

Coronary artery territories in TTE #echofirst

Coronary artery territories in TTE #echofirst

45,413 просмотров

In a patient who recently underwent cardiac surgery, what is the most likely explanation for the “cyclops eye” 🧿 appearance seen on this #echofirst ? What would be your next (echo)🦶?

In a patient who recently underwent cardiac surgery, what is the most likely explanation for the “cyclops eye” 🧿 appearance seen on this #echofirst ? What would be your next (echo)🦶?

28,934 просмотров

16 yo with SOB #echofirst Different perspective 🫀

16 yo with SOB #echofirst Different perspective 🫀

12,005 просмотров

What structures are the arrows pointing at in this adult patient? #echofirst 💙💜

What structures are the arrows pointing at in this adult patient? #echofirst 💙💜

16,239 просмотров

4 “valves” in one view🫀 But one is an impostor… #echofirst

4 “valves” in one view🫀 But one is an impostor… #echofirst

12,546 просмотров

Two patients of similar age (20+), both fit until recently ⛴️🏃‍♀️. Two distinct diagnoses. Two distinct LV motion patterns - yet one shared TEE view and a unified treatment pathway #echofirst

Two patients of similar age (20+), both fit until recently ⛴️🏃‍♀️. Two distinct diagnoses. Two distinct LV motion patterns - yet one shared TEE view and a unified treatment pathway #echofirst

17,274 просмотров

TTE in a patient in PACU after surgery for valve disease. Already extubated. Slightly hypotensive. Abnormal ECG. Elevated CK, CK-MB 👉 what’s most likely the reason? 👉 A-L-P-I-S? #echofirst 👉 which valve was operated on?

TTE in a patient in PACU after surgery for valve disease. Already extubated. Slightly hypotensive. Abnormal ECG. Elevated CK, CK-MB 👉 what’s most likely the reason? 👉 A-L-P-I-S? #echofirst 👉 which valve was operated on?

33,782 просмотров

Fireflies 🔥at the pulmonary crossroads (PSAX) #echofirst

Fireflies 🔥at the pulmonary crossroads (PSAX) #echofirst

18,900 просмотров

#echofirst what is this ⁉️🤨#CardioTwitter

#echofirst what is this ⁉️🤨#CardioTwitter

61,747 просмотров

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

19,056 просмотров

Type IV tricuspid valve morphology on TEE - the rarest TV morphology type, reported in ~2% of cases #echofirst

Type IV tricuspid valve morphology on TEE - the rarest TV morphology type, reported in ~2% of cases #echofirst

12,326 просмотров

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

15,292 просмотров

The Smoking LV: a heart whispering before it screams 🚬❤️ #echofirst Mid-esophageal 4-Ch view tells the whole story. Two patients. Two NSTEMIs. Same message from the left atrium 💔

The Smoking LV: a heart whispering before it screams 🚬❤️ #echofirst Mid-esophageal 4-Ch view tells the whole story. Two patients. Two NSTEMIs. Same message from the left atrium 💔

10,599 просмотров

#echofirst you are called on ICU for a patient with LVAD, doubtful of tamponade. What is this ? structure #POCUS

#echofirst you are called on ICU for a patient with LVAD, doubtful of tamponade. What is this ? structure #POCUS

35,483 просмотров

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

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

14,330 просмотров

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

13,946 просмотров

#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

16,740 просмотров

What is this #echofirst

What is this #echofirst

10,481 просмотров

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

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

15,595 просмотров

Videos

Anya Rossi

sweetdream.ai

SweetDream.ai•Sponsored•Livecam

Watch Anya Live

Anya is streaming live right now! Join her private show and enjoy exclusive content.

Exclusive private shows

1.2k viewers online

Private Show

Join now for exclusive access

Free preview available • Premium content

M40. Stroke one month ago. No past medical history. Something here is unusual. #echofirst Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Batman-Echo Alex Felix Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Wouter L’Hoyes Ekaterina Stellbrink Manuel G. Correa Nicolas Merke

M40. Stroke one month ago. No past medical history. Something here is unusual. #echofirst Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Batman-Echo Alex Felix Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Wouter L’Hoyes Ekaterina Stellbrink Manuel G. Correa Nicolas Merke

Alexander Mladenow MD

16,550 просмотров • 13 дней назад

A short educational hook🪝on the aortic complex: What do we actually measure on intraoperative TEE? And when?🫀#echofirst Bonus: histology🔬

A short educational hook🪝on the aortic complex: What do we actually measure on intraoperative TEE? And when?🫀#echofirst Bonus: histology🔬

Alexander Mladenow MD

19,723 просмотров • 21 дней назад

Which cardiac valve are we looking at in this 3D TEE? 🫀#echofirst Teenager. No previous cardiac surgery. And what is the structure marked 🤔?

Which cardiac valve are we looking at in this 3D TEE? 🫀#echofirst Teenager. No previous cardiac surgery. And what is the structure marked 🤔?

Alexander Mladenow MD

14,939 просмотров • 1 месяц назад

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

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

42,858 просмотров • 6 месяцев назад

Young female patient presenting with excruciating back pain. Treated by the emergency physician at the scene (subway) and transferred to the hospital for CT. Transferred from an outside hospital, where cardiac surgery was not available. How would you proceed? #echofirst

Young female patient presenting with excruciating back pain. Treated by the emergency physician at the scene (subway) and transferred to the hospital for CT. Transferred from an outside hospital, where cardiac surgery was not available. How would you proceed? #echofirst

Alexander Mladenow MD

17,699 просмотров • 2 месяцев назад

Beyond basic echo anatomy #echofirst 🌟Elevating the way we see the interatrial septum in TEE 🥽 The interatrial septum is more than anatomy 🫀- it’s a procedural roadmap📍 TEE guidance for: 1️⃣ M-TEER (transseptal puncture) 2️⃣ PTC of ostium secundum ASD

Beyond basic echo anatomy #echofirst 🌟Elevating the way we see the interatrial septum in TEE 🥽 The interatrial septum is more than anatomy 🫀- it’s a procedural roadmap📍 TEE guidance for: 1️⃣ M-TEER (transseptal puncture) 2️⃣ PTC of ostium secundum ASD

Alexander Mladenow MD

15,673 просмотров • 2 месяцев назад

TTE 🆚 TEE #echofirst 💡 Tri-, bi- or monocuspid AV? Asymptomatic young athlete and martial arts practitioner - a cardiac murmur was detected during a pre-employment fitness assessment. Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Alex Felix Ekaterina Stellbrink Tuğba Kemaloğlu Öz, A/Prof Brian Wood

TTE 🆚 TEE #echofirst 💡 Tri-, bi- or monocuspid AV? Asymptomatic young athlete and martial arts practitioner - a cardiac murmur was detected during a pre-employment fitness assessment. Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Alex Felix Ekaterina Stellbrink Tuğba Kemaloğlu Öz, A/Prof Brian Wood

Alexander Mladenow MD

10,628 просмотров • 1 месяц назад

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

22,846 просмотров • 5 месяцев назад

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

38,937 просмотров • 10 месяцев назад

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

33,809 просмотров • 1 год назад

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

24,440 просмотров • 9 месяцев назад

Identification of the left and right fibrous trigones is essential for accurate sizing of the mitral annuloplasty ring, as they define the intertrigonal distance and the anterior annular dimension. #echofirst

Identification of the left and right fibrous trigones is essential for accurate sizing of the mitral annuloplasty ring, as they define the intertrigonal distance and the anterior annular dimension. #echofirst

Alexander Mladenow MD

12,228 просмотров • 3 месяцев назад

Think spatially #echofirst The leaflet orientation of the mechanical mitral valve prosthesis on 3D echocardiography can be predicted from the 2D TEE image. Chittur Sivaram MD MACP MACC

Think spatially #echofirst The leaflet orientation of the mechanical mitral valve prosthesis on 3D echocardiography can be predicted from the 2D TEE image. Chittur Sivaram MD MACP MACC

Alexander Mladenow MD

12,768 просмотров • 4 месяцев назад

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

17,096 просмотров • 6 месяцев назад

Next-level scary #echofirst 🦠 Enterococcus faecalis in the blood🩸culture 👉 underwent double valve replacement NephroPOCUS Ritu Thamman MD Chittur Sivaram MD MACP MACC Nicolas Merke Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Ekaterina Stellbrink Alex Felix Tuğba Kemaloğlu Öz, A/Prof Vladyslav Kavalerchyk 🇺🇦 🇩🇪

Next-level scary #echofirst 🦠 Enterococcus faecalis in the blood🩸culture 👉 underwent double valve replacement NephroPOCUS Ritu Thamman MD Chittur Sivaram MD MACP MACC Nicolas Merke Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Ekaterina Stellbrink Alex Felix Tuğba Kemaloğlu Öz, A/Prof Vladyslav Kavalerchyk 🇺🇦 🇩🇪

Alexander Mladenow MD

13,182 просмотров • 4 месяцев назад

13-year-old girl with exertional dyspnea, TTE & TEE #echofirst

13-year-old girl with exertional dyspnea, TTE & TEE #echofirst

Alexander Mladenow MD

12,377 просмотров • 4 месяцев назад

The THEBESIAN VALVE covers the coronary sinus #echofirst 📌 deep esophageal view Adam Christian Thebesius (1686-1732)

The THEBESIAN VALVE covers the coronary sinus #echofirst 📌 deep esophageal view Adam Christian Thebesius (1686-1732)

Alexander Mladenow MD

15,278 просмотров • 5 месяцев назад

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

21,684 просмотров • 9 месяцев назад

When stress cardiomyopathy meets structural rarity - not your average Takotsubo #echofirst How would you manage this combo? Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Alex Felix Brian Wood

When stress cardiomyopathy meets structural rarity - not your average Takotsubo #echofirst How would you manage this combo? Ritu Thamman MD Chittur Sivaram MD MACP MACC Dr G Rajesh (Gopalan Nair Rajesh). Oung Savly MD FACC FASE FESC FAAP FEACVI 🇰🇭 Alex Felix Brian Wood

Alexander Mladenow MD

13,474 просмотров • 5 месяцев назад

When performing TEE, don’t chase the multiplane angle (rotation sign). Chase the anatomy. Identify the landmarks that define the target view and use probe manipulation to bring those structures into the imaging plane. The angle displayed on the screen is only a guide #echofirst

When performing TEE, don’t chase the multiplane angle (rotation sign). Chase the anatomy. Identify the landmarks that define the target view and use probe manipulation to bring those structures into the imaging plane. The angle displayed on the screen is only a guide #echofirst

Alexander Mladenow MD

10,862 просмотров • 3 месяцев назад