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Alexander Mladenow MD

@alex1708ander • 5,145 subscribers

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

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Coronary artery territories in TTE #echofirst

Coronary artery territories in TTE #echofirst

44,723 görüntüleme

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 görüntüleme

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 görüntüleme

#echofirst what is this ⁉️🤨#CardioTwitter

#echofirst what is this ⁉️🤨#CardioTwitter

61,667 görüntüleme

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

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

14,298 görüntüleme

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 görüntüleme

What is this #echofirst

What is this #echofirst

10,481 görüntüleme

#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 görüntüleme

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

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

15,595 görüntüleme

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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 görüntüleme • 20 gün önce

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

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 görüntüleme • 2 ay önce

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 görüntüleme • 1 ay önce

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 görüntüleme • 1 ay önce

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 görüntüleme • 6 ay önce

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 görüntüleme • 1 ay önce

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 görüntüleme • 5 ay önce

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 görüntüleme • 5 ay önce

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 görüntüleme • 2 ay önce

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 görüntüleme • 3 ay önce

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 görüntüleme • 9 ay önce

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 görüntüleme • 5 ay önce

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

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

Alexander Mladenow MD

41,505 görüntüleme • 2 yıl önce

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 görüntüleme • 4 ay önce

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

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

Alexander Mladenow MD

31,314 görüntüleme • 1 yıl önce

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 görüntüleme • 5 ay önce

#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 görüntüleme • 2 yıl önce

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 görüntüleme • 8 ay önce

#echofirst ☑️ MR-Mechanism ☑️ Leaflet Mobility 2D TEE ☑️ MR Jet Origin 3D TEE ✅ MR Management American Society of Echocardiography #CVImaging

#echofirst ☑️ MR-Mechanism ☑️ Leaflet Mobility 2D TEE ☑️ MR Jet Origin 3D TEE ✅ MR Management American Society of Echocardiography #CVImaging

Alexander Mladenow MD

19,707 görüntüleme • 1 yıl önce