Did #aorticDissection with valve sparing #DavidV in young patient... with type A and anomalous right coronary artery from the left coronary sinus. Rei planted the RCA with #Cabrol Vein Graft to Ascending Aorta. Thanks to Corey Herman and the rest of the team for the great help!show more

1/ Time to share an amazing case that I... had the pleasure to be a part of with #IRAD #Cardiotwitter teamwork with Justin Stenz, MD Patient with recurrent heart failure and found to have bypass graft to the coronary sinus. We decided to coil to reduce right heart filling.show more

Coronary slow flow is not diagnostic of microvascular dysfunction... in patients with angina and unobstructed coronary arteries. Coronary physiology interrogation has debunked one of the fallacies of the last decades.show more

PHOTON COUNTING CT AND A NEW CONCEPT OF NORMAL... CORONARY ARTERIES For more than 2 decades we have been performing Cardiac CT with constant improvements in all parameters (spatial, temporal and contrast resolution). The improvements were progressive in certain fields and steep in other (e.g.: the introduction of Dual Source CT that completely changed the range of temporal resolution achievable basically overnight and still is the most important source of flexibility in Cardiac CT scanning after almost 20 years). Spatial resolution instead was improved in a slow and progressive way until the test EID CT generations that achieved a spatial resolution of 250 microns. This allowed us to assess a coronary artery tree and define it as normal when no apprentice changes were visibile up to that value. But we know that the normal thickness of coronary artery walls is quite below that threshold. It is more in the range of 80-200 microns. Therefore, the very early changes in coronary artery wall thickness could not be picked up by EID CT technology. With the introduction of PCCT we can constantly achieve 100 microns spatial resolution which means that we work extol in range in which coronary artery disease starts. It also means that we don't see any thickening of the the coronary artery walls we have a much higher specificity and reliability. This concept is a transformative one because it allows us to shift earlier and earlier the beginning of atherosclerosis in our patients and think even more precisely in terms of cardiovascular prevention and monitoring. Movie: example of normal coronary artery tree with PCCT. A new era is coming into practice and it is the age of Photon Counting CT which pushes this boundaries further away. PCCT is a NEW Imaging Modality. PCCT is changing the game, the field, the language, the priorities and in the end it will change the entire infrastructure of diagnostic medicine. PS: note that PCCT images have to be reduced in resolution when uploaded in social media. #CardiacImaging #MedicalInnovation #StentAssessment #Radiology #PCCT #photoncounting #QuantumHD #CT #computedtomography #yesCCT #coronaryarterydisease #ischemia #naeotomalpha #Peak #Pro #Prime #speed #cardiac #highresolution #siemenshealthinners #CardiacCT #PhotonCountingCT #MedicalImaging #HeartHealth #CardiovascularInnovation #Radiology #AIInMedicineshow more

Here's what Starship Flight 9 looked like from the... TUBIN satellite. The Technical University of Berlin's INfrared satellite was in the right place at the right time. You can see the booster ascent, plume and even the hot staging if you look carefully. Thanks to Steffen Reinert and the rest of the team for sharing this with me.show more

Kinking in a vascular reconstruction can lead to intermittent... occlusion of the arterial flow and future failure and thrombosis! Prevention: measure and choose the right length of the saphenous reversed vein graft ⤵️!! #SoMe4Surgeryshow more

Get to the root of lower teeth health with... #SciePro's insights into the inferior alveolar nerve, vein, and artery. Perfect for #Dentistry enthusiasts and professionals! Explore the anatomy that sustains your smile. #DentalAnatomy #OralHealth #3dmodel #mededshow more

The Team India management gave water and a cold... drink to Sudhir ji, a passionate fan of India and Sachin, to help him cope with the intense heat and sunshine in Mullanpur.❤️🇮🇳 Great gesture from the support staff. 👏show more

Your heart has four tiny doors that never sleep... — opening and closing with such perfect rhythm that you don’t even notice they’re working. But these valves are the real architects of every heartbeat. Let’s walk through them in the exact sequence your blood travels: ⸻ 1️⃣ Aortic Valve The final checkpoint before blood enters the body’s main highway — the aorta. This valve handles the highest pressure in the entire heart, snapping shut with power and creating the iconic S2 sound. Every time it opens, it sends freshly oxygenated blood to every cell, every organ, every thought you’ve ever had. A true powerhouse, silent but strong. ⸻ 2️⃣ Pulmonary Valve Before blood can breathe, it must pass through the pulmonary valve. It opens to let the right ventricle push blood into the pulmonary artery and onwards to the lungs for oxygenation. A calm, efficient gatekeeper that makes sure your blood gets its “fresh air break” before returning to the heart again. ⸻ 3️⃣ Tricuspid Valve Three leaflets, one simple job — let blood flow from the right atrium to the right ventricle. This valve prevents backflow and maintains the smooth entry of deoxygenated blood. Often underrated, rarely dramatic, but absolutely essential in keeping the right side of your heart steady and stable. ⸻ 4️⃣ Mitral Valve Two leaflets, maximum pressure. Known as the most elegant valve, the mitral sits between the left atrium and left ventricle, allowing oxygen-rich blood to enter the strongest chamber. A high-performance valve with a reputation — prolapse, regurgitation, murmurs… it knows how to grab clinical attention. ⸻ Together, these four valves create the perfect one-way journey for your blood — a cycle that repeats 100,000 times a day, quietly keeping you alive. Your heartbeat is not just a sound; it’s the choreography of Aortic → Pulmonary → Tricuspid → Mitral, working in flawless harmony. #HeartValves #AorticValve #PulmonaryValve #TricuspidValve #MitralValve #Cardiology #PureMedicine #MedicalReels #AnatomyExplained #MedStudentLife #DoctorContent #HeartAnatomy #ClinicalMedicineshow more

Only thing left to say to CBS after reading... that powerful Scott Pelley statement is…..with a little help from David Letterman: "In the words of the great Edward Murrow, 'Good night and good luck, motherf*ckers!'"show more

14y boy with blunt trauma to chest after MVA,... results in ribs fracture, lacerations to the lung, esophagus, trachea. #YesCCT revealed tear to aorta with pseudoaneurtsm formation, leaks to mediastinum, & fistula to LPA. BP 70/30, Hb 7. There is no landing zone for TEVAR & small femoral artery. Tear starts at the origin of bovine trunck. Multiple BeGraft aortic from Bentley used (covered balloon expandable) is used successfully. The LSCA was covered after making sure that right VA is dominant with retrograde filling of LSCA from left VA.show more

To the left | Itzhak Herzog, President of Israel... in an interview with BBC : “We did not cut off water and electricity in Gaza, Hamas bombed it and it’s proven” To the right | Israeli soldies cutting of water supply from Gaza.show more

Took Zak to his first Cincinnati Reds game in... years and we were greeted with the best game of the year!! Elly is so special-just does things that few can do. This was his triple to get the cycle-1st for the Reds since ED in ‘89. So cool to see the energy in what has been an awful home field for YEARS-city is falling in love with this young team and it’s incredible to see. Sorry the video is so bad we were going crazy and trying to film it. 12 in a row!!!!! 12!!!!! And beating good teams! This team plays the game the right way..and EVERYONE is contributing. It’s awesome!! Thanks for a great night RedLegs-Zak had a blast.show more

Met of the Devil at #AnimeNYC and this is... what it was probably like talking to me Thank you to bran for allowing me to dub your comic and thanks to the nth circle team for being so patient with my rabid enthusiasm Play of the devil RN I'm seriousshow more

From despair to hope and from struggle to triumph,... this is the incredible story of a wild elephant mother's fight for survival backed by a dedicated and professional team of foresters and vets from Coimbatore in Tamil Nadu Forest Department .The mother elephant was found sick and lying on ground with her 3 months old baby roaming around her in confusion and distress.The team consulted experts and vets and successfully lifted her with the help of a crane. She was kept supported by the crane for three days while being treated by Vets. Her baby joined the herd and other siblings roaming in the nearby forests visiting the mother in the night. Thanks to the treatment,she gained enough strength and was released to freedom in the wild today. We are monitoring her to keep an eye on her well being. Gratitude and kudos to the entire team for their efforts. Way to go team 👏👍Video Credits Tamil Nadu Forest Department #TNForestshow more

carlos : "at least being outside of the car... i could help the strategy team to do the right call with alex" MY SMART AND STRATEGIC GOATshow more

In Super Mario World, letting Yoshi rest on top... of a Control Coin block with the coins leading straight up and then pressing a P-Switch will cause Yoshi to become "abducted" by the blocks, ascending off the top of the screen.show more

HELPED A LOT WITH THIS, FROM THE STORYBOARD, BACKGROUNDS... AND EVEN HELPED WITH THE ANIMATION IN SOME SCENES HERE ARE SOME OF MY CONTRIBUTIONS (I ANIMATED METAL OVERLORD) (Team sonic and Team dark with the help of MALMOOKAI , and Neo Metal Animation by Kyal Brown) (1/?)show more

For fellows. This patient had bicuspid aortic valve and... severe AS planned for surgery. 10-15% pts with BAV may have coarctation also. What are the added physical finding you search for coarctation in a given case of severe AS, whatever be the age of the patient.show more