❤️📸 EACVI Imaging Challenge – Case 1 🔍 More... than meets the eye! A subtle but very telling finding on functional imaging Submitted by: Aristi Boulmpou 📍 St. Luke’s Hospital, Panorama, Thessaloniki, Greece Co-author: Alexandros Kallifatidis What anatomical finding is shown by the arrow? 1. Coronary sinus dilatation 2. Persistent left SVC 3. Retroaortic anomalous coronary artery 4. Catheter rafavidalperez Sarah Birkhoelzer @sarah.theheartdoc Giandomenico Bisaccia, MD, PhD yasmina bououdina Mariana Brandão Yousef Daryani Elisabeth Santos Pablo Elissamburu 🇦🇷 Charles Fauvel Alex Felix domenicogalzerano Andreas Giannopoulos Ryo Horita, MD. Associate Prof William KF Kong 江国辉副教授 Mohamed Marwan Ahmed Mohsen Aniela Popescu (Petrescu) Benay Ozbay Novi Yanti Sari Shantanu Sengupta Elizabeta Kostovska Srbinovska Sam Srivastava Mihai Trofenciuc Caroline Van De Heyning Özge Özden Kayhan Giulia Vinco Zuilma Vásquezshow more

What is the diagnosis? 1. PFO 2. Secundum ASD... 3. Persistent left SVC 4. Sinus venous ASD 5. Extra cardiac shunt Clip 1: bubble study Clip 2. Second injection of bubbles OHSU Cardiology Fellowshipshow more

🚩🫀 Coronary Artery Diagram: Explore this detailed diagram of... the coronary arteries - Left Main Coronary Artery (LMCA) - Left Anterior Descending (LAD) Artery - Circumflex (Cx) Artery - Diagonal (D1, D2) Arteries - Obtuse Marginal (OM1, OM2) Arteries - Septal (S1, S2) Branches.show more

Coronary Artery Diagram: - Left Main Coronary Artery (LMCA)... - Left Anterior Descending (LAD) Artery - Circumflex (Cx) Artery - Diagonal (D1, D2) Arteries - Obtuse Marginal (OM1, OM2) Arteries - Septal (S1, S2) Branches. #Cardiology #CoronaryArteriesshow more

5-week-old, what structure is seen posterior to the LA:... A. CS B. Main & branch PA C. Vertical vein D. Descending Ao ESC WG on ACHD Chairperson Ritu Thamman MD Leo Lopez Rohit loomba Chittur Sivaram MD MACP MACC EACVI President Alex Felix Swati Garekar IWASHIMA Satoru岩島覚.MD, PhD.ﾔｰ NeoCardioLab - Gabriel Altit David H. Wiener, MD Alexander Mladenow MDshow more

🚩🫀 Coronary Anatomy: - Left Main Coronary Artery (LMCA)... - Left Anterior Descending (LAD) Artery - Circumflex (Cx) Artery - Diagonal (D1, D2) Arteries - Obtuse Marginal (OM1, OM2) Arteries - Septal (S1, S2) Branches #Cardiology #CoronaryArteries #Anatomyshow more

1-day-old baby presents with respiratory distress & cyanosis What... is the most likely diagnosis? A. Ebstein’s anomaly B. TV dysplasia C. Uhl’s anomaly D. Functional tricuspid regurgitation secondary to PH AEPC - Paediatric and Congenital Cardiology Ritu Thamman MD Alex Felix Chittur Sivaram MD MACP MACC American Society of Echocardiography IWASHIMA Satoru岩島覚.MD, PhD.ﾔｰ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 stent, tiny metal devices inserted into narrowed arteries... to keep them open, saving millions of lives annually by treating coronary artery disease (CAD),show more

Pseudoaneurysm: imaging and surgical definition! Distal brachiocephalic AVF! No... stent needed! Just a polypropylene suture and 35 minutes in the OR! 👁️🔪💥⤵️📍 #SoMe4Surgery Paula Ferrada MD FACS FCCM MAMSE W. Michael Park, MD Joseph L. Mills MD Tom Varghese Jr. MD, MS, MBA, FACS, MAMSE 🇺🇸 Steven D Wexner MD, PhDshow more

10y with severe MR,AML appears prolapsed, but it’s false... caused by PML tethering👉🏻abnormal coaptation geometry 📌Not all AML prolapse is real! AEPC - Paediatric and Congenital Cardiology Ritu Thamman MD ESC WG on ACHD Chairperson Chittur Sivaram MD MACP MACC Alex Felix Leo Lopez Rohit loomba Alexander Mladenow MD IWASHIMA Satoru岩島覚.MD, PhD.ﾔｰ WithAScalpel - Fumiya Yoneyama, MD, PhDshow more

Coronary artery territories in TTE #echofirst

🫀 Seeing Truly Normal Coronary Arteries Dual Source PCCT... + High Iodine = Confidence of Exclusion In coronary CTA, detecting plaque matters. But confidently proving absence of plaque is even more powerful. A truly normal coronary artery should not look “probably normal.” It should look sharp, smooth, motion-free, and perfectly opacified. That level of certainty comes from the combination of: - Photon-Counting CT (PCCT) - High spatial/temporal/contrast resolution - High iodine concentration contrast (400 mg I/mL) 🧠 Why this combination matters Subtle abnormalities can be masked by: - Motion blur - Noise - Partial volume effects - Insufficient intraluminal enhancement Sometimes what we call “normal” is simply underpowered imaging. ⚡ What changes with PCCT + 400 mg I/mL Ultra-high spatial resolution - Clear intima–lumen interface - Distal vessels sharply defined High temporal resolution - Minimal motion artifacts - True coronary borders, even at higher HR High iodine concentration (400 mg I/mL) - Stronger intraluminal signal - Higher contrast-to-noise ratio - Uniform, stable lumen opacification - Subtle wall irregularities no longer hide in low signal Spectral capability - Cleaner iodine–tissue separation - Greater confidence in excluding non-calcified plaque When arteries are truly normal, they appear: ✔️ Smooth ✔️ Thin-walled ✔️ Motion-free ✔️ Intensely and uniformly opacified Not “likely fine.” But objectively pristine. In coronary CTA, technology is not only about finding disease. It’s about confidently saying: There is none. From uncertainty to reassurance. From suspicion to precision. That’s the strength of PCCT with high-iodine coronary imaging. ⚡🫀 #PhotonCountingCT #PCCT #CoronaryCTA #HighIodine #400mgIodine #HighTemporalResolution #UltraHighResolution #CardiacCT #PreventiveCardiology #yesCCTshow more

Amiloidosis cardíaca a través de la imagen multimodal... Abro... hilo.... Feliz domingo! Alma Sthela Arrioja, MD Mario Vargas Galgani CarlosFranco_ECO MA Garcia Fernandez Jose Juan Gomez Doctor Pedro Azcárate Alberto Cecconi Javier Urmeneta rafavidalperez Editora Revista Chilena de Anestesia Zuilma Vásquezshow more

Today is not a good day for this patient... ☹️ Ritu Thamman MD Abdul Jamil Tajik Julia Grapsa EACVI President Ovidio García Victoria Delgado Alessia Gimelli American Society of Echocardiography Tuğba Kemaloğlu Öz, A/Prof Benoy Shah MD Echolab_Bielefeld Echocardiography Alex Felix Journal of Cardiothoracic and Vascular Anesthesia V.L.Sorrell, MD (@CASEfromASE EIC) Nicolas Merke Nadeen N. Faza, M.D. Jae K. Ohshow more

Coronary dissection and perforation due to wire tip (distal... left LAD). Patient in shock->pericardiocentesis and coiling... with rami jubeh PCRonline 🫀 Salvatore Brugaletta Luis Ortega Paz A.Nazmi Calik Guilherme Ribeiro Prof. Hector M. Garcia-Garcia Nicola Ryan Pascal Meier,MD DrPatWJyg Ignacio Cigalini 🇦🇷 Hany Ragy SABOURETCardiologist Mamas A. Mamas David J. Cohen, MD, MSc Gregg W. Stone MD James Torey PA-C EAPCIPresident C. Michael Gibson MD Elliot Smith Ariel Roguin Aaysha Cader Tom Johnsonshow 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

There’s more to Charles Melton than meets the eye—though... what meets the eye at the moment is pretty darn pleasing. Read our interview with PEOPLE's digital cover star:show more

#EuroEcho2024 🗓️ Save the date and start preparing your... #echofirst science for 📢 Call for research abstracts: 30 April - 27 June 2024 Victoria Delgado Nina Ajmone Marsan Cosyns Bernard Ivan Stankovic Philippe B. Bertrand Elena Galli Hatem Soliman Aboumarie, FRCP, FEACVI, FASE, FHEA Donal LEYLA ELIF SADE EACVI President Sarah Moharem Elgamal, MBBCh, MSc, PhD👩🏻‍⚕️🫀 Nicolas Merke Andreas Hagendorff Elena Romero Vladyslav Kavalerchyk 🇺🇦 Sara Moscatelli Kevin Domingues Théo Pezel Giulia Elena Mandoli, MD, PhD, FESC, FISC Matteo Cameli, MD, PhD Luna Gargani Giovanni Benfari Anna Sannino MD PhD FASE Anna Baritussio Luigi Michele Tomaselli Alexandra Clement Paolo Springhetti MARA Gavazzonishow more

Do you call this coronary camera fistula when numerous... such small drainages from coronary artery are seen into LV cavity? Embryologically something else ?show more