The Rastelli classification of complete AVSDs, based on the morphology of the superior bridging leaflet, degree of bridging, and its chordal attachments.
Freedom R and Braunwald E, Atlas of Heart Diseases. St. Louis, Current Medicine LLC, 1996.
💓Rhodes criteria for Critical Aortic stenosis : prediction success of two V management !
✅ Aortic root dimension
✅ MV area
✅ LV Long axis/heart long axis
In CCTGA, L Looped ventricles
✅ The AV node is NOT in Koch's triangle
✅ The AV node is displaced in an anterior and superior location
✅ the bundle of His is elongated. ✅ There may be two AV nodes & the incidence of an AP is significant (Mönckeberg's sling)
15 years old girl. First episode palpitation since 2018. Come back with HR around 220bpm. Triggered by common Flu. What’s mechanism of this arrhythmia? Management?🩺💓
♥️ 12-year-old, No history of fainting
✅Supine position : Systolic click shortly after S1 at the apex.
✅ Sitting: click moves toward S1, followed by I/VI systolic murmur at apex.
👉🏻LVEF 55%
👉🏻 Ambulatory ECG : No SVT/VT
@ASE360
“ PM arrangements” Complete AV Canal
1. The positioning the posterior muscle farther from the septum than normal and
2. The anterior muscle closer to the septum.
This papillary muscle arrangement, along with a Large anterolateral muscle bundle 👉🏻 progressive
#LVOT_obstruction
.
✅ The left-sided pulmonary veins connect to the LIV through a persistent early embryonic pathway.
✅ The connecting vein often called a “vertical vein”
@ASE360
@AEPCcongenital
@escardio
🔺aortopulmonary window connection b/w ascending aorta & main PA
🔺presence of 2 semilunar valves distinguishes this anomaly from truncus arteriosus
🔺Both semilunar valves normal in position
from
@ASE360
member Pamela Henderson
@CASEfromASE
#echofirst
@kgzimmerman
@rajdoc2005
10-year-old, fever, lung edema, admitted at PICU with intubation. My colleague called me for on SPOT/ Echocardiography because of acute lung edema. 💓💓💓🚨
✅ Apically, the septal band merges with the apical trabeculations and gives rise to the moderator band
✅ Inserts at the base of the anterior tricuspid papillary muscle. ✅ The right bundle branch travels along the septal and moderator bands.
@cardiac_anatomy
@AEPCcongenital