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V.L.Sorrell, MD (@CASEfromASE EIC) Profile
V.L.Sorrell, MD (@CASEfromASE EIC)

@VLSorrellImages

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Family 1st; Earth Tourist; Teacher; Editor-in-Chief CASE J; Cardiologist; Author; Pianist; #JADEL ; ;

Versailles, Kentucky, USA
Joined September 2013
Don't wanna be here? Send us removal request.
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
Be sure to check out the absolutely beautiful 2D & 3D echo images in this @CASEfromASE report from Columbia. Then, compare echo to specimens obtained at surgery: Bonus Q (before reading CASE)? A. Myxoma B. Thrombus C. Sarcoma D. Endocarditis
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Why do I like echo? #EchoFirst Because sometimes it is simply beautiful! @ASE360 #JADEL RT if you agree this pt makes great pics!!!
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Just dropped @CASEfromASE This is MUST WATCHED TV! You simply MUST check out this CASE: Teaching point: Be aware of risk VA-ECMO-related aortic stasis! @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL This is one of the most important videos I have ever posted... so, don't be fooled (read CASE details, especially if you guessed it wrong)! 36-yr old man with cardiac arrest: A. Thrombus post-STEMI B. Loffler's C. Tumor D. Congenital finding @CASEfromASE @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL To cardiovert or not- that is the Q! Dog-Ear view only shows smoke! Never stop here- keep looking! The LAA is really complex and a CLOT may be hidden! @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADEL @ASE360 How low can you go?
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Happy Valentines Day to all!
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
OK- here we go! My first #JADEL case for 2021- hope you enjoy it. Try to guess what the #echofirst image will look like based upon the pathognomonic ECG tracing! Did you guess correctly? @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Ok- here you go! My candidate for TEE case of the month (maybe for the year)... my complements to Tomasz Kukulski (thanks): @ASE360 #JADEL
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADIL Here's the @VLSorrellImages Just Another Day in the Imaging Lab case of the day. Enjoy this wonderfully illustrated secundum ASD with in-plane phase contrast and color-mapping. @SCMRorg
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
This may be the BEST reverse PISA (for mitral stenosis) ever seen. Thanks to @swleun2 for these phenomenal images! #EchoFirst #JADEL @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
#JADEL Today's @CASEfromASE must read: Q. What in the world is going on in the right heart? A. Severe RVH B. HOCM C. Loculated hematoma D. Myocardial metastasis E. Retained post-op gauze @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
1 year
#JADEL New from @CASEfromASE : 20yr-old man w/ dyspnea, chills, anemia & possible TIA in history: A. Lymphoma B. Endocarditis C. Thrombus D. Myxoma E. Other Read details (with M-mode, TEE, histopathology): @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Does everyone have the same “quality paradox” as me? “The worse the LV function- the better the image quality”! Must be an ‘acoustic mismatch’ physical property... @ASE360 #JADEL
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Only THREE years between studies... so how did the valves change so fast? Answer- renal failure! #JADEL
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Ever wonder what BiDirectional PISA looks like? Wonder no more! Enjoy today’s #JADEL post: @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
1 year
#JADEL Routine TTE for atypical chest discomfort and soft murmur. See anything unusual? @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
#JADEL @CASEfromASE @ASE360 @JournalASEcho Preparing for #EchoFlorida2021 with @LindaGillamMD @saricmu @Sugeng_Lissa @EchoUmland et al & I came across this video worth-a-share: Not something I have seen before, so thanks to Thammasat Cardiology for sharing this LA blood cyst.
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL With echo, you can only diagnose what you’ve seen before ... so never forget this case (anomalous LCfx coronary arising from the RCA) with a retroaortic (benign) course. Not uncommon. @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Excellent @JournalASEcho review of Loeffler’s endocarditis. Check out this video example from ASE sister Journal @CASEfromASE :
@alexsfelixecho
Alex Felix
2 years
✨Loeffler’s endocarditis ✨ 👉🏽In this case: Chronic Eosinophilic Leukemia - hypereosinophilic syndrome resulting in Loeffler’s endocarditis: restrictive cardiomyopathy / endomyocardial fibrosis +mural thrombi 👍🏼review: #echofirst @iamritu @EGarciaSayan
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADEL @ASE360 Just for fun- no challenge here. Lovely QAV- 2D TEE
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
#JADEL Hot off the @CASEfromASE presses: How good are your echo skills? Q. What is the mobile mass in the right heart of this 22yr old (with continuous murmur)? A Blood cyst B Endocarditis C Ruptured SOV aneurysm D Chiari network Answer here: @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
Just in CASE you've never seen this before: What do YOU see in the LA? A. catheter B. leaflet C. clot D. contrast E. other (tell us) 92W had an unusual complication during TAVI: @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL I say: “Look before you squirt!” Not every TEE needs a bubble study! @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL @ASE360 Have you ever asked yourself WHY you would consider ‘triple’ Rx (DAPT + warfarin) after PCI for massive LAD STEMI w/ small apical clot noted? See below for 10-day natural history of DAPT only (N=1). TOP row = OLD BOTTOM = 10 days later
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Best example of RV Volume overload you will ever see: Note: M-mode lets you time the septal flattening to MV opening (diastole) #JADEL @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL @ASE360 Bubbles, bubbles, toils and troubles! Happy October!
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Can you Unlock the CASE: a fun, interactive case-based skills challenge on the @CASEfromASE homepage: What is the arrow pointing to in 68M with CP? A. Anom COR artery B. Unroofed COR sinus C. Artifact D. Fistula E. Calcification @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL @ASE360 How many major things are wrong with this very first image? I can count to 7 without trying very hard!
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Some echo's are nearly pathognomonic as recently shown in @CASEfromASE Q. 7 yr boy; fever, fatigue, weight loss A. Loeffler endocarditis B. Infiltrative CM C. Hypertrophic CM D. Dilated CM with clot E. Other @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL iCASEymi: The many faces of Tako Tsubo... ... its not "Apical Ballooning" ... its not "Reverse Tako" ... its "Mid-Ventricular"! @ASE360 @CASEfromASE @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL 1/2 iCASEymi: Follow thread to see the really cool gross pathology of this traumatic papillary muscle avulsion: @CASEfromASE @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL Oops...
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V.L.Sorrell, MD (@CASEfromASE EIC)
1 year
#JADEL #echofirst community has been busy with many new reports in @CASEfromASE Here's the third of three posted daily: What is this? A. Loefflers B. HCM-apical variant C. Carcinoid D. Apical infarct with clot @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
#JADEL @ASE360 @CASEfromASE When you’re doing an echo for source of emboli, always include off-axis apical sweeps. #AvoidFalseNegatives
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADEL @ASE360 Echo order states: “Cardiac source of emboli” I think: “Yawn-boring-HoHum” Echo thinks: “Should I do bubbles for PFO?”
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Although I've been on consults this week, I've enjoyed reading the collection of new reports in @CASEfromASE Here's the latest: Before reading, can you guess what's going on here? A. Endocarditis B. Trauma C. Iatrogenic D. Clot in PFO
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
I think my mum is @deemintz1 biggest 90yr old fan! Go CATS! @UKBasketbalI @UKCoachCalipari
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Preparing for echo boards? What’s the vertical, mobile, bright line at 12:00o’clock? @ASE360 A. Falciform ligament B. Catheter C. Thrombus D. Fibrin stranding E. Not enough info
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Mesmerised by the extent of apical rotation in this akinetic apex! We still have so much to learn about myo deformation. @CASEfromASE @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Latest in-press from @CASEfromASE Here's something you DON'T see everyday... ... something I am calling NOT #JADEL ! 42M with CP, dyspnea, and AMS: You'll want to take 5 minutes to read more here: @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Here’s an ‘old-school’ unusual finding on AV M-mode. Can you “see” the pathology before the 2D? A. Endocarditis B. HOCM C. BAV D. Low flow E. Something else @CASEfromASE @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
Coming Soon... #EchoFlorida22 #Oktoberbest22 I will be presenting Breakout Cases from CASE... here's a sample: Q. What is the most likely "I" to cause this? A. Inherent B. Infection C. Inflammation D. Ischemia E. I don't know
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Q. How do you have fun with your 90yr old mum? A. Sneak a Sunflower seed into her Rose Garden when she’s not looking! Brings a smile to the entire neighbourhood
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
What's the smallest RV you have seen? #tamponade
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Here’s my reminder to always sweep through the apex in search of clots- otherwise, a dilated dysfunctional LV may hide a surprise for you! #JADEL #echofirst @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
What does a mechanical valve look like when anticoagulation is reversed due to a GI bleed? @ASE360 #JADEL See echo/fluoro comparison:
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Me (at national lecture): “Automatic border detection, AI & GLS are changing how we practice echocardiography!” Me (today, in lab, follow up chemotoxic patient): “Hmmmm… I may need to modify my slides”
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Universal Definition of HEART FAILURE! You heard it here first: @ASE360 #ASE2021 #EchoAtHome Finally- now only if our EMR / Coders will learn the same: Spread The Word!
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
Not #JADEL @ASE360 Here’s your morning challenge (answer after 5pm EST): 30F post partum w “new” HF sx
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#LNTS McConnell’s Sign: @ASE360 #JADEL
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL Fellows / Residents First A. Aortic dissection B. Unicuspid AV C. Cardiac standstill D. LVAD ? Thoughts ?
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
HF symptoms- Low voltage ECG! #JADEL
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL One view: Many diagnoses “Look out below- AAA” @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADEL @ASE360 Remember, the study is never complete without looking at the Aorta... never quit prematurely! This TEE was pre-DCCV for AFib (high grade Aortic debris is really common in AF)
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Here’s my #JADEL daily tickler for #echofirst non-cards echo-twitterers: Is this mitral valve A. Normal B. Abnormal
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
Just dropped in CASE @CASEfromASE : Once again, @rajdoc2005 gives us some insight into his incredible 3DE imaging skills. Great transillumination TEE quality of a rare finding... in a 57M with severe AR & LV dilation/dysfunction. Read CASE details here:
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL Saw this study in 25yo and immediately phoned re: high risk for Sudden Death (IVS = 33mm). They said: “Good call- had VF arrest last year.” Follow thread for more clips @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Here’s a small LV cleft - these are often normal variants & found in 5% general population. Should exclude HCM (without LVH) & not misinterpret as Cong diverticulum or aneurysm. @SCMRorg #JADIL
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Check out the latest multi-modality CV Imaging report from @CASEfromASE with 2D TTE, 3D TEE, CCT, PET & pathology: Impressive mass: Is it thrombus, infection, benign or malignant tumor? Where is it attached? Did PET help? @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Learn through Twitter: did everyone already know this? I admit it - I did not! Basal IVS LGE may reflect septal perforator (not to be confused with DCM midwall fibrosis): @Heart_SCCT @SCMRorg
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#EchoQOD #EchoBaordsPrep @ASE360 Based upon the single image provided, which patient fits best? A. 30F with Trisomy 21 B. 70M with stroke C. 60M, severe COPD & right arm injection D. 80F, chronic PAH and left arm injection E. 20F asymptomatic with persistent Left SVC
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Here's my #JADEL case of the day... Who needs color flow Doppler? Young man with right heart failure & PH. Tricuspid annulus 60mm; RVSP >110mmHg; RA volume >450ml. Have a great weekend everyone! @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Twitter, like all SM forums, has huge diversity of opinions. I have a simple goal: >95% agreement. What is the LV systolic function? A. normal B. mildly reduced C. moderately reduced D. severely reduced E. must have more info @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
One of my former #naughtyfellows sent me this with the following question: How come you never showed me this when I was training? My answer: Because I never saw anything like this B4! #echofirst @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
1 year
#JADEL Just dropped in CASE @CASEfromASE One of the more unusual cases of AR... be sure to read about this: Whats your best guess? A. BAV B. Aneurysmal SOV C. Endocarditis D. Aortic dissection E. Other @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL @ASE360 LVOT PWD: what’s the flow just prior to the stroke volume flow? A. Artifact B. Lobster claw deformity C. Arrhythmia D. Cor fistula E. Systolic anterior motion MV F. Subaortic membrane G. Other (I can go on all day) Discuss...
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADEL @ASE360 What does the descending thoracic aorta look like in really severe AR? BP = 120/20 It’s unhappy- like this:
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
This should help you have a better day- here’s a “super-responder” after CRT! Hoping that makes all #echofirst users feel better? LVEF 25% to 50%
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL @ASE360 @CASEfromASE Anyone guess an LVEF? A. 60% B. 50% C. 40% D. 30% E. 20% F. Impossible to tell / need info
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL @ASE360 @CASEfromASE Lights off! Lights on! Nice example of why I like echo contrast!
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
Excellent case example to consider when assessing myocardial deformation... thx to Jens-Uwe Voigt (Belgium). @ASE360 @escardio This is the same high quality echo from the same patient measured seconds apart on the same system (on EACVI YouTube video):
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V.L.Sorrell, MD (@CASEfromASE EIC)
1 year
#JADEL Just dropped @CASEfromASE : 22F presents to ED 5d after normal delivery with CP, HA, HBP and vision changes. Can you spot the abnormality in this 4-chamber view? Details: @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL @ASE360 Hmmm...looks “funny”!
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL In Press E-Alert @CASEfromASE Have you ever seen endomyocardial fibrosis coexist with apical HCM? I thought not... well, before now anyway! Read details here & follow thread for more videos: @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
Mistake made: TAVR for mismatch TEE- “Severe AVR stenosis” (look close - see leaflets?) Pt refused redo AVR TAVR VIV performed Post TAVR mean AV 40mmHg TAVR /AVR removed en bloc (see distorted, but otherwise normal, leaflets from “mismatch”) Redo AVR with good results
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
Just dropped at @CASEfromASE Check out this 5-chambered heart by @AJamilTajik et al: Its a wonderful read with outstanding images, but this CMR was my favorite & shows a novel "apical 5-chamber view"! @ASE360 @JournalASEcho
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
#JADEL @CASEfromASE @ASE360 Q. What’s up with this? (Hint follow thread for bubble study & answer)… A. Small hand B. Clot C. MCS D. Dehisced septal closure device E. Something else
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Recommended reading from @CASEfromASE Teaching points: “Not all LA myxomas are LA myxomas” Or “Echo readers need to maintain wide differentials”
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL @ASE360 Fellows & Fellow Wannabe’s first... what do you think (& why)?
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL I love my day job! @ASE360 No history/ no symptoms:
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Here's my Friday #JADEL image for you. Q. Etiology? A. MVP B. Chronic CAD C. Acute CAD D. Iatrogenic E. Infective @CASEfromASE @ASE360 @Kentucky_Cards
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL Sometimes, the RCA wants a selfie! @ASE360 @CASEfromASE
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V.L.Sorrell, MD (@CASEfromASE EIC)
7 years
7D CMR flow of SVC & IVC- fascinating how the off-set alignment facilitates propagation through the right heart...
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
I’m pretty sure this LV has something important to say: what do you think it is? #JADEL @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
Another amazing CASE from the brilliant authors at @CASEfromASE ... check it out! Q. Based only on this image, is this... A. Flail left cusp B. Aortic dissection C. Simple vegetation D. Fibroelastoma E. Subaortic membrane Read all about it: @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
In Press: @CASEfromASE Really important images to recognize this potentially fatal finding... read more here #JADEL @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL Just dropped @CASEfromASE Have you ever seen this? Y or N What's missing here? Pericardium or Leaflet Obvious Question: How would this make the Bishop's Miter look? @ASE360
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V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL You are never too old to be diagnosed with congenital heart disease for the first time! Check out this AV septal defect in an adult & compare with the CMR images in the latest @CASEfromASE @ASE360 @Ahmad_Elashery
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V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#LNTS #JADEL Sometimes, no words are necessary.
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V.L.Sorrell, MD (@CASEfromASE EIC)
6 years
#JADIL #LNTS @SCMRorg @ASE360 If a picture is worth a thousand words, what are the following 10 images worth? Amazing finding in this unfortunate lady being treated for a hematologic cancer. Follow thread for diagnosis. 2DE subcostal #echofirst
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
50M with known systolic click & reported MVP, suddenly develops severe dyspnea! What happened? #JADEL @ASE360 @CASEfromASE A. endocarditis B. pap m rupture C. chord rupture D. progressive chronic MR E. other
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#LNTS Which of the following is most correct? A. Normal LV size & function B. Noncompaction C. CAD post infarct D. D-TGA E. Other #EchoBoardsPrep #CMRhelpsECHO
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
4 years
#JADEL Quick thoughts? AV SAX view to follow- so, can you correctly guess the pathology of the AV? @ASE360
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
This is still one of my all time favorites - you MUST click on video for the Full Impact! @ASE360 #JADEL
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
2 years
#JADEL - Transcatheter debulking of TV IE - Used for pts w/ sig risk from surgery - Real-time TEE guidance helps facilitate removal of veggies, optimize cannula positioning, & monitor for complications Read @CASEfromASE to see what they 'sucked out':
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
5 years
#JADEL Linear Echo in a 5cm Aorta- is it a dissection? @ASE360 Yes - why? No- why? Hint: look at slo-mo cursor
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@VLSorrellImages
V.L.Sorrell, MD (@CASEfromASE EIC)
3 years
This just in from @CASEfromASE : Acquired Dynamic Left Ventricular Outflow Tract Obstruction: A Rare Complication of Acute Myocardial Infarction Really important CASE; great images; important teaching points! Read more: @ASE360
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