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Harrison's Online >


Central Venous Catheter Placement | Requires QuickTime


Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-1A | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with a normal heart. A. Parasternal long-axis view. There is symmetric contraction of the ventricles, evidenced by a decrease in cavity size and increase in wall thickness during systole. Echocardiographic imaging is performed in multiple acoustic windows with different transducer rotations so that the...

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-1B | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with a normal heart. B. Parasternal short-axis view. There is symmetric contraction of the ventricles, evidenced by a decrease in cavity size and increase in wall thickness during systole. Echocardiographic imaging is performed in multiple acoustic windows with different transducer rotations so that the...

View in Context


Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-2A | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with a severe decrease in left ventricular systolic function. The estimated ejection fraction is 20%. A. Parasternal long-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-2B | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with a severe decrease in left ventricular systolic function. The estimated ejection fraction is 20%. B. Parasternal short-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-3A | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with hypertrophic cardiomyopathy. There is a marked increase in left ventricular wall thickness with hyperdynamic systolic function. A. Parasternal long-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-3B | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with hypertrophic cardiomyopathy. There is a marked increase in left ventricular wall thickness with hyperdynamic systolic function. B. Parasternal short-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-4 | Requires QuickTime

Real-time two-dimensional parasternal long-axis images from a patient with aortic stenosis. There is normal left ventricular cavity size with normal systolic function. The aortic valve is thickened and calcified, with restricted opening.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-5A | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with mitral stenosis. There is diastolic doming and restricted leaflet opening secondary to fusion of the commissures. A. Parasternal long-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-5B | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with mitral stenosis. There is diastolic doming and restricted leaflet opening secondary to fusion of the commissures. B. Parasternal short-axis view.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-6A | Requires QuickTime

Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with mitral valve prolapse. During systole, both anterior and posterior leaflet of the mitral valve prolapse into the left atrium. A. Gray-scale images demonstrate a leaflet morphology and motion. Abnormalities of the valve apparatus such as annular dilatation, prolapse,...

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-6B | Requires QuickTime

Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with mitral valve prolapse. During systole, both anterior and posterior leaflet of the mitral valve prolapse into the left atrium. B. Color flow imaging demonstrating late systolic blue-colored jet of mitral regurgitation. Abnormalities of the valve apparatus such as...

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-7A | Requires QuickTime

Real-time two-dimensional images with color flow Doppler imaging of a patient with mitral regurgitation due to ruptured chordae tendineae. A. Gray-scale image showing a thickened redundant posterior leaflet of the mitral valve with loss of coaptation during systole.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-7B | Requires QuickTime

Real-time two-dimensional images with color flow Doppler imaging of a patient with mitral regurgitation due to ruptured chordae tendineae. B. Color flow imaging showing severe mitral regurgitation as high velocity turbulence (mosaic pattern) extending into the left atrium during systole.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-8 | Requires QuickTime

Real-time transesophageal echocardiographic images of a patient with severe mitral regurgitation due to a flail posterior leaflet. The posterior mitral valve leaflet is completely unsupported and moves into the left atrium during systole. Transesophageal echocardiography provides high-resolution images of posterior structure such as the left atrium, mitral valve, and aorta.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-9 | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with a vegetation on the mitral valve. There is a mobile echo density attached directly to the mitral valve apparatus that intermittently appears in the left atrium.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-10 | Requires QuickTime

Real-time transesophageal echocardiographic images of a patient with a left atrial myxoma. There is a large echo-dense mass in the left atrium that is attached to the atrial septum. The mass moves across the mitral valve during diastole. Although an echocardiographic image cannot provide pathologic confirmation of the etiology of a mass, the diagnosis of atrial myxoma can be suspected from the appearance, mobility, and attachment to the atrial septum.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-11 | Requires QuickTime

Real-time two-dimensional echocardiographic images from the parasternal long-axis view of a patient with a large aneurysm of the ascending aorta.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-12 | Requires QuickTime

Real-time two-dimensional echocardiographic images of a patient with pericardial effusion. The effusion is shown as a black echo-free space surrounding the heart.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-13 | Requires QuickTime

Real-time two-dimensional echocardiographic images from a subcostal view showing a large secundum atrial septal defect. There is a "drop out" in the region of the mid atrial septum. The right ventricle is enlarged from right ventricular volume overload.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-14A | Requires QuickTime

Real-time two-dimensional echocardiographic images showing a close-up view of the atrial septum in a patient with the question of an atrial septal defect. A. Gray-scale image showing a questionable "drop out" in the atrial septum.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-14B | Requires QuickTime

Real-time two-dimensional echocardiographic images showing a close-up view of the atrial septum in a patient with the question of an atrial septal defect. B. Color flow imaging confirms left to right flow across the atrial septum.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-15A | Requires QuickTime

Real-time two-dimensional stress echocardiogram in a normal subject. The studies at rest are shown on the left and the studies during peak exercise are shown on the right. A. Parasternal long-axis (top) and short-axis (bottom) views. At rest, there is contraction of all segments of the myocardium. During exercise, there is an increase in contractility and in the thickening of all segments of the myocardium with a decrease in end-systolic volume.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-15B | Requires QuickTime

Real-time two-dimensional stress echocardiogram in a normal subject. The studies at rest are shown on the left and the studies during peak exercise are shown on the right.B. Apical four-chamber (top) and two-chamber (bottom) views. At rest, there is contraction of all segments of the myocardium. During exercise, there is an increase in contractility and in the thickening of all segments of the myocardium with a decrease in end-systolic volume.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-16A | Requires QuickTime

Real-time two-dimensional stress echocardiogram of a patient with coronary artery disease. The studies at rest are shown on the left and studies during peak exercise are shown on the right. A. Parasternal long-axis (top) and short-axis (bottom) views. The images during peak exercise show regional wall motion abnormalities in the anteroseptal distribution...

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > Echocardiographic Images >


Video e29-16B | Requires QuickTime

Real-time two-dimensional stress echocardiogram of a patient with coronary artery disease. The studies at rest are shown on the left and studies during peak exercise are shown on the right. B. Apical four-chamber (top) and two-chamber (bottom) views. The images during peak exercise show regional wall motion abnormalities in the anteroseptal distribution...

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >


Video e29-17 | Requires QuickTime

MRI scan in real time of a patient with a large left ventricular apical aneurysm. The long axis-view demonstrates a thin dyskinetic apical aneurysm with a preserved systolic function of the basal anterior and basal inferior wall. MRI scanning allows excellent visualization of endocardial border.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >


Video e29-18 | Requires QuickTime

Cine MRI scan of a patient with a dilated ascending aorta (annulo-aortic ectasia). There is a central jet of aortic regurgitation entering the left ventricular outflow tract.

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Harrison's Online > Chapter e29. Atlas of Noninvasive Cardiac Imaging > MRI/CT Images >


Video e29-19 | Requires QuickTime

CT coronary angiogram showing a normal right coronary artery. The movie highlights multiple thin slices through the right coronary artery.

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-1 | Requires QuickTime

Pulse pressure. Considerable evidence suggests that pulse pressure serves as an important risk factor for future cardiovascular events. This video clip explains the derivation of pulse pressure and some of the pathophysiology that determines this parameter. (Animation by Animation MD; with permission.)

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-2 | Requires QuickTime

Plaque instability. Most coronary thromboses result from a physical disruption of the atherosclerotic plaque. This animation explains some of the current concepts of the pathophysiology of atherosclerotic plaque disruption and how it triggers arterial thrombosis.

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-3 | Requires QuickTime

Lipoprotein menagerie. The lipid profile confers important information regarding cardiovascular risk and the effects of therapies; understanding lipoprotein metabolism provides insight into the pathophysiology of arterial disease. This animation presents the rudiments of lipoprotein metabolism that are important in clinical medicine.

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-4 | Requires QuickTime

Formation and complication of atherosclerotic plaques. Physicians now understand the generation of atherosclerotic plaques as a dynamic process involving an interchange between cells of the artery wall, inflammatory cells recruited from blood, and risk factors such as lipoproteins. This animation reviews current thinking about how risk factors alter the biology of the artery...

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-5 | Requires QuickTime

Atherogenesis. This video clip highlights some of the current thinking about mechanisms of atherogenesis.

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Harrison's Online > Chapter e32. Atlas of Atherosclerosis > Atlas of Atherosclerosis: Introduction >


Video e32-6 | Requires QuickTime

Metabolic syndrome. A number of important cardiovascular risk factors tend to cluster in a pattern that has been described by some as the metabolic syndrome. Although controversy persists regarding whether cardiovascular risk due to these factors is additive or synergistic, their clinical importance is growing. This animation discusses some of the metabolic derangements that underlie the metabolic syndrome.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-1 | Requires QuickTime

Baseline left coronary angiogram shows an occluded LCx with left-to-left collaterals originating from LAD septal vessels.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-2 | Requires QuickTime

Attempts to cross the total occlusion in the LCx using a hydrophilic wire and an antegrade approach were not successful, with the wire tracking to the right of the trajectory.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-3 | Requires QuickTime

The LAD septal collateral is accessed with a guidewire and directed toward the distal LCx to cross the total occlusion retrograde.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-4 | Requires QuickTime

The total occlusion is crossed retrograde. The wire is snared in the guide, exteriorized, and used to provide antegrade access to the LCx.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-5 | Requires QuickTime

Antegrade flow in the LCx is restored after balloon inflation.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-6 | Requires QuickTime

Following stenting of the total occlusion, blood flow in the distal vessel is improved and a second significant stenosis is seen.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 1: Chronic Total Occlusion >


Video e33-7 | Requires QuickTime

Final result after LCx stenting.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-8 | Requires QuickTime

Baseline angiogram of the left coronary circulation shows the significant stenosis in the mid-LAD and the bifurcation lesion involving a large diagonal branch.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-9 | Requires QuickTime

Both vessels are accessed with guidewires and pretreated with balloon angioplasty.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-10 | Requires QuickTime

Result after balloon angioplasty.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-11 | Requires QuickTime

Stent being positioned in the LAD.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-12 | Requires QuickTime

LAD post-stent result.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-13 | Requires QuickTime

Stent deployed in diagonal branch through the stent struts in the LAD using the "culotte" technique.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-14 | Requires QuickTime

Diagonal branch post-stent result.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-15 | Requires QuickTime

Simultaneous inflation of two 2.5-mm "kissing" balloons.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 2: Bifurcation Stenting >


Video e33-16 | Requires QuickTime

Final postbifurcation stenting result.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-17 | Requires QuickTime

The right coronary artery (RCA) is totally occluded with filling defects in the vessel after contrast injection, indicating thrombus is present in the vessel.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-18 | Requires QuickTime

An angioplasty wire is threaded through the thrombotic lesion, but this does not restore blood flow to the distal vessel.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-19 | Requires QuickTime

Result after manual thrombectomy and thrombus extraction. The "culprit" ruptured plaque and residual thrombus are now apparent in the vessel.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-20 | Requires QuickTime

After balloon angioplasty and stenting, thrombus is still present.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-21 | Requires QuickTime

After repeat manual thrombectomy and expansion of the stent, the thrombus is no longer present.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 3. Inferior Myocardial Infarction—Thrombus and Manual Thrombectomy >


Video e33-22 | Requires QuickTime

Final result.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >


Video e33-23 | Requires QuickTime

Saphenous vein graft to a first obtuse marginal branch with an 80% eccentric stenosis in the midgraft.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >


Video e33-24 | Requires QuickTime

A distal protection device is deployed past the lesion.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >


Video e33-25 | Requires QuickTime

Angioplasty balloon inflation with the distal protection device in place.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 4. Saphenous Vein Graft Intervention with Distal Protection >


Video e33-26 | Requires QuickTime

Final result after stent placement.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-27 | Requires QuickTime

Baseline left coronary artery injection in right anterior oblique (RAO) cranial projection shows a high-grade calcified stenosis in the left main coronary artery and a significant stenosis in the proximal LAD.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-28 | Requires QuickTime

In the left anterior oblique (LAO) caudal view, the left main coronary artery lesion can be seen to extend into the ostia of both the LCx and the LAD.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-29 | Requires QuickTime

Guide wires were placed into both the LCx and LAD. After the left main coronary artery and LCx are dilated with balloon angioplasty, the proximal LAD is dilated and a long drug-eluting stent is placed to cover a lesion dissection that occurred with wiring of the vessel.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-30 | Requires QuickTime

The bifurcation lesion in the left main coronary artery extending into the LCx and LAD ostia is treated using a "culotte" technique. First, a drug-eluting stent is placed in the left main coronary artery and into the proximal LCx.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-31 | Requires QuickTime

Next, the LAD wire is removed and passed through the stent into the distal LAD. A second drug-eluting stent is deployed through the struts of the left main coronary artery/LCx stent.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-32 | Requires QuickTime

Following rewiring of the LCx, both stents are redilated simultaneously ("kissing" balloons).

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-33 | Requires QuickTime

The final result in the LAO caudal view.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 5: Unprotected Left Main PCI in a High-Risk Patient >


Video e33-34 | Requires QuickTime

The final result in the RAO cranial view showing patent left main, LCx, and LAD coronary arteries.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-35 | Requires QuickTime

Baseline angiogram of the left coronary circulation in the RAO view shows the total occlusion of the second obtuse marginal branch with delayed retrograde filling via collateral vessels and a high-grade stenosis in the ramus intermedius.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-36 | Requires QuickTime

A guidewire is passed through the total occlusion and the lesion is pretreated with balloon angioplasty.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-37 | Requires QuickTime

Following placement of a drug-eluting stent in the lesion, the vessel is widely patent. A third obtuse marginal vessel, not previously seen, now fills faintly (TIMI 1 flow) with contrast but was not treated.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-38 | Requires QuickTime

The ramus intermedius lesion was crossed with a guidewire and pretreated with balloon angioplasty.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-39 | Requires QuickTime

A drug-eluting stent is placed across the ramus lesion and deployed. The final result shows no residual stenosis in either the ramus or second obtuse marginal vessels.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-40 | Requires QuickTime

Baseline angiogram of the RCA shows a high-grade lesion in the midsegment of the vessel.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-41 | Requires QuickTime

The lesion was pretreated with balloon dilation followed by stent deployment.

View in Context


Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 6: Multivessel PCI in a Diabetic Patient >


Video e33-42 | Requires QuickTime

The final result shows no residual stenosis in the mid-RCA.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >


Video e33-43 | Requires QuickTime

Baseline angiogram showing a total occlusion of the proximal LAD within the drug-eluting stent and a significant stenosis at the origin of the LCx.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >


Video e33-44 | Requires QuickTime

The LAO view shows the LCx stenosis with a filling defect, indicating that thrombus is present in the vessel lumen.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >


Video e33-45 | Requires QuickTime

The LAD lesion was crossed with a guidewire, which resulted in slow filling of the mid-LAD (TIMI 2 flow), and revealed thrombus filling the stent.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 7: Very Late Stent Thrombosis of a Proximal Lad Drug-Eluting Stent >


Video e33-46 | Requires QuickTime

The final result after LAD and LCx stenting. The LAD lesion was pretreated with balloon angioplasty and a bare metal stent was deployed to cover the proximal lesion. The LCx ostial lesion was dilated with balloon angioplasty and a bare metal stent was placed using a "V stenting" technique.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >


Video e33-47 | Requires QuickTime

Aortogram shows patent coronary arteries and minimal aortic insufficiency.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >


Video e33-48 | Requires QuickTime

Balloon valvuloplasty is performed with rapid ventricular pacing at 180 bpm.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >


Video e33-49 | Requires QuickTime

A 26-mm Edwards-SAPIEN valve is positioned using fluoroscopic and transesophageal echo guidance and deployed.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 8: Transcatheter Aortic Valve Implantation >


Video e33-50 | Requires QuickTime

Aortogram after valve deployment shows a functional valve with mild aortic insufficiency and without impingement of the coronary ostia.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >


Video e33-51 | Requires QuickTime

A sizing balloon is placed across the ASD.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >


Video e33-52 | Requires QuickTime

An Amplatzer septal occluder is being positioned across the ASD.

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Harrison's Online > Chapter e33. Atlas of Percutaneous Revascularization > Case 9: Atrial Septal Defect Closure >


Video e33-53 | Requires QuickTime

The two discs of the device in place across the ASD.

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CURRENT Medical Dx & Tx > Chapter 9. Pulmonary Disorders > Disorders of the Pulmonary Circulation > Pulmonary Hypertension > Clinical Findings > Imaging and Special Examinations >


Video 9-1 | Requires QuickTime

Paradoxical septal motion. (Courtesy of E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Pulmonary Examination >
Audio | Requires QuickTime

Recording of a person with early congestive heart failure. The lung sounds of early congestive heart failure are very similar to those of pulmonary fibrosis. The fine end-inspiratory rales of the two diseases are difficult to distinguish. (Reproduced, with permission, from Murphy RLH Jr: A Simplified Introduction to Lung Sounds [audio tape], 1977.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
Audio | Requires QuickTime

Atrial septal defect (ASD) and pulmonary hypertension. Note S1 followed by a rough systolic murmur and fixed close splitting of A2-P2. P2 is louder than A2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Pulmonary hypertension. Note the rough mid-systolic murmur followed by a split S2 with a lout P2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Congestive heart failure due to valvular dysfunction. Note the holosystolic murmur and S2 followed by S3. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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An S4 precedes S1 and is an abnormal finding in this pregnant patient. Peripartum cardiomyopathy must be considered. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Mitral valve prolapse with S1, non-ejection click, late systolic murmur, and S2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Mitral regurgitation causing heart failure. Note the holosystolic murmur heard best at the apex, followed by S2 and an S3. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Tricuspid regurgitation due to tricuspid valve endocarditis. A blowing holosystolic murmur is preceded by S1, followed by S2, and increases in loudness with inspiration. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Ventricular septal defect (VSD). Blowing to rough grade 4/6 holosystolic murmur. A VSD may cause a loud rough murmur rather than a more characteristic blowing murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Signs of Heart Disease > Heart Sounds & Murmurs >
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Pulmonary regurgitation due to primary pulmonary hypertension. Note the loud P2 followed by a rapidly attenuating early diastolic murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >


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Left ventricular hypertrophy. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >


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Left atrial thrombus. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing > Noninvasive Diagnostic Imaging for Noncoronary Heart Disease > Echocardiography & Doppler Ultrasound Imaging >


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Dobutamine-induced myocardial ischemia. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Diagnostic Testing >


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Dilated cardiomyopathy. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Symptoms and Signs >
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Pulmonary valve stenosis. S1 followed by a click, then a rough systolic murmur and a single S2. The click would disappear with inspiration due to early opening of the pulmonary valve. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >


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Pulmonary stenosis. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >


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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Pulmonary Stenosis > Clinical Findings > Diagnostic Studies >


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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Atrial Septal Defect & Patent Foramen Ovale > Clinical Findings > Diagnostic Studies >


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Atrial septal defect with right-to-left shunting. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Ventricular Septal Defect > Clinical Findings > Diagnostic Studies >


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Ventricular septal defect. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congenital Heart Disease > Patent Ductus Arteriosus > Clinical Findings > Symptoms and Signs >
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Patent ductus arteriosus (PDA). Continuous murmur. S2 is obliterated by the waxing and waning of the murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Symptoms and Signs >
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Moderate mitral stenosis with a typical presystolic murmur, loud S1, and S2 followed by a late opening snap and soft, barely audible mid-diastolic murmur. Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Diagnostic Studies >


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Rheumatic mitral stenosis with mitral regurgitation. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Clinical Findings > Diagnostic Studies >


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Rheumatic mitral stenosis. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Mitral Stenosis > Treatment & Prognosis >


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Percutaneous transvenous mitral commissurotomy (PTMC) with Inoue balloon catheter. The balloon inflates distally and then proximally to allow proper positioning across the mitral valve. The mean pressure gradient across the mitral valve is proportionate to the area between the pressure curves and is markedly reduced after PTMC. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Clinical Findings > Symptoms and Signs >
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Subaortic stenosis (subvalvular aortic stenosis). A typical to-and-fro murmur which does not overlap S2. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Clinical Findings > Symptoms and Signs >
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Aortic stenosis in a man presenting with angina, syncope, and dyspnea on exertion. Note S1 and an ejection sound followed by a rough systolic murmur and a single S2 (P2). (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Stenosis > Prognosis & Treatment >


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Percutaneous balloon valvuloplasty of calcific aortic stenosis. Hemodynamic tracings of simultaneously recorded aortic and left ventricular pressure waveforms are depicted. The mean pressure gradient across the aortic valve is proportionate to the area between the pressure curves and is markedly reduced after valvuloplasty. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Aortic Regurgitation > Clinical Findings > Symptoms and Signs >
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Severe aortic regurgitation due to aortic valve endocarditis. Note the rough 3/6 mid-systolic murmur, then S2, a musical early diastolic murmur, and a mid-diastolic Austin-Flint murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], McGraw-Hill, 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Choice & Management of Prosthetic Valves >
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Prosthetic mitral valve sounds. Note the loud closing click of the mitral valve, a second sound and a softer closing click. This sound is heard at the apex of the heart in the mitral area and signifies the presence of non-biological prosthetic mitral valve.” (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Valvular Heart Disease > Choice & Management of Prosthetic Valves >
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Prosthetic aortic valve. Note the crisp click of a prosthetic non-biological valve. A2 is the loudest portion of the second heart sound (S2), consistent with a prosthetic aortic valve.” (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Signs >
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Hypertrophic obstructive cardiomyopathy (HOCM). A mid-systolic rough 3/6 murmur and S2 is heard with the patient supine. This murmur is louder when the patient stands, performs a Valsalva maneuver, or inhales amyl nitrite. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Coronary Angiography >


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Coronary angiography revealing high-grade stenosis in the proximal left anterior descending coronary artery. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Clinical Findings > Coronary Angiography >


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Coronary angiography revealing high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


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Coronary angiography revealing high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


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Percutaneous transluminal coronary angioplasty (PTCA) of the high-grade stenosis in the proximal right coronary artery. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


Video | Requires QuickTime

Coronary angiography of right coronary artery after PTCA. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


Video | Requires QuickTime

Coronary angiography reveals serial high-grade stenoses in the left circumflex coronary artery. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


Video | Requires QuickTime

Deployment of coronary stents to stenoses in left main and left circumflex coronary arteries. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Chronic Stable Angina Pectoris > Prevention of Further Attacks > Revascularization > Type of procedure > Percutaneous coronary intervention including stenting >


Video | Requires QuickTime

Coronary angiography after coronary stenting. (Courtesy of T Amidon and T Chou.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Clinical Findings > Signs > Chest >
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Patients with congestive heart failure may develop pulmonary edema. When this occurs, more extensive rales or diffuse wheezing is heard. (Reproduced, with permission, from Murphy RLH Jr: A Simplified Introduction to Lung Sounds [audio tape], 1977.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Clinical Findings > Signs > Heart >
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Viral pericarditis with effusion and pericardial friction rub. Note the three component rub, two in diastole, and one in systole. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Dysfunction > Hypotension and shock >


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Pericardial tamponade. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Dysfunction > Hypotension and shock >


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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > Myocardial Rupture >


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Left ventricular pseudoaneurysm. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Coronary Heart Disease (Atherosclerotic CAD, Ischemic Heart Disease) > Acute Myocardial Infarction with ST Segment Elevation > Complications > LV Aneurysm >


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Left ventricular aneurysm. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congestive Heart Failure > Pathophysiology >


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Diastolic dysfunction. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Congestive Heart Failure > Clinical Findings > Additional Studies >


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Dilated cardiomyopathy, M-mode assessment. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >


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Hypertrophic obstructive cardiomyopathy. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >


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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Hypertrophic Cardiomyopathy > Clinical Findings > Diagnostic Studies >


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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Myocarditis & the Cardiomyopathies > Restrictive Cardiomyopathy > General Considerations >


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Restrictive cardiomyopathy. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Rheumatic Fever > General Considerations >


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Rheumatic mitral stenosis. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Pulmonary Hypertension & Pulmonary Heart Disease > Pulmonary Heart Disease (Cor Pulmonale) > Clinical Findings > Symptoms and Signs >
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A summation gallop in heart failure. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Neoplastic Diseases of the Heart >
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Left atrial myxoma. Note the presystolic murmur, S1 followed by S2 and a tumor plop, and a soft diastolic murmur. (Reproduced, with permission, from T. Anthony Don Michael, MD: Mastering Auscultation [CD-ROM], 2000.)

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CURRENT Medical Dx & Tx > Chapter 10. Heart Disease > Neoplastic Diseases of the Heart >


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Left atrial myxoma. (Courtesy of B Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 11. Systemic Hypertension > Clinical Findings > Signs > Heart >
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Fourth heart sound. The fourth heart sound immediately precedes the first heart sound and is heard best over the left sternal border. (Reproduced, with permission, from Cardionics, Inc., Houston, Texas.)

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CURRENT Medical Dx & Tx > Chapter 12. Blood Vessel & Lymphatic Disorders > Arterial Aneurysms > Aortic Dissection > Clinical Findings > Symptoms and Signs >
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Aortic regurgitation: The key features of aortic regurgitation are a blowing, early diastolic, decrescendo murmur, heard best over the upper left sternal border, with radiation to the cardiac apex. (Reproduced, with permission, from Cardionics, Inc., Houston, Texas.)

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CURRENT Medical Dx & Tx > Chapter 12. Blood Vessel & Lymphatic Disorders > Arterial Aneurysms > Aortic Dissection > Clinical Findings > Imaging >


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Aortic dissection as demonstrated by transesophageal echocardiography. (Courtesy of B. Macrum and E Foster.)

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CURRENT Medical Dx & Tx > Chapter 22. Kidney Disease > Chronic Kidney Disease > Complications > Cardiovascular Complications > Pericarditis >


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Uremic pericardial effusion. (Courtesy of E Foster.)

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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >


Sinus Node Electrophysiology | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >


Atrial Myocyte Electrophysiology | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Principles of Cardiac Electrophysiology >


AV Node Electrophysiology | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 28. Pharmacotherapy of Congestive Heart Failure > Pharmacotherapy of Congestive Heart Failure: Introduction >


Ventricular Myocyte Electrophysiology | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Anti-Arrhythmic Drugs >


Effects of Antiarrhythmic Drugs on the Electrocardiogram | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Antiplatelet Drugs >


Antiplatelet Drugs | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Parenteral Anticoagulants >


Parenteral Anticoagulants | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Fibrinolytic Drugs >


Fibrinolytic Drugs | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs > Oral Anticoagulants >


Oral Anticoagulants | Requires Flash



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Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e > Chapter 29. Anti-Arrhythmic Drugs > Mechanisms of Cardiac Arrhythmias >


Anti-Arrhythmic Drugs | Requires Flash



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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >


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Gated SPECT images from the patient in Figure 3-6A.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >


Moving Image 3-2 | Requires QuickTime

Decreased perfusion and regional function in the basal part of the inferior and inferolateral wall with no difference between stress and rest.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 3. Myocardial Perfusion Single Photon Emission Computed Tomography and Positron Emission Tomography > SPECT Technique > Gated SPECT and Electrocardiogram Triggering >


Moving Image 3-3 | Requires QuickTime

Decreased perfusion in the apex at rest that increases to a severe and large perfusion defect at stress.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Transthoracic Echocardiography >


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Left ventricular apical thrombus on 2D transthoracic echocardiogram.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Transesophageal Echocardiography >


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TEE revealing left atrial appendage thrombus despite therapeutic anticoagulation for greater than four weeks.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-6A | Requires QuickTime

All four pulmonary veins emerging from the left atrium in a normal fashion.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-6B | Requires QuickTime

Variant right pulmonary vein anatomy with a separate right middle pulmonary vein and early posterior branch off the right lower pulmonary vein.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-6C | Requires QuickTime

Left pulmonary veins emerging as a common trunk.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-7A | Requires QuickTime

Two chamber view demonstrating focal wall thinning and hypokinesis.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-7B | Requires QuickTime

Short axis cine view demonstrating focal wall thinning and hypokinesis.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-7G | Requires QuickTime

Further confirmation of thrombus magnetic resonance angiography in a four chamber view.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-8A | Requires QuickTime

Three dimensional magnetic resonance imaging of the heart and proximal central vasculature.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-8B | Requires QuickTime

Bright blood magnetic resonance imaging in oblique views to visualize the region of anomalous pulmonary vein connection to the superior right atrium / superior vena cava.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-9A | Requires QuickTime

Magnetic resonance cine images in short axis view with absence of dramatic wall motion abnormalities.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-9B | Requires QuickTime

Magnetic resonance cine images in three chamber view with absence of dramatic wall motion abnormalities.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Preprocedural Evaluation > Cardiac Magnetic Resonance Imaging and Computed Tomography >


Moving Image 8-9C | Requires QuickTime

Bright blood magnetic resonance imaging in double oblique views to visualize the region of anomalous pulmonary vein connection to the superior right atrium / superior vena cava.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >


Moving Image 8-17A | Requires QuickTime

Left anterior oblique epicardial ablation cath/angio.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >


Moving Image 8-17B | Requires QuickTime

Left anterior oblique octapolar contrast around left atrial appendage.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >


Moving Image 8-17C | Requires QuickTime

Right anterior oblique epicardial ablation cath/angio.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >


Moving Image 8-17D | Requires QuickTime

Right anterior oblique octapolar contrast around left atrial appendage.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > The Electronic Stimulator and Fluoroscopy >


Moving Image 8-18 | Requires QuickTime

Use of IV contrast to identify catheter position.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Ablation and Impedance Mapping >


Moving Image 8-21 | Requires QuickTime

Pulmonary vein antral mapping revealing normal sinus rhythm is isolated pulmonary vein antra.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >


Moving Image 8-22A | Requires QuickTime

2D TEE guided catheter manipulation along the LOM.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >


Moving Image 8-22B | Requires QuickTime

3D TEE guided catheter manipulation along the LOM with a relatively thick LOM.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Transesophageal Echocardiography >


Moving Image 8-22C | Requires QuickTime

3D TEE guided catheter manipulation along the LOM with a relatively thin LOM.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-23A | Requires QuickTime

Doppler analysis across the atrial septum demonstrating right to left shunting after sheath removal from the left atrium in a patient with pulmonary hypertension.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-23B | Requires QuickTime

Engagement of the interatrial septum with the transeptal needle guided by an SL1 sheath and dilator.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-24 | Requires QuickTime

ICE with ICE probe in the left atrium for visualization of mapping catheter contact with the pulmonary vein antrum and assessment of position in relation to structures of importance such as the esophagus.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-25A | Requires QuickTime

CARTO sound drawing ESO.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-25B | Requires QuickTime

CARTO sound drawing LAA.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-25C | Requires QuickTime

CARTO sound drawing left pulmonary veins.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Intracardiac Echocardiography >


Moving Image 8-25D | Requires QuickTime

Sound map created with vessel tags.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Contact Mapping >


Moving Image 8-26A | Requires QuickTime

Landmark registration of 3D CARTO electroanatomic map and 3D magnetic resonance angiogram of the left atrium brought together with CARTO-merge software.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Contact Mapping >


Moving Image 8-26B | Requires QuickTime

Left atrium MRI with landmarks rotating.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >


Moving Image 8-28A | Requires QuickTime

3D voltage maps of the right ventricle and left ventricle endocardial surface.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >


Moving Image 8-28B | Requires QuickTime

3D voltage map of the epicardial surface of the ventricles.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Voltage Mapping (Three-Dimensional Contact Mapping System) >


Moving Image 8-28C | Requires QuickTime

Mesh of endocardial and epicardial 3D voltage maps.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Activation and Propagation Mapping (Three-Dimensional Contact Mapping System) >


Moving Image 8-29 | Requires QuickTime

Three dimensional electroanatomic activation map and propagation map of a left atrial macroreentrant flutter.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Multimodal Imaging in the Electrophysiology Laboratory > Three-Dimensional Electroanatomic Mapping (Three-Dimensional Noncontact Mapping System) >


Moving Image 8-30 | Requires QuickTime

Non-contact mapping with ESI multi-electrode array.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Postprocedure Evaluation > Cardiac PET >


Moving Image 8-34A | Requires QuickTime

TEE thick left atrial and Ao.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 8. Electrophysiologic Mapping > Postprocedure Evaluation > Cardiac PET >


Moving Image 8-34B | Requires QuickTime

TEE thick left atrial and LAA.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Arrhythmogenesis during Acute Ischemia and Reperfusion >


Moving Image 10-3 | Requires QuickTime

Unidirectional block of conduction at the transmural gradient of refractory period by endocardial stimulation during acute global ischemia.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Arrhythmogenesis during Acute Ischemia and Reperfusion >


Moving Image 10-4 | Requires QuickTime

Unidirectional block of the epicardially initiated activation and transmural asymmetry in conduction during acute global ischemia.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 10. Optical Mapping of Electrical Activity > Spontaneous Arrhythmias in Tissues Recovered from Ischemia >


Moving Image 10-5 | Requires QuickTime

Prior ischemia promoted spontaneous early afterdepolarizations (EADs) and ventricular tachyarrhythmia (VT) in a canine left ventricular tissue having anemone toxin II (ATX-II)–induced long QT syndrome.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >


Moving Image 18-2A | Requires QuickTime

Apical 4 chamber view shows the primum AVSD defect between the atria, common atrioventricular junction with left and right part of the common AV valve.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >


Moving Image 18-2B | Requires QuickTime

Subcostal short axis view shows the anatomy of the left part of the atrioventricular valve. Bridging leaflets and mural leaflet are depicted.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Echocardiography >


Moving Image 18-3 | Requires QuickTime

Anatomy of the atrioventricular valve in AVSD by using 3D ECHO imaging.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Imaging of the Atrioventricular Valve Function >


Moving Image 18-4 | Requires QuickTime

2D ECHO image of the insufficiency of the AV vale.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 18. Congenital Heart Disease: Atrioventricular Septal Defect > Imaging of AVSD: Anatomy > Imaging of the Atrioventricular Valve Function >


Moving Image 18-5 | Requires QuickTime

3D Flow of the insufficiency of the left sided AV valve.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Introduction >


Moving Image 19-2B | Requires QuickTime

Importance of foreshortening.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Two-Dimensional Echocardiography >


Moving Image 19-4B | Requires QuickTime

Contrast echocardiography.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Two-Dimensional Echocardiography >


Moving Image 19-5B | Requires QuickTime

Transthoracic 2D echocardiographic images in diastole and systole.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Echocardiography > Three-Dimensional Echocardiography >


Moving Image 19-12B | Requires QuickTime

3D echocardiography.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Selected Noninvasive RV Imaging Techniques > Multidetector Cardiac Computed Tomography >


Moving Image 19-14 | Requires QuickTime

Cardiac CTA, 3D volume-rendered image, end-systolic phase, with contrast timed to fill both the RV and LV chambers.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Congenital Heart Disease > Tetralogy of Fallot with Pulmonary Regurgitation >


Moving Image 19-17A | Requires QuickTime

Basal short axis 2D and color-flow Doppler echocardiogram.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Congenital Heart Disease > Tetralogy of Fallot with Pulmonary Regurgitation >


Moving Image 19-17B | Requires QuickTime

Transthoracic 2D echocardiogram in a patient with Ebstein’s anomaly.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 19. Right Ventricular Cardiomyopathies > Specific RV Cardiomyopathies > Arrhythmogenic RV Cardiomyopathy/Dysplasia >


Moving Image 19-22A | Requires QuickTime

Cardiac MRI, SSFP image, apical 4-chamber orientation in a patient with a plakophilin genetic mutation.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Echocardiography >


Moving Image 22-7 | Requires QuickTime

Transthoracic suprasternal view showing the aortic arch and descending aorta.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >


Moving Image 22-11A | Requires QuickTime

MRA with 3D reconstruction of a descending aortic dissection.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >


Moving Image 22-11C | Requires QuickTime

Transaxial view revealing the connection between the true and false lumen.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >


Moving Image 22-12A | Requires QuickTime

Residual dissection that starts in the distal ascending thoracic aorta and involves the aortic arch as well as the descending thoracic aorta.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Dissection > Diagnostic Imaging > Magnetic Resonance Imaging >


Moving Image 22-12B | Requires QuickTime

Cross sectional view of the distal ascending aorta and descending thoracic aorta, showing the dissection in these territories.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Atheromatous Plaques and Atheroembolization >


Moving Image 22-16A | Requires QuickTime

Transesophageal longitudinal axis.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Atheromatous Plaques and Atheroembolization >


Moving Image 22-16B | Requires QuickTime

Short axis images of a complex aortic plaque.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Penetrating Atherosclerotic Ulcers >


Moving Image 22-19A | Requires QuickTime

MRA 3D reconstruction image with a large penetrating ulcer in the proximal ascending aorta.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Atheromatous Disease > Aortic Penetrating Atherosclerotic Ulcers >


Moving Image 22-19B | Requires QuickTime

Cross sectional view with the penetrating ulcer in the ascending aorta at the level of the pulmonary artery.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Epidemiology and Classification >


Moving Image 22-23A | Requires QuickTime

Transthoracic echocardiogram showing a ruptured aneurysm of the right sinus of Valsalva in magnification.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Epidemiology and Classification >


Moving Image 22-23B | Requires QuickTime

Color flow imaging Doppler indicating a turbulent, high velocity jet from the aneurysm into the right ventricle.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > Echocardiography >


Moving Image 22-24A | Requires QuickTime

Two-dimensional transesophageal echocardiographic view of the dilated ascending aorta.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > Echocardiography >


Moving Image 22-24B | Requires QuickTime

Significant aortic regurgitation seen with color-flow Doppler imaging.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > CT and MRI >


Moving Image 22-25A | Requires QuickTime

MRA 3D reconstructed image of a supracoronary ascending aneurysm with "bovine arch."

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 22. Diseases of the Aorta > Aortic Aneurysms > Thoracic Aortic Aneurysms > Imaging > CT and MRI >


Moving Image 22-25B | Requires QuickTime

Cross sectional image of the aneurysm.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Chest Radiograph >


Moving Image 24-1 | Requires QuickTime

Apical four-chamber view.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Computed Tomography >


Moving Image 24-2 | Requires QuickTime

Bowing of the interventricular septum towards the left ventricle.

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Multimodal Cardiovascular Imaging: Principles and Clinical Applications > Chapter 24. Pulmonary Vascular Disease > Idiopathic Pulmonary Arterial Hypertension > Imaging > Computed Tomography >


Moving Image 24-3 | Requires QuickTime

Transthoracic contrast echocardiography.

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