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Echo


Clinical picture: thrombus in the left atrial appendage.


"A 79-year-old man was being evaluated for possible mitral valve repair for increasing mitral regurgitation."


"A 73-year-old man presented with weakness, weight loss, fever, and disorientation of 3 weeks' duration."


"A 55-year-old man presented with dyspnea on effort and atypical chest pain."


76-year-old woman with hypertensive history presents with BP 172/82 and II/VI systolic murmur. Doppler echocardiography shows an eccentric aortic regurgitation jet.


Images in clinical medicine. Malposition of dual-chamber pacemaker lead.


"A 59-year-old woman was admitted because of lethargy."


"A 36-year-old man was admitted for investigation of night sweats and increasing exertional dyspnea."


"Two and one half years after a lateral wall myocardial infarction, this 75-year-old patient was found to have marked cardiomegaly on chest radiograph."


"A10-year-old boy with aortic valve stenosis treated by surgical valvotomy when he was 6 months old underwent balloon dilatation of recurrent aortic stenosis."


"A60-year-old white woman presented with a history of exertional shortness of breath rapidly progressing to orthopnea and episodes of paroxysmal nocturnal dyspnea..."


"A 75-year-old woman presented with new onset of angina at rest associated with shortness of breath..."


71-year-old man experienced an episode of profound exertional dyspnea.


"A 33-year-old man with a history of intravenous drug use was admitted to the hospital with fever, cough, and shortness of breath..."


Image in clinical medicine. Left ventricular thrombus.


"A 75-year-old woman was evaluated for endocarditis at New York University Medical Center."


61-year-old man with Ebstein's anomaly presented with palpitations and chest pain.


"...53-year-old man with diffuse atherosclerosis and a large ascending aortic thrombus..."


59-year-old man with syphilis and heart failure.


"Four weeks after undergoing surgery to remove an intraventricular meningioma, a 64-year-old woman had recurrent episodes of dyspnea and hypotension."


"A 68-year-old woman was admitted to the emergency room with sudden left hemiparesis."


"A 64-year-old patient presented with methicillin-sensitive staphylococcal bacteremia."


"A 68-year-old woman presented with a 6-week history of shortness of breath on exertion."


"A 68-year-old man presented with epigastric burning associated with exercise."


56-year-old male presents with sciatica and a holo-systolic murmur.


Thrombolytic treatment of MCA stroke.


"A 48-year-old woman with a history of syncope was referred from another hospital to our institution with a diagnosis of suspected left atrial myxoma"


"A 56-year-old woman was admitted with an atrial septal defect of the secundum type."


71-year-old woman experiences shortness of breath after recovery from a myocardial infarction.


"A 70-year-old woman was evaluated for worsening angina. Physical examination disclosed a harsh diastolic murmur."


"An 82-year-old woman with no significant past medical history presented to the emergency room in cardiogenic shock."


"A38-year-old black man with a history of hypertension was admitted with a sudden onset of severe retrosternal chest pain radiating to his back."


"Physical examination revealed an ejection systolic murmur at the left sternal edge."


"48-year-old man with a two-hour history of chest pain and dyspnea."


"44-year-old woman with shortness of breath and metastatic carcinoma of unknown primary."


"A 57-year-old man had a car accident resulting in multiple organ trauma..."


"African 3-year-old boy had had a systolic and diastolic murmur of 3/6 maximal at the left midsternal border in the neonatal period..."


Images in clinical medicine. Percutaneous mitral valvuloplasty.


"76-year-old woman... presented with syncope."


"A 20-year-old man, previously asymptomatic, showed an incidental finding at echocardiography of a left ventricular mass."


"68-year-old patient was referred for transesophageal echocardiography to look for a possible cardiac source of embolization."


"A 48-year-old man with rheumatic heart disease had aortic and mitral valve replacement with bileaflet Carbomedix valves. Two months later, he presented in shock."


Sinus of Valsalva Aneurysm With Rupture Into the Interventricular Septum and Left Ventricular Cavity


"A 45-year-old man presented with acute onset of claudication of the lower limbs and abdominal pain."


"A healthy 38-year-old white man with no significant past medical history was referred for cardiac evaluation because of an abnormal ECG."


"A 47-year-old woman presented with fatigue and worsening exertional dyspnea."


"A 15-year-old boy underwent successful cardiac transplantation for severe congestive heart failure."


"3-year-old boy who had Kawasaki's disease at 18 months of age..."


"A 40-year-old healthy woman presented with an acute expressive aphasia and right hemiparesis..."


"A 52-year-old woman presented with palpitations, progressive shortness of breath, and transient dizziness..."


"A 59-year-old man with hypertension presented with a three-month history of fatigue and progressive shortness of breath."


"This young boy (147 lb), a talented athlete, was first identified by echocardiography as having nonobstructive HCM at age 14 after a syncopal spell."


76-year-old man presents with unstable angina and a pulsating abdominal mass.


"A 56-year-old man presented with dyspnea and chest discomfort following gastrectomy for metastatic adenocarcinoma."


"A 64-year-old woman with a history of coronary artery bypass graft surgery 2 years earlier presented with a bulging mass on the anterior chest wall 2 weeks after minor chest trauma."


"A 61-year-old man was admitted for evaluation of progressive dyspnea several months after coronary artery bypass surgery."


"A 44-year-old white female patient was admitted to the hospital with signs of congestive heart failure."


Rendu-Osler-Weber Disease : Transthoracic Doppler Ultrasonographic Findings.


"14-year-old girl referred for a systolic murmur."


A coronary anomalie was found by routine echocardiogrphy of a 72-year-old woman.


34-year-old black woman with dyspnea and mitral regurgitation murmur.


Images in cardiovascular medicine. Alfieri mitral valve repair: clinical outcome and pathology.


"A26-year-old man was admitted to a private nursing home in December 1995 with the sudden onset of palpitations."


"The boy was treated with oxygen, diuretics, digoxin, afterload reduction, and anticoagulation."


Platypnea-Orthodeoxia in a 67-year-old woman.


62-year-old man with scleredema presents with an abnormal ECG.


42-year-old woman presented with transient neurologic episodes and a giant right ventricle.


56-year-old man with dyspnea and pulselessleft leg.


55-year-old woman has heart failure and a systolic murmur.


"A 22-year-old woman without medical history presented with a grade 3/6 ejectional systolic murmur. "


"A 52-year-old man complained of dyspnea on exertion for 1 month."


"A 49-year-old woman underwent cardiac evaluation because of an abnormal ECG."


50-year-old white man, with biventricular thrombi


"A 59-year-old woman presented with exertional dyspnea this past year."


"A 67-year-old woman presented with clinical evidence of expansion of an aortic aneurysm..."


"A 9-month-old previously healthy girl presented to the emergency room in congestive heart failure."


Pericardial adhesion shown in echocardiographic subxiphoid view in a patient with postsurgical pericardial constriction.


"A 22-year-old man had infective endocarditis and an aneurysm of the anterior mitral leaflet."


"A 36-year-old woman was admitted to a regional cardiac care center elsewhere with a history of intermittent palpitations and giddiness."


Images in cardiovascular medicine. Acute myocardial infarction in uncorrected tetralogy of fallot.


"A 26-year-old obese woman presented with progressive exertional dyspnea and cyanosis."


Patient evaluated for a right atrial mass.


86-year-old woman with intermittent dyspnea and cyanosis.


"A 50-year-old man was referred for transesophageal echocardiography."


"A66-year-old man was admitted for evaluation of a heart murmur, atypical thoracic pain, and exertional dyspnea..."


"18-month-old, 8.8-kg infant with cor triatriatum..."


"A 37-year-old black woman presented with watery diarrhea, facial flushing, and progressive right heart failure."


70-year-old man presents for evaluation of left ventricular function.


Images in cardiovascular medicine: Pulmonary valve endocarditis.


"A 70-year-old man was referred for recent-onset angina."


71-year-old woman with flash pulmonary edema.


"A 37-year-old white man with a past medical history of mental retardation, hypertension, and insulin-dependent diabetes mellitus...developed ischemia in the right lower extremity."


45-year-old motor accident victim suffered injury of his thoracic aorta.


Images in cardiovascular medicine. Fate of intracardiac lead vegetations after percutaneous lead extraction.


36-year-old female with dyspnea suffered and episode of syncope.


"A 23-year-old man was admitted to the hospital with severe heart failure and cachexia."


"A 58-year-old man was transferred to St Luke's Episcopal Hospital in January 1996 with persistent pleuritic chest pain."


"A 67-year-old woman was admitted to a hospital because of the recent onset of general malaise."


"A 33-year-old woman developed shock and died 16 hours after labor with moderate hemorrhage."


"A 37-year-old man with progressive heart failure after myocardial infarction...."


42-year-old male with heart murmur presents with dyspnea and fatigue.


73-year-old man presents with dyspnea on exertion and chest tightness.


"An 85-year-old man presented for cardiac evaluation before urological surgery with a long history of intermittent stiffness and discomfort in the dorsal spine."


"A78-year-old woman with reduced left ventricular contractile function underwent coronary artery bypass graft surgery (3 saphenous vein grafts and an internal mammary artery graft) and mitral valve repair."

Edited by Donald L Vine MD

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