Pickelhaube Spike

Não é fácil de encontrar mas é bem claro quando presente

Revela a deformação do anel Mitral, cedendo à força do ventrículo.

Mais uma prova que o Prolapso depende da deformação do anel na quase totalidade dos casos

https://echotalkblog.com/2015/11/12/o-prolapso-mora-no-posterior/https://echotalkblog.com/2015/11/12/o-prolapso-mora-no-posterior/

https://echotalkblog.com/2009/07/31/eu-acredito-em-prolapso/

Sem limites para as intervenções endovasculares

https://www.sciencedirect.com/science/article/pii/S0735109720302722?via%3Dihub

Transcatheter correction was performed in 25 patients, with a further 6 awaiting stent implantation. Only 8 patients were deemed technically unsuitable. The procedure involved balloon test inflation in the anticipated stent landing zone with simultaneous transesophageal echocardiography and pulmonary venography to confirm defect closure and unobstructed pulmonary venous drainage, followed by deployment of a 10-zig covered Cheatham platinum stent. Stents of lengths between 5 and 8 cm were implanted. A second, uncovered stent was used for anchoring in 9 patients. The RUPV was protected with a high-pressure balloon during stent implantation to prevent pulmonary venous obstruction in 4 patients. The median follow-up period was 1.4 (interquartile range: 0.8 to 1.7) years, with no mortality. Stent embolization occurred in 1 patient; another required drainage of hemopericardium. Cardiac computed tomography after 3 months confirmed unobstructed pulmonary venous return. At latest follow-up, a residual shunt was present in 1 patient.

Conclusions

Transcatheter correction of SVASD may be considered as an alternative to surgery in a substantial proportion of patients.

Ecoestresse sem ECG

Feigenbaum

Alguns ecocardiografistas discutem não usar o ECG na era COVID-19 para diminuir o contato dos profissionais de saúde.

Nestes pacientes, a indicação de Ecoestresse é rara.

Mas cabe alertar que a analise da geometria ventricular, usada por nós na EchoTalk e descrita no melhor livro texto de ecocardiografia, não requer o ECG como essencial.

É perfeitamente possível realizar a avaliação da geometria recortando um ciclo.

Sabemos que o ECG é muito útil durante o exame para controle de arritmias e alterações isquêmicas. Usamos sempre que possível!

Só estamos mostrando um caminho nesta época de exceções!