Doctor & Patient Education Cardiac Specialist Centre
Echo
3. What is this #2?

1 IE into RA

The colour flow

2 AV short twin

  • The diagnosis should be quite apparent
  • Here are more views

3 AP4

4 AV zoom

5 AV SAX

  • This view shows the vegetation extending from the aortic valve into the tricuspid valave
  • It also shows the fistula connecting the aortic root to the RVOT
  • Thus the earlier colour flow mapping shows a shunt from the aortic root into the RVOT
  • The following shows this in different angle

6 AV long twin

 




From the 30 degree view

Conclusion
  • This patient has an aortic infective endocarditis with large vegetation attached to the NCC
  • However, all the cusp have been compromised with resultant severe AR
  • The vegetation has also caused a fistula into the RVOT as well as the Tricuspid inflow
  • Patient was treated with anti-biotic with a view to surgical intervention
Consultation
Know Your Cardiologists

I feel breathless when walking.

I feel a tightness over my chest.

Do I need to take my medicine for my blood pressure?

Do I need to take my medicine for my cholesterol?

Do I really need stents for my artery?

Do I really need to have a bypass operation?

When should I go for health screening?

I have heart problem, can I take Viagra?

I have heart problem, should I exercise?

Heart Disease
Learn about your heart Conditions

You may need an ultra sound scan of your heart to assess its function.

You may need a treadmill stress test.

You may need closer monitoring.

You may need a more thorough risk assessment and life style change.

You may only need to take your medicine.

You may get away with just stenting.

This generally should start at 40 years old.

Yes, but there are certain strict conditions to fulfill.

Yes, but you will need to find out the appropriate intensity.