Что это? Полцарства за коня!

[sokolov166]

ещё нет

[Vasilich]

Коронарный синус

[mila474]

А нет ли здесь Разрыва кисты?

[Vasilich]

А нет ли здесь Разрыва кисты?

Фистула

[Andrey Bushmelev]

Врожденная аномалия ЛЖ?

[Vasilich]

Как вариант:
Coronary artery fistulae are abnormal connections between a coronary artery and any cardiac chamber
https://www.ncbi.nlm.nih.gov/pubmed/27661559

[Pawel Hertz]

I have problem with colours on those reversed pictures. Whe reversed? Could it be ruptured left ventricle aneurysme ruptered to.... what ??

[Vasilich]

I have problem with colours on those reversed pictures. Whe reversed? Could it be ruptured left ventricle aneurysme ruptered to.... what ??

I've noticed that too Seems that color scale was merely inverted for some unknown so far reason. Concerning your question about left ventricle aneurysma, it was earlier said that no. You are experienced, what is your opinion, may it be such significant enlargement of the coronary sinus with the fistula into the left ventricle?

[sokolov166]

I have problem with colours on those reversed pictures. Whe reversed? Could it be ruptured left ventricle aneurysme ruptered to.... what ??

-Странные люди ( и в Польше тоже)) ) - перевернутые картинки ?? Почему перевернутые? ОНИ- нормальные, анатомические - ноги внизу!! (в том числе и Гиса ). Чреспищеводное исследование вы что тоже переворачиваете вверх ногами? Только ТАК можно понять что и где находится!

-Strange people: D (and in Poland too))) - inverted pictures?? Why upside down? Why reversal? Pictures are normal, anatomical - feet below !! (including conducting system ). Do you turn the transesophageal examination upside down?))). If you use this- you will understand what and where locate.

[Vasilich]

I have problem with colours on those reversed pictures. Whe reversed? Could it be ruptured left ventricle aneurysme ruptered to.... what ??

-Странные люди ( и в Польше тоже)) ) - перевернутые картинки ?? Почему перевернутые? ОНИ- нормальные, анатомические - ноги внизу!! (в том числе и Гиса ). Чреспищеводное исследование вы что тоже переворачиваете вверх ногами? Только ТАК можно понять что и где находится!

-Strange people: D (and in Poland too))) - inverted pictures?? Why upside down? Why reversal? Pictures are normal, anatomical - feet below !! (including conducting system ). Do you turn the transesophageal examination upside down?))). If you use this- you will understand what and where locate.

Maybe, people in Poland are walking up and down by arms with their feet up But there is another strange thing. Pawel and me have an impression that colors at the first clip are inverted. Is this illusion or not?

[sokolov166]

Ничего цвета не инвертированы- шкала показывает, что на датчик - поток красный) с..- остальное как обычно...
Это постинфарктый разрыв, - нижнеперегородочный. На первом клипе просто все хорошо и понятно где это находится, через дефект течет кровь на датчик- красный поток, в ЛП из легочных вен на правление МК - тоже красный. Ну а ЛЖ поперек лежит.. или че-то не так?

[Vasilich]

Ok! Интересный случай. И ракурс необычный. А идея разрыва мелькнула, но к сожалению, не нашла развития.

[Vasilich]

For such experienced cardiologist as you, Dr Hertz, these games most likely are mere entertainment, but we, beginners in cardiosonography, are forced to take them more seriously. They serve us as some sort of training courses, highlighting some important and up-to-date issues, revealing the areas where we are ignorant so far and indicating proper directions of additional self education. And we are very grateful to Valsalva team and personally to Prof Sokolov and Dr Pyankov for that. The only discouraging thing is weak activity of the readers. And so some good opportunities are being lost because of that. For example, you, Dr Hertz, proposed good idea: "Could it be ruptured left ventricle aneurysme ruptered to.... what ??" Seemingly, at that point, the proper answer of IVS rupture was within the reach. Shamefully, I misinterpreted the picture, and didn't understood your tip. Shame. Must be more sensitive to others views. But there are a lot of well-educated cardiosonographers at the forum. Thinkfully , if they discussed the picture in more detail by each other they could solve the riddle by themselves. Maybe, in the future...
PS People in beautiful Poland are walking on their feet and are very good and pleasant people. Excuse me, please.

[sokolov166]

and please for domestic peoples by their language

[sokolov166]

Спасибо польским друзьям!