Найдено 213 результатов

Pawel Hertz
Вт окт 02, 2018 8:25 am
Форум: Кардиология
Тема: Rasputin
Ответы: 31
Просмотры: 12590

Re: Rasputin

In my opinion prof Sokolov had visualized normal, but trurbulent flow from left subclavian or left vena jugularis flow to left innominative. There is no evidence that there is so big vana azygos accesoria. This red flow is very often seen in descendens aorta on this place and very often er misleadin...
Pawel Hertz
Пн окт 01, 2018 8:27 am
Форум: Кардиология
Тема: Простой случай, прежние проблемы 3
Ответы: 15
Просмотры: 76254

Re: Простой случай, прежние проблемы 3

It looks like femoralis superficialis is really closed. Why not visulized? I am not fluent with it but I remember that conservative approache is first. Maybe surgeon wanted to take him to controll and decidet. What about angiography ?
Pawel Hertz
Вс сен 30, 2018 4:44 pm
Форум: Кардиология
Тема: Иллюзия
Ответы: 1
Просмотры: 1490

Re: Иллюзия

Medtronic Hall valve

First time I have been thinking in half a day what is going on
Pawel Hertz
Вс сен 30, 2018 4:43 pm
Форум: Кардиология
Тема: Иллюзия
Ответы: 1
Просмотры: 1490

Иллюзия

I give here an example of 3D imaging paradox. This is a patient with Medtronic Hall mechanical valve. Observer is sitting in the aorta root ( pictures without seen hook ) or in LVOT ( with seen hook ) and looks across aortic valve. In systole - open valve flap obscures a cross view ( ultrasound beam...
Pawel Hertz
Вс сен 30, 2018 1:42 pm
Форум: Кардиология
Тема: Alfieri valve in statu nascendi ?
Ответы: 11
Просмотры: 5252

Re: Alfieri valve in statu nascendi ?

Medtronic Hall
Pawel Hertz
Вс сен 30, 2018 1:41 pm
Форум: Кардиология
Тема: Alfieri valve in statu nascendi ?
Ответы: 11
Просмотры: 5252

Re: Alfieri valve in statu nascendi ?

3d is better, but it is also operator depended, optimal angulation is needed. And massive calcification is the second limitation. Yeas, exactly. I give here one of an example of 3D imaging paradox. This is a patient with Medtronic Hall mechanical valve. Observer is sitting in the aorta root (withou...
Pawel Hertz
Сб сен 29, 2018 9:03 pm
Форум: Кардиология
Тема: Alfieri valve in statu nascendi ?
Ответы: 11
Просмотры: 5252

Re: Alfieri valve in statu nascendi ?

Thank you! Nice picture! Rare case! Two orifices are the rare reason of stenosis severity overestimation In AS cases two orifices are better then one! https://scmr.org/page/COW1209? NB direct planimetry in bicuspid valve leads to overestimation of effective orifice area because of "doming"...
Pawel Hertz
Сб сен 29, 2018 7:53 pm
Форум: Кардиология
Тема: Alfieri valve in statu nascendi ?
Ответы: 11
Просмотры: 5252

Re: Alfieri valve in statu nascendi ?

Do you mean double orifice AV? I heard only about double orifice MV after edge-to-edge repair (Alfieri's procedure) :D this is the way how eponymous borns) Is it inherited ? or it may be a perforation due to endocarditis or trauma. Has he aortic insufficiency? Yes double orificeAV. I don't know if ...
Pawel Hertz
Чт сен 27, 2018 11:36 pm
Форум: Кардиология
Тема: Близняшки
Ответы: 35
Просмотры: 14771

Re: Близняшки

Found a fourth one :
Pawel Hertz
Чт сен 27, 2018 8:48 am
Форум: Кардиология
Тема: Близняшки
Ответы: 35
Просмотры: 14771

Re: Близняшки

Wojtek Guzowski писал(а):
Чт сен 27, 2018 8:10 am
Thx a lot,Alexandr, according to your attitude- isolated MAPCA in adult,rear rarity in adult without any heart desease
:roll: :roll: :roll: MAPCA - forgotten vessels - embriologic Alzheimer :D :P
Pawel Hertz
Ср сен 26, 2018 11:28 pm
Форум: Кардиология
Тема: Suprasternal look
Ответы: 11
Просмотры: 5089

Re: Suprasternal look

Vertical vein
Pawel Hertz
Ср сен 26, 2018 11:27 pm
Форум: Кардиология
Тема: Alfieri valve in statu nascendi ?
Ответы: 11
Просмотры: 5252

Re: Alfieri valve in statu nascendi ?

Wojtek Guzowski писал(а):
Вт сен 25, 2018 8:17 pm
3 leaflets?
In my opinion yes
Pawel Hertz
Ср сен 26, 2018 8:12 pm
Форум: Кардиология
Тема: Близняшки
Ответы: 35
Просмотры: 14771

Re: Близняшки

Pawel Hertz писал(а):
Ср сен 26, 2018 8:09 pm

Pawel Hertz
Ср сен 26, 2018 8:09 pm
Форум: Кардиология
Тема: Близняшки
Ответы: 35
Просмотры: 14771

Re: Близняшки

And third one from my study collection I found in my PC now :
Pawel Hertz
Ср сен 26, 2018 7:36 pm
Форум: Кардиология
Тема: Близняшки
Ответы: 35
Просмотры: 14771

Re: Близняшки

Similar situation, similar recording in anather patient :