Ай бұрын
Жыл бұрын
Пікірлер
@WisalHeartClinic 24 күн бұрын
was there a mitral regurge when the Ee' was high? thanks!
@drsakiban1 24 күн бұрын
There was only mild MR when the E/E' was measured. Thanks for your interest.
@KarthiKeyan-zu2bx Ай бұрын
Interesting case sir! Thanks for sharing
@drsakiban1 Ай бұрын
@@KarthiKeyan-zu2bx you're welcome. thanks for your interest.
@kajori Ай бұрын
Sir is the surgery for tof intracardiac repair with TAP monocusp?
@drsakiban1 Ай бұрын
The surgery was for severe pulmonary regurgitation, he received a valve replacement. Thanks for your interest.
@drsakiban1 Ай бұрын
His childhood surgery was for valvular pulmonary stenosis.
@대숲바람-i5n Ай бұрын
Thank you very much for your TEE view!!. I recently experienced that the surgeon said the thrill was felt in the apex in the emergency CABG surgery. However, I couldn't find the VSD!!! I should have evaluated more thoroughly !!!! Thank you for your video!!!
@Dr.Kaung89 Ай бұрын
Very Informative Video , Sir Thanks for sharing 😊
@drpyaelinnmaung2836 Ай бұрын
For me I cannot find out these 2 reasons Sir. Sorry. Inferior wall is hypokinetic and others are good. So LVOT is borderline. Low LAP may be due to the haemothorax. If I am mistaken, please forgive me Sir🙏.
@drsakiban1 Ай бұрын
1. The ongoing bleeding resulting a state of hypovolemia 2. PA tamponade resulting in even lesser forward flow from right to left side of the heart
@drpyaelinnmaung2836 Ай бұрын
It is very clear improvement Sir after OM graft- Well contracted LV lateral wall was seen . Sir
@drpyaelinnmaung2836 Ай бұрын
Thank you so much for your video. Sir🙏. Rt heart valve lesions are not as common as left as the lady said in your video. Small aliasing artifact in CFD across the PV and so we should put the colour doppler and same time also do CW , shouldn’t we . Sir. Let me know Sir what type of surgery was done for this patient again by Dr Mandana in this time. Thank you Sir
@drsakiban1 Ай бұрын
@@drpyaelinnmaung2836 Dr. Pyae, the patient had a pulmonary valve replacement. Thanks for your comments.
@Dr.Kaung89 Ай бұрын
thanks trillion for sharing knowledge , Sir 😊
@drsakiban1 Ай бұрын
@Dr.Kaung89 you're welcome, Dr. Kaung 🙏😊
@Dr.Kaung89 4 ай бұрын
🎉 Thanks for precious information and happy to participate in your Video Sir 🙏☺️
@drsakiban1 4 ай бұрын
Always welcome Dr. Kaung 😊
@drpyaelinnmaung2836 5 ай бұрын
Before watching this video, the caption attracted me to see and learn it. It reminds me to make a continuous learning of TEE and not to forget the important facts when I am far away from teaching hospital.The photos shown at the end of video made me happy. I miss all of you (You -My Boss and my colleagues) , very nice Fortis's working environment and the food I ate like Khichuri, Mishti Doi, Pista kheer , Labra and chicken curry sold by Amit. 😊. Sir. 🙏
@drsakiban1 5 ай бұрын
@drpyaelinnmaung2836 Thanks so much Dr. Pyae. I miss you all too 😊🙏
@gitu192 5 ай бұрын
Great lecture..learnt a lot...thank You for very informative vedio
@drsakiban1 5 ай бұрын
@@gitu192 I’m so glad if it could help you learn something new. Pleasure 🙏🏻😊
@dollyangeldrdivya 5 ай бұрын
Nice video and background music. Thank you sir
@drsakiban1 5 ай бұрын
@@dollyangeldrdivya you're welcome 😊 🙏
@osamaelfadly2367 6 ай бұрын
Excellent Sir , but still confused regarding the impact of HR on AR grading
@drsakiban1 6 ай бұрын
@osamaelfadly2367 hi, thanks so much for coming up with an interesting question! I think if we think in terms of cardiac output (CO) , perhaps it will be easier to understand it. CO = stroke volume × heart rate, so if you increase each of these components, as you do while walking a flight of stairs or other forms of exertion or exercise, you increase the CO, an increasing CO will test an already leaky valve...if increasing CO increases the AR, then we can assume that a similar phenomenon occurs in real life on exertion...I hope this explains what I mean ....does it ? 😊🙏
@drsakiban1 6 ай бұрын
But I agree, I understand why it's confusing...keeping all other factors constant, an increasing heart rate will reduce diastolic filling time, and hence stroke volume...but if we think in terms of CO ....it makes sense, perhaps it's contractility and SV which is the more dominant predictor...
@Dr.Kaung89 6 ай бұрын
Thank you so much Sir 😊
@drsakiban1 6 ай бұрын
@@Dr.Kaung89 pleasure Dr. Kaung🙏
@drpyaelinnmaung2836 6 ай бұрын
Thanks for sharing. Sir. When I started watching, there was one question I had. But I got the answer after seeing Dr Mandana's explanation. Which one is Right, which one is left, which one is Non coronary and which one is extra. At 1min 43sec of video time, I was a little confused because you wrote that trying to mimic the exertion caused by a flight of stairs. So so I like to know really how to do so for this anesthetized patient Sir ,of course😊. Actually you purged the inotropes Sir. Thank you again. My privilege to learn a new topic Sir.🙏.
@drsakiban1 6 ай бұрын
@drpyaelinnmaung2836 you're welcome Dr. Pyae. 😊🙏
@nilanjanchakraborty1665 6 ай бұрын
Excellent Sir 👏🙏
@drsakiban1 6 ай бұрын
@nilanjanchakraborty1665 Thanks so much Nilanjan 😊
@Dr.Kaung89 7 ай бұрын
Thanks trillion for sharing precious experience Sir 🙏
@drsakiban1 7 ай бұрын
My pleasure Dr. Kaung. Thank you 🙏
@dr.dipsikhajana6703 7 ай бұрын
What is washing jet and paravalvar leak and transvalvar leak?
@drsakiban1 7 ай бұрын
Any leak outside the sewing ring of a prosthetic valve, through an abnormal channel between the native annulus and sewing ring (due to calcified annulus, torn sutures etc..) is defined as a paravalvular leak. Washing jets are small leaks, inherently designed to be there in mechanical heart valves, so as to wash out and clean debris (clot, calcium deposits etc.) and have typically small vena contracta and jet height. Transvalvular regurgitation is abnormal with significant jet width and height, frequently eccentric with dense profiles on CW Doppler. You can read any standard textbook, eg. Perrino, Savage, Swaminathan etc..to have more detailed information on them. Do look out for my next video on transvalvular regurgitation where a re-look into the heart valve was necessary. Thanks for your interest 🙂 👍
@dr.dipsikhajana6703 7 ай бұрын
@@drsakiban1 thank you so much sir
@Ahmedddddddds27016 7 ай бұрын
such an amazing illustration, it really helped me imagine it . big thanks from Egypt
@drsakiban1 7 ай бұрын
I am really glad it was useful and you liked it. Thanks for sharing your thoughts 🙏
@debasishpanigrahi2079 8 ай бұрын
Excellent boss.
@drsakiban1 8 ай бұрын
Debasish, I'm so glad you like it 😊 🙏thanks so much!
@gregnettles3677 8 ай бұрын
I was just diagnosed with this after one year after valve replacement.Very sad
@drsakiban1 8 ай бұрын
I am so sorry...Consult your doctor, I am sure he will give you the best advice. Take care 🙏👍
@elvissenthil 9 ай бұрын
Very nice video sir 👏
@drsakiban1 9 ай бұрын
Thanks Elvis 😊
@drsakiban1 9 ай бұрын
I suggest you all to read the 2020 ACC/AHA guidelines for valvular diseases ! Thanks a lot for being here ❤🙏🏻😊
@VladFamily10 9 ай бұрын
ASD, tricusid regurge, vena contracta 4,5 mm,velocity of tricuspid valve is 3,63 m/s, gradient RA-RV - 53mmHg, high pulmonary PAPs, moderate regurge, dilatate RA amd RV to decide surgery we need cardiac catheterisation for apreciate pulmonary vascular resistense and dilatation test ...
@drsakiban1 9 ай бұрын
It will be great to know the type of TR, and if you wish to tell the surgeon to do a repair or leave it as it is😊
@drsakiban1 9 ай бұрын
Excellent …thanks for taking interest and answering !
@VladFamily10 9 ай бұрын
thank you for the beautiful images, I'm preparing for the specialty exam and I'm looking for a lot of information
@drsakiban1 9 ай бұрын
@@VladFamily10 best of luck for your exam ! Excellent plan ! Thanks you so much !
@drsakiban1 9 ай бұрын
@@VladFamily10 if the results of the vasodilation test in pulmonary vasculature is favourable will you recommend surgery ? Repair or replacement? Or will you leave it as it is, and hope that after the ASD closure the TR will come down over time ?
@varshaTyagi-uo2kz 9 ай бұрын
Gbdc
@varshaTyagi-uo2kz 9 ай бұрын
Gczcbzbmx
@123Ultrasonography 9 ай бұрын
www.youtube.com/@123Ultrasonography
@Hala-c9f 10 ай бұрын
Thanks for Sharing this interesting case
@drsakiban1 10 ай бұрын
You’re welcome 🙏🏻
@drsakiban1 10 ай бұрын
One important correction to be noted by viewers: At 28.24 minutes of the talk I failed to notice that the loop is actually showing lateral (Right Left) inversion of the image of the apical 4chamber. Anatomically the tricuspid is placed slightly lower than the mitral valve, in fact that is the best way to identify which side/chamber is what (RV or LV). In this case the ventricular chamber to the left of the image has the mitral valve which is placed slightly higher than the tricuspid valve which is seen to the right. So this clip is actually showing normal LV and RV chamber sizes (no RV enlargement), only the image has been flipped laterally. Also an important lesson how easily we can make mistakes in identifying LV and RV if we don’t pay attention to minute details like relative position of the atrioventricular valves. I will try to edit and correct the video in due time. 🙏🏻 Thanks.
@drsakiban1 10 ай бұрын
Please follow up the talk with the VExUS scan video I posted earlier: this is the link: kzbin.info/www/bejne/i5mmkGiAoZmUoaMfeature=shared
@IouliaNikolaou-r7p 11 ай бұрын
This video is so useful for me Thanks a lot
@drsakiban1 11 ай бұрын
You're welcome 😊 🙏
@Libertad_racional 11 ай бұрын
Beautiful
@rogeriomoura6557 11 ай бұрын
GOOD. VERY INFORMATIVE IN KZbin FOR EVERYONE. GREAT. YOU WANT LIKES AND NO MORE. MEDICAL CONTENT ONLY IN MEDICAL CONTEXT. DO YOU LEARN THE LESSON?
@Dr.Kaung89 Жыл бұрын
thanks for sharing precious experience Sir .... 🙏
@drsakiban1 Жыл бұрын
Always welcome…thank you so much 😊
@drsakiban1 Жыл бұрын
www.ncbi.nlm.nih.gov/pmc/articles/PMC5353439/ A good read on dynamic ischemic MR
@drsakiban1 Жыл бұрын
A video demonstrating the significance of Echocardiography in management of unstable hemodynamics in patients with dynamic Ischemic MR.
@mr.chhetri3795 Жыл бұрын
❤
@glory1719 Жыл бұрын
Excellent demonstration!
@drsakiban1 Жыл бұрын
Thanks so much 😊 🙏
@drsakiban1 Жыл бұрын
The final Day’s trek (Day 4) has been published, please use this link : kzbin.info/www/bejne/g3K1anujfKuJbdkfeature=shared
@gitu192 Жыл бұрын
Paravalvular leak
@davidpatra5646 Жыл бұрын
It's a tremendous trek n it's view🎉❤
@drpyaelinnmaung2836 Жыл бұрын
🎉🎉🎉 8-hr trek. Sir you and your crew are so active. I can feel the achievement of getting the destination in the end after long journey 👏👏👏.Sir
@shaileshkumar-lo7jf Жыл бұрын
Great. So beautiful ❤️
@drsakiban1 Жыл бұрын
Thanks so much Shailesh 👍😊
@mr.chhetri3795 Жыл бұрын
❤
@subhajitbiswas5513 Жыл бұрын
👌👌👌
@drpyaelinnmaung2836 Жыл бұрын
Thank you Sir. I’m looking forward to another interesting videos.
@drsakiban1 Жыл бұрын
Thanks so much Dr. Pyae…😊🎉
@drsakiban1 Жыл бұрын
Please check the latest video: kzbin.info/www/bejne/l6jHlY2YatGXfc0feature=shared
@drsakiban1 Жыл бұрын
Congratulations to everyone 🎉❤ You were correct indeed ! It is a case of infective endocarditis involving the aortic valve with severe AR, where the endocarditis process and the AR jet resulted in a hole in the AML, leading blood into weakened tissue of the mitral leaflet eventually causing a aneurysm of the AML.
@drpyaelinnmaung2836 Жыл бұрын
1) Cyst or Aneurysm at A2. 2) Severe AR . 3) Hole in AML, Sir
@kishoreravi1414 Жыл бұрын
1. Lv dissecting aneurysm 2. AML aneurysm 3. Severe AR