Haroon Latif

Recurring LA angiosarcoma in patient 🅰️ one year after complete surgical removal #echofirst

Mitral valve decalcification is a serious surgical challenge #echofirst 🫀Respect or Resect🫀

Rare post-op complication iatrogenic supravalvular aortic stenosis:to compensate for poor tissue quality/fat layer surgeon distributes tension across larger area by using multiple suture layers to get decent hemostasis at cannulation site which leads to SAS w focal narrowing/turbulence bit.ly/48HJyO1

A 35-year-old woman with chronic liver failure.

A 21-year-old presented to the ER with fever, breathlessness, and palpitations. What's the most likely diagnosis ⁉️

Look beyond the heart in all cases of dyspnoea for evaluation, especially if X-ray chest findings is not entered in OP ticket/case sheet. Never do echo without seeing the patient clinically and without seeing the ECG& X-ray.

#CardioNuggets 🫀 “Bovine arch” (true variant) = Left common carotid artery (LCCA) arises from the brachiocephalic trunk 💡 Less common than shared-origin variant 💡 Impacts cath/TAVR access & cerebral embolic patterns #Cardiology #CardioTwitter #CardioNuggets #MedEd

PDA seen in UE Ao Arch SAX #echofirst

Images in Clinical Medicine: Silent Aspiration nejm.org/doi/full/10.10… #Pulmonology #CriticalCare

F. 36 yo presenting with: 📌 Acute low back pain 📌 CT angio showing renal artery occlusion 📌 Intraop TEE showing mass in the aortic arch🫀 #echofirst Surgery: Ao arch and prox desc Ao replacement in DHCA 16°C

Images from my experience of patients on MCS Putting an LV vent can prevent a catastrophe #echofirst

Structural (eccentric) MR Carpentier Type II 📌 3D ECHO → identifies: •Where MR •Why MR (mechanism) 📌 VOLUMETRY → calculates the “how much” •RegVol MR •RegFraction MR ❌ PISA doesn’t work ❌ #3Dfirst #echofirst @NMerke

Aortic Aneurysm

Interesting #echofirst image 🔗 drsvenkatesan.com/tag/rare-echo-… #POCUS #FOAMed

🫀A serious complication 👉 post-TAVR prosthetic infection extended to mitral valve, leading to destruction of the aorto-mitral curtain 👉 The “Commando procedure” is the only surgical option ✅ #echofirst doi.org/10.1053/j.semt…

A patient presented for evaluation of shortness of breath. Physical exam revealed this sign. 👇 What is the likely diagnosis?

6-year-old, girl presented with chest pain. 📌Structurally normal heart 📌 Hemodynamically tolerated. @jeffrey_vinocur @RobertHPass @KaraMotonaga @iamritu @CASivaram1 @AEPCcongenital @SIwa23288585 @loomba_rohit @alex1708ander @ecgandrhythmRoe

A bypass heart surgery creates a new path for heart blood flow.

Correct answer: B. Isorhythmic AV dissociation. What’s happening in this ECG? This tracing shows a classic interaction between sinus rhythm and an accelerated idioventricular rhythm (AIVR): ⚫There are wide QRS complexes (ventricular origin) at a rate close to sinus rate ⚫Intermittently, narrow QRS complexes appear when sinus rhythm briefly captures the ventricles ⚫Some beats appear as fusion beats (hybrid morphology), indicating simultaneous activation. The key observation: The atrial and ventricular rates are very similar, and they "compete" or control of ventricular activation. Why this is isorhythmic AV dissociation. Isorhythmic AV dissociation occurs when: - Atrial (sinus) rate ≈ Ventricular rate - AV conduction is intact but timing determines capture P waves may: Fall before QRS → capture beat Fall within QRS → hidden Fall after QRS → no conduction This produces the characteristic: 🟢P waves drifting in and out of QRS complexes 🟢Alternation between wide (ventricular) and narrow (captured) complexes

AHFTC training covers an enormous clinical landscape — MCS, transplant, shock, palliative care, etc. — often in a single fellowship year. I created the Heart Failure Fellow Lecture Series to help close the education gap. Free. No paywall. No sign-up. 🎓 @AHFTC" target="_blank" rel="nofollow noopener">youtube.com/@AHFTC