Occillating Aortic Valve Mass
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74 yo hypertensive, hyperlipidemic male presented for an emergency CABG and a cardiac cath showing:
LAD 90%, Cx 100%, RCA 90%, Ramus 90%
LVEF was 40%
His medications were NTG, Lopressor, ASA, Benicar, Celebrex, Zofran, and Integrilin
He was scheduled for a CABG w/ECC w/EVH . A TEE showed the loops below.
While you can look at all of the linked loops, what is the diagnosis based upon the first loop which is an M Mode of his aortic valve?
Target Audience
This enduring material is intended for physicians, surgeons, physician assistants, nurse practitioners, and persons who desire more information about echocardiography theory, principles, and interpretation.
Educational Objectives
At the conclusion of this accredited continuing education activity, the participant should be better able to:
1. Accurately identify and describe normal echocardiographic findings as well as a spectrum of abnormal pathologies encountered in clinical practice.
2. Demonstrate the ability to differentiate between normal variances in echocardiographic findings and common abnormal findings indicative of various cardiac conditions.
3. Formulate comprehensive and accurate differential diagnoses based on echocardiographic exam findings.
4. Provide accurate measurement of hemodynamic findings encountered during an echocardiographic exam, utilize alternative methods to obtain measurements, and develop the ability to identify and troubleshoot inconsistent findings.
5. Effectively correlate echocardiographic findings with clinical presentations, enabling learners to make informed clinical decisions independently and collaboratively in the patient care setting.
Date of Original Release: August 1, 2008
Expiration Date: June 30, 2026
Date of Most Recent Review/Update or Approval: December 15, 2023
Method of participation
Visit e-echocardiography.com/case-of-the-week (or other address)
Review the activity
Successfully complete the post-test (with a score of 70% or above)
Complete the evaluation instrument
Print your certficate online
The estimated time to complete this activity is 15 minutes.
Enlighten Medical Media is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Enlighten Medical Media, LLC designates these enduring activites for a maximum of:
- 12 AMA PRA Category 1 Credits (iTEE Course)
- 66 AMA PRA Category 1 Credits (eTEE Course)
- 13 AMA PRA Category 1 Credits (Case of the Week)
- 78 AMA PRA Category 1 Credits (Echo of the Day)
Providers should claim only the credit commensurate with the extent of their partcipaton in the actvity. Enlighten Medical Media, LLC Organiza:on ID: 0008307
Maintenance of Certification (MOC)
Successful completon of this CME actvity, which includes partcipaton in the evaluaton component, enables the partcipant to earn MOC points equal with the number of AMA PRA Category 1 Credits accrued during partcipaton in each of the above actvites in the American Board of Internal Medicine's (ABIM) and/or the American Board of Anesthesiology Maintenance of Certficaton (MOC) Programs.
Disclosures
The accredited provider has mitigated and is disclosing relevant financial relationships for the following faculty, planners, and others in control of content prior to assuming their roles.
The following faculty and planning committee members have disclosed the following:
Terry Bejot, MD: Co-Founder, e-Echocardiography.com
Kenneth Gross, MD: Co-Founder, e-Echocardiography.com
The following faculty and planning committee members have nothing to disclose:
Chris Darst, MPAS, PA-C
Marian Miron