Can you guess what type of structural heart disease this pat | Figure 1

Rajat_Biswas

Can you guess what type of structural heart disease this patient has?

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#Manouguian procedure for #aortic root enlargement. Patient required aortic valve replacement however it was not possible to fit a prosthetic valve large enough for the patient's body size. The aortic annulus was enlarged by extending the cut in the aorta down between the left & non-coronary cusps into the fibrous tissue of the subaortic curtain. A patch of bovine #pericardium was used to reconstruct the defect.](https://app.figure1.com/case-detail/203ccc9c-d9f4-4936-bc9b-dd261035748d)



76 y old men
admission for sepsis
Heart failure
mitral and aortic endocarditis
fistula aorta right atrium
severe aortic régurgitation
ATB
inotrop support.](https://app.figure1.com/case-detail/3f86a501-16ca-45e2-b354-13555196a515)



50y male presented to hospital with palpitation and anorexia and weight loss... TTE shows this mass on mitral valve... What is the diagnosis](https://app.figure1.com/case-detail/593adb59-abf1-40c4-a303-448355c6cd12)



This 88-year-old woman presented with worsening heart failure and hemoptysis. She had undergone bioprosthetic mitral valve replacement 12 years ago for severe mitral stenosis with an early postoperative baseline echocardiogram that showed normal LV and RV size and function, normal prosthetic valve function, and a pulmonary systolic pressure of 40 mm Hg. On exam now she has a blood pressure of 100/70 mm Hg, heart rate of 74 bpm with an irregular pulse, a jugular venous pressure of 20 cm H2O, distant heart sounds, and bilateral pulmonary rales. The following Doppler tracings were recorded on the current study.
The most likely cause of her current symptoms is:
A. Pulmonary embolus
B. LV systolic dysfunction
C. Severe mitral regurgitation
D. Rheumatic aortic valve disease
E. Mitral stenosis
Question from Echocardiography Review Guide: Companion to Textbook of Clinical Echocardiography, 4th Edition. ISBN: 9780323546522. Copyright ©2020 Elsevier, Inc.](https://app.figure1.com/case-detail/5e954f6b-aa60-4072-8041-9276f8ca6a91)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)