Echo Rounds
Anesthesia & Analgesia: Volume 107, Issue 2, Page 410.
"Catecholamine-Induced Cardiomyopathy and Pheochromocytoma" by Leissner et al.
Data Files:
- Video Clip 1
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Video 1 consists of 3 clips. Clip 1: Initial preoperative TTE parasternal short axis view with an estimated LVEF of 55%. The RV is hypokinetic and septal flattening is present. Clip 2: Intraoperative TEE transgastric short axis view demonstrates a dilated and severely hypokinetic LV with an estimated EF of 25-30%. Severe RV dysfunction with septal flattening is present. Clip 3: Postoperative TTE parasternal short axis view demonstrates an improved LVEF of 50% and improved RV function. Mild systolic septal flattening is present. There is no septal flattening during diastole.
- Video Clip 2
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Video 2: Midesophageal four-chamber view demonstrating a dilated, hypokinetic RV and LV with interventricular septal flattening. Septal flattening is most severe during systole. The LV is not completely visualized.
- Video Clip 3
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Video 3: The severely dilated RV and LV have significantly distorted the normal anatomy. Despite multiple attempts the typical ME long-axis view was not visualized, but a modified ME four-chamber view was seen at ~120°. Severe eccentric mitral regurgitation with Coanda effect is shown.
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