📚 به روز رسانی #اطلاعات 📕
📍از سری مجموعه‌های #آموزشی متخصصان انجمن آتروسکلروز ایران :
✅ با توجه به #تصاویر ارسالی تشخیص شما چه خواهد بود ؟
#ESC #ECHO
👈 #پاسخ فردا در همین کانال
💌 #مقالات و #گایدلاین های روز دنیا
❣️#اطلاع رسانی #همایش ها با #امتیاز باز آموزی
💓 آخرین #اخبار دنیای #قلب و #عروق
❤️💚با ما همراه باشید ❤️💚
💻 وبسایت #انجمن آترو اسکلروز ایران👇👇👇
❤️ http://iranathero.ir ❤️
✨ Join Us ✨👇
📲 @IRathero 💫
📍از سری مجموعه‌های #آموزشی متخصصان انجمن آتروسکلروز ایران :
✅ با توجه به #تصاویر ارسالی تشخیص شما چه خواهد بود ؟
#ESC #ECHO
👈 #پاسخ فردا در همین کانال
💌 #مقالات و #گایدلاین های روز دنیا
❣️#اطلاع رسانی #همایش ها با #امتیاز باز آموزی
💓 آخرین #اخبار دنیای #قلب و #عروق
❤️💚با ما همراه باشید ❤️💚
💻 وبسایت #انجمن آترو اسکلروز ایران👇👇👇
❤️ http://iranathero.ir ❤️
✨ Join Us ✨👇
📲 @IRathero 💫
www.iranathero.ir
انجمن آترواسکلروز ایران
The Iranian Society of Atherosclerosis (IRSA) is an independent, nonprofit organisation aiming to reduce the burden of cardiovascular disease.
Forwarded from اتچ بات
✅✅✅
✅ #پاسخ
Dr. Luca Conti & Dr. Alex Borg
#ESC #ECHO
♦️Echo:
- Ascending aorta of 49mm,
- Sinus of Valsalva dimension of 41mm
- Peak velocity/mean gradient across the aortic valve of 2.4m/s ie 23mmHg.
- LV ejection fraction 63%.
- Suprasternal images were suboptimal; Doppler interrogation of the proximal descending aorta : peak velocity of 1.7m/s with significant diastolic forward flow (diastolic tail).
🔷MRI Aorta :
-Aortic coarctation with a discrete focal stenotic segment (minimum diameter of 6mm) at the aortic isthmus.
- Turbulent systolic flow at the coarctation site; phase contrast flow mapping just distal to the coarctation revealed peak velocities of more than 4m/s.
-Dilated collateral vessels arise from the aorta around the coarctation site.
- Dilated aortic root (up to 47mm) and ascending aorta (up to 51mm) with a normal calibre aortic arch (22-24mm) and tortuous proximal descending aorta.
- MR angiography did not reveal any intracranial aneurysms.
🔶Treatment
- Transcatheter stent implantation based on the MRI and echo findings.
- Stenting of coarctation performed under general anaesthetic.
- A Mullen’s sheath was advanced across the coarctation
- Optimus Andratec 38mm covered stent deployed followed by post-dilatation.
-The end result was satisfactory and no significant residual pressure gradient was noted on pullback.
✨ Join Us ✨👇
📲 @IRathero 💫
✅ #پاسخ
Dr. Luca Conti & Dr. Alex Borg
#ESC #ECHO
♦️Echo:
- Ascending aorta of 49mm,
- Sinus of Valsalva dimension of 41mm
- Peak velocity/mean gradient across the aortic valve of 2.4m/s ie 23mmHg.
- LV ejection fraction 63%.
- Suprasternal images were suboptimal; Doppler interrogation of the proximal descending aorta : peak velocity of 1.7m/s with significant diastolic forward flow (diastolic tail).
🔷MRI Aorta :
-Aortic coarctation with a discrete focal stenotic segment (minimum diameter of 6mm) at the aortic isthmus.
- Turbulent systolic flow at the coarctation site; phase contrast flow mapping just distal to the coarctation revealed peak velocities of more than 4m/s.
-Dilated collateral vessels arise from the aorta around the coarctation site.
- Dilated aortic root (up to 47mm) and ascending aorta (up to 51mm) with a normal calibre aortic arch (22-24mm) and tortuous proximal descending aorta.
- MR angiography did not reveal any intracranial aneurysms.
🔶Treatment
- Transcatheter stent implantation based on the MRI and echo findings.
- Stenting of coarctation performed under general anaesthetic.
- A Mullen’s sheath was advanced across the coarctation
- Optimus Andratec 38mm covered stent deployed followed by post-dilatation.
-The end result was satisfactory and no significant residual pressure gradient was noted on pullback.
✨ Join Us ✨👇
📲 @IRathero 💫
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