Defaults: 1X 2X 3X 4X      
Echo-of-the-Day
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Echo-of-the-Day Information
The Echo-of-the-Day is a presentation of 1 or more video loops to present an important topic in echocardiography. Please reveiw the image or video loops and then answer the questions below. After you have answered the questions you can view the explanation and obtain CME credit (if available).

You can change the size and the format of the image or video loops by using the links below the image or video loop.
= MP4 Video = Ogg Video
= WebM Video = GIF Image
Image/Video Sizes = JPG Image
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Loop Text Key  
Preop Preop TEE or TTE
Intraop An Intraop TEE
IntraopPreOp Intraop TEE or TTE before Operation
IntraopPostOp Intraop TEE or TTE after Operation
IntraopEnd Intraop TEE or TTE at End of Anesthesia
Post Op Postop TEE or TTE
Echo of the Day Information Table
IntraopEnd is usually a TEE after the Operation and after some event occured to show a change in the TEE
A Complete Circle
Case#: 177
AMA CME Units: 0.25 Units
Estimated Time: 15 minutes.
Presentation:
A patient presented with the following loops:
 
Loop(s):
Case Discussion
 
The patient has pulmonary artery stenosis that is supravalvular from the pulmonary valve. The ring is intrinsic (extrinsic rings can cause extrinsic compression) and heavily calcified. The Vmax is 4 m/s for a peak PVG of 64 mmHg and a mean PVG of around 44 mmHg. Supravalvar pulmonary stenosis is often associated with rubella syndrome and Williams syndrome (ie, elfin facies, supravalvar aortic stenosis, and hypercalcemia with or without mental retardation). Supravalvular pulmonary stenosis can be congenital or as a result of a PDA, anomalous coronary artery repair or other conditions where surgery occurs near the pulmonary artery. Turner's syndrome usually has valvular PS although it can have supravalvular PS also.

The peak and mean gradient are high enough that excision of the pulmonary valve ring should be considered.
 
CME Section
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CME Sponsor: University of Nebraska Medical Center - Center for Continuing Education This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of University of Nebraska Medical Center, Center for Continuing Education and JLS Interactive, LLC.
The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CE Sponsor: American Society of Radiological Technologists (ASRT)This activity is approved by the American Society of Radiologic Technologists (ASRT) as sonography-related continuing education (CE). Credit(s) issued for successful completion of ASRT-approved CE activities are accepted by the American Registry of Diagnostic Medical Sonography, American Registry of Radiological Technologists, Cardiovascular Credentialing International and Canadian Association of Registered Diagnostic Ultrasound Professionals. Contact the applicable registry for additional information / restrictions on their acceptance of ASRT CE credit.
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