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I just wanted to let you know that even though I'm looking quite old, I'm still a millenial.
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Home->EOTD AMA Category 1 Credit for Physicians Only. ASRT CME is not available. |
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Echo-of-the-Day Information
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The echocardiographic findings are a PAC in the right pulmonary artery, a linear artifact that is a mirror artifact from the PAC in the ascending aorta (although this wold have to be confirmed that it is not an aortic flap), and an irregular endocardial border of the ascending aorta . The irregular endocardium is atherosclerosis that is protruding and immobile. The protruding plaque is about 1 cm in length. The classification of this atherosclerosis is a grade 4 lesion. A grade 4 lesion indicates that the risk of stroke is about 11%. Because of the risk of stroke the ascending aorta should not be cannulated or cross clamped. Also, SVG should be placed by a punch technique rather than a partial cross clamp. An epiaortic scan should be performed to identify other areas of significant atherosclerosis. Depending upon the epiaortic scan, an ascending aortic replacement should be considered. |
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