Echo-of-the-Day

Please use up your CME credits by December 31, 2022. State and License# Required for ACCME CME. Please update your account. EOTD,COTW didn't send in Jan - expect the prior emails to arrive until the queue is done.

**New ACCME Requirment**

The ACCME Requires a State License for CME Activities.
Please update your account with your State License ID AND the State where you received your licesnse.
We cannot submit reports to the ACCME on your behalf until this information is updtaed.

Home->EOTD
AMA Category 1 Credit for Physicians Only.
ASRT CME is not available.

Go to the EOTD Archive

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
1X = 200x150 pixels 2X = 400x300 pixels	3X = 600x450 pixels 4X = 800x600 pixels

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

Please answer the following questions correctly to obtain your CME.

Web Links/References

Pulmonary Stenosis
Valvular

Instution Info

User Info

CME Info

Help

User License

HIPAA

References

Calcs

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.

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.