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Echo-of-the-Day
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Echo-of-the-Day Information
The Case-of-the-Week is a presentation of 8 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.
= Windows Media Video = MP4 Video
= QuickTime = WebM Video
= Flash = Ogg Video
= JPG Image = GIF Image
Image/Video Sizes  
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
  = Legacy/Old Video Formats
Case of the Month Information Table
IntraopEnd is usually a TEE after the Operation and after some event occured to show a change in the TEE
Right Atrial Mass in 3D
Case#: 264
AMA CME Units: 0.25 Units
Estimated Time: 15 minutes.
Presentation:
A patient presented with the following loops during a CABG.




 
Loop(s):
Case Discussion
 
The structure in the right atrium extends from the IVC/Eustachian valve to the interatrial septum/coronary sinus. The structure is a remnant of the sinus venosus valve that shunts blood from the IVC across the interatrial septum inutero and is call a Chiari Network. A Chiari network occurs in 2-3% of cases and can present in many differnt forms from a slight wispy filament to a network or perforated  strings. A Chiari network can make placement of catheters technically challenging. A Chiari network can simulate a mass or vegetation in patients with clinical diagnoses of bacterial endocarditis. A Chiari network has been a source of thromboembolic disease, endocarditis, arrhythmias, and entrapment of catheters. Chiari networks have an associated finding of patient foramen ovale.
 
CME Section
Please answer the following questions correctly to obtain your CME.
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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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