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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
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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
Mitral Valve Repair CWD Profile x 3
Case#: 270
AMA CME Units: 0.25 Units
Estimated Time: 15 minutes.
Presentation:
A patient had their mitral valve repaired. The following CWD scan of the mitral  valve was obtained.
 
Loop(s):
Case Discussion
 
Three tracings of the mitral valve CWD profiles are shown here. The first tracing is a tracing of the inner edge of the dense profile and is incorrect. The outer edge of the profile is the correct procedure to trace a CWD profile. The other two tracings trace a dense profile or a soft density profile. Also present is a mirror image of the dense profile above the baseline. The mirroring of the dense profile seems to have enhanced the dense profile causing the soft profile to be display - a type of double mirroring with enhancement artifact. Therefore, the correct tracing is the middle one - the tracing that traces the out edge of the dense profile. The pMVG is 8 mm and the mMVG is 4 mmHg.

To decrease the artifacts you could decrease the gain and perhaps stop the mirroring/enhancement artifacts or you could switch to PWD.
 
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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