Echo of the Day
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AMA Category 1 Credit for Physicians Only.
ASRT CME Not Available
 
Echo-of-the-Day Information
The Echo-of-the-Day is a presentation of one to four image or 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 = JPG Image
Video Sizes = GIF Image
1X = 200x150 pixels
2X = 400x300 pixels
3X = 6000x450 pixels
4X = 800x600 pixels
EOTD Information Table
Title: Altered Compass.
EOTD#: 204
AMA CME Units: 0.25 Units
Estimated Time: 15 minutes
CME Requirements: Active CME Session and must be a paid, active subscriber to iTEE or eTEE AND have enough CME credits in your bank. AMA CME ONLY.
 
Presentation: A patient presented with the following echo loop:
 
 
Loops:
Discussion Questions:
#1: What is the diagnosis?
 
#2: What diseases are associated with this diagnosis?
 
 
 
Explanation/CME Questions
Explanation: Dextrocardia refers to the position of the heart in the right side of the chest. It is a rare clinical phenomenon with a reported incidence of 1 in 5,000-30,000.

Dextrocardia can occur with other congenital abnormalities such as omphalocele, situs inversus, and Kartagener syndrome (sinusitis, bronchiectasis, dextrocardia). When dextrocardia is present with the normal abdominal organ placement, then situs solitus is present (normal). The following congenital heart defects can occur with dextrocardia:
  • Double Outlet Right Ventricle
  • Endocardial Cushion Defect
  • Pulmonary Stenosis/Atresia
  • Single Ventricle
  • Transposition of the Great Vessels
  • Ventricular Septal Defect
Dextrocardia can be recognized by echo by the normal viewing angles to be off by about 90 degrees. For Example, the ME AVLAX view is normally around 120-140 degrees. In dextrocardia, the ME AVLAX is at about 30-50 degrees.
Please answer the following questions correctly to obtain your CME.
CME is not available until you log in with a subscription to the iTEE or Advanced TEE area and have enough CME credits in your bank.
You do not have an account. Please subscribe and get your Echocardiography CMEs today!
 
 
 
 
 
 
 
 
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