Celebrating #WorldHeartDay with a special structural heart case scenario. Let’s start with the first question: which valve is seen in these 3D TEE images taken in an elderly patient? Poll will follow immediately. @UWMedHeart @jamiemccabeMD @ASE360 #echofirst #ASEiECHOSIG

Value of Color M-mode of the hepatic veins b4 & after tricuspid TEER with MitraClip to demonstrate holo-systolic flow reversal at baseline & absence of that reversal after successful treatment. 3D color images illustrate reduction of TR to trace. #ASEiECHOSIG @jamiemccabeMD

"MAC & Clip/ViV" - I call this is a true structural 🫀case. Watch how the Sapien THV "molds" and deploys around the commissural NTW on fluoroscopy. Great final result. @ASE360 @SLittleMD @purviparwani @RichardSheuMD @UWMedHeart @tiffchenMD @EGarciaSayan #iecho #ASEiECHOSIG

Thanks for presenting such a complex "real-world" case scenario to the #ASE2021 virtual audience, @OKhaliqueMD - its so important to learn from the challenges rather than just sharing cases where everything goes as planned. #ASEiECHOSIG #periopecho

Live @ASE360 Webinar ongoing "Percutaneous Left Atrial Occlusion" #ASEiECHOSIG @saricmu presenting on ultra-quick 5-view assessment of LAA at his home institution NYU. @nishath_quader @docsaw @mswami001 @fmahmood543 @hahn_rt

Very true. Whenever Single Leaflet Device Attachment (SLDA) happens its "dis-🫀-ening". Can be due to leaflet injury/tear, insufficient grasp/diastolic tissue bridge, leaflet folding, tension/pin-wheeling. Multiple views are 🔑to minimize the risk. #ASEiECHOSIG @SLittleMD

Thinking about performing an E-2-E repair under sedation? See our editorial on the topic. Our wheel of factors characterizes the full spectrum of sedation. Achieving the optimal procedural condition is multifactorial & site- & operator specific. @RichardSheuMD #ASEiEchoSIG

The greatest beneficiaries of these partnerships are our patients! As the current co-chair of the @ASE360 IRT committee I am looking forward to our continued partnership with our IRT partners - now spanning the entire spectrum of healthcare! #amyloidosis #ASEiEchoSIG

And here is the 3D version showing large Chiari network interfering with the advancing clip delivery system. #ASEiECHOSIG @SLittleMD @hahn_rt @nishath_quader @SheelaPaiCole @ASE360

2 of 2: Chiari network - First described by Hans Chiari of Austria in 1897 as Ueber Netzbildungen im rechten Vorhofe des Herzens : On the network in the right antechamber of the heart #echofirst @ASE360 @escardio #ASEiECHOSIG @avainrib1 @SLittleMD @nishath_quader @gb_mackensen

1 of 2: Chiari network - An anatomic variant of importance to interventionalists as it may interfere with catheter movements in the right atrium #echofirst @ASE360 @escardio #ASEiECHOSIG @avainrib1 @SLittleMD @hahn_rt @nishath_quader @gb_mackensen

PART 2: Massive vegetation of AACEK/HACEK endocarditis with perforation of intervalvular fibrosa. Complication of aortic root abscess in a patient with mechanical prosthesis. #echofirst @ASE360 #ASEiECHOSIG @avainrib1 @SLittleMD @hahn_rt @nishath_quader @gb_mackensen

Massive vegetation of AACEK (previously HACEK) endocarditis with perforation of intervalvular fibrosa. Complication of aortic root abscess in a patient with mechanical prosthesis. #echofirst @ASE360 #ASEiECHOSIG @avainrib1 @SLittleMD @hahn_rt @nishath_quader @gb_mackensen