tomo hemel retweeted
Mitral Anatomy for Mitral Intervention🧐
👉Every mitral evaluation/intervention starts with a precise mental map of the periannular and adjacent cardiac structures.
👉The LCx, coronary sinus, fibrous trigones, aorto-mitral curtain, aortic valve, and conduction tissue define where each maneuver is safe.
Think spatially #echofirst
The leaflet orientation of the mechanical mitral valve prosthesis on 3D echocardiography can be predicted from the 2D TEE image.
@CASivaram1
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Tom M Shimoda, MD retweeted
Free-Hand Needle Control🕊️🪡
👉No wrist rest, no elbow rest—only true instrument control.
👉Floating practice builds the precision needed for suturing in confined operative fields.
How to use the push and pull technique with the Cambridge twist to be ready to perform the next stitch right away! @TomVargheseJr @pferrada1
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Natsir Ramadhan retweeted
Systemic-Pulmonary Shunt #3: BTT Shunt vs RV-PA Shunt
👉Modified BTT shunts provide continuous Ao-to-PA flow, supporting pulmonary artery growth but creating diastolic runoff.
👉Diastolic runoff can lower neo-aortic diastolic pressure, a key limitation when coronary perfusion depends on diastolic pressure.
👉RV-PA shunts preserve diastolic coronary perfusion with systolic-only PA flow.
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