55 yr old poor lady had MVR for severely calcified tight MS with Chitra valve. See the acquired post operative LV to RA shunt, “acquired Gerbode”. Planning to close it. Give me your suggestions and blessings.

Dyspnoeic lady, I saw the chain around her neck giving me the clue.

Happy Diwali to all🙏. better light one small candle than to curse the darkness.

Patient with HF. Timing of waves in JVP to be done palpating carotid or by auscultation, still can you tell whether he is in sinus rhythm or AF?

Closure of Ao to LA fistula.See previous echo posted. 6 F Multipurpose guide, only coronary wire could enter, 2 mm partly inflated balloon at tip of guide to cross aortic wall, something like BAT as crossing without dilator was impossible. Once into LA, ADO II used to close it.

Aorta to LA fistula after AVR. A rare complication indeed. Last day I closed it with ADO II. Will post the procedure later.

Quiz for cardiology Fellows. 5 year old asymptomatic boy. What is the diagnosis?

Always image bladder after all procedures via femoral. Altered bladder shape like this indicate bleed and compression.angio will not show small bleeds, always take DSA, see small vessel near femoral head. This pt’s BP was 130/80, picked up bleed before developing hypotension.

to diagnose LAA aneurysm? criteria for congenital LAAA are(1) origin from an otherwise normal LA, (2)clearly-defined communication with the LA(3)location within the pericardium(4)distortion of the free wall of the LV by the aneurysm. LAAA called as ‘giant’ is longer than 5 cm

For card fellows. 21 yr old male, X-ray 1 was taken 3 months back for evaluation of fever and cough. Echo then reported as “normal”. Now admitted with progressive effort dyspnoea of 2 months in class III now. His pulse is “bounding”. See X-ray 2 and what are your differentials?