60/M presented to the ECHO ROOM referred from Opd with c/o SOB CHEST PAIN, palpitations.
When I got the PLAX view I could see an aneurysm. Interestingly this aneurysm also had a clot which was attached at one end and other end was floating. There was also spontaneous ECHO contrast which indicated blood stasis.A4C gives a better view of the aneurysm and the clot. He also had severe MR & TR.LVEF by Simpsons was just 12%
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