Post-Surgical Cardiovascular Imaging — Flashcards

Flashcard 1: What is the best-known indirect sign of pulmonary embolism (PE) on transthoracic echocardiography, and what does it demonstrate?

Answer: McConnell sign: Akinesia of the right ventricular (RV) free wall with sparing of the apex.

Extra: McConnell's sign is highly suggestive of acute pulmonary embolism, although it can also be seen in RV infarction.

Flashcard 2: _____ is the first and only contrast agent approved by the FDA for the use of cardiac MRI in adult patients with known or suspected coronary artery disease

Answer: Gadobutrol

Flashcard 3: _____ on fluoroscopy is due to vigorous pulmonary artery pulsations which are seen in ASD.

Answer: Hilar dance

Flashcard 4: _____ sign is seen in the appearance of splanchnic arteries in segmental arterial mediolysis (SAM).

Answer: String of beads

Flashcard 5: _____ sign is seen on left lateral angiograms in endocardial cushion defects

Answer: Gooseneck

Flashcard 6: What is the investigation of choice to assess the thickness of the pericardium?

Answer: CT scan (computed tomography)

Flashcard 7: The x-ray given in the question shows the _____ sign suggestive of LA enlargement

Answer: double-density

Flashcard 8: The X-ray shows _____ sign which is suggestive of partial anomalous pulmonary venous return.

Answer: Scimitar

Flashcard 9: The given Doppler waveform is _____phasic, which is seen in severe stenosis of the artery:

Answer: mono