Legend of videos
Video_1
Transthoracic echocardiogram on admission, A4C view showing severe both LV and RV dysfunction with bi-atrial dilatation.
Video_2
Transthoracic echocardiogram on admission, PSAX view at MV level showing interventricular septal flattening more on diastole due to RV volume overload
Video_3
Transthoracic echocardiogram with color doppler on admission, A2C view showing a central jet of severe grade IV MR
Video_4
Transthoracic echocardiogram with color doppler on admission, PLAX view demonstrating severe grade IV MR (before starting ARNi)
Video_5
Transthoracic echocardiogram with color doppler on admission, modified RV view depicting a central jet of severe grade IV TR
Video_6
Transthoracic echocardiogram with color doppler on admission, A4C view demonstrating severe grade IV TR and severe grade IV MR
Video_7
Transthoracic echocardiogram with color doppler, subcostal view demonstrating hepatic systolic flow reversal due to severe TR and right-sided volume overload.
Video_8
Lung ultrasound on admission showing frequent B-lines on both lungs due to interstitial pulmonary edema.
Video_9
Coronary angiogram of Left coronary system demonstrating significant 90% long diffuse tight lesions in proximal to mid left anterior descending (LAD) artery, critical 90% lesion in both obtuse marginal (OM) branches of left circumflex (LCX) artery with significant retrograde filling from left system to right coronary artery (RCA)
Video_10
Coronary angiogram of Right coronary system demonstrating heavy calcification and tight lesions in proximal and mid RCA then followed by a 100% chronic total occlusion (CTO) of posterior left ventricular branch (PLV)
Video_11
Transthoracic echocardiogram, A4C view showing marked improvement of LV function two weeks after starting Sacubitril/Valsartan along with normalization of RV function. Estimated LV EF by eye-ball method is 40-45%
Video_12
Transthoracic echocardiogram, PLAX view on mitral valve showing marked reduction of MR severity two weeks after starting Sacubitril/Valsartan
Video_13
Transthoracic echocardiogram, A2C view showing reduction of MR severity to grade II after two weeks of starting Sacubitril/Valsartan. Akinetic and aneurysmal basal inferior wall demonstrated as non-viable RCA territory on myocardial perfusion.
Video_14
Transthoracic echocardiogram, A4C view showing marked reduction of severe grade IV TR to mild grade I TR with marked improvement of LV and RV function after starting Sacubitril/Valsartan
Video_15
Coronary angiogram of Left coronary system demonstrating successful PCI to LAD artery with TIMI III flow.
Video_16
Coronary angiogram of Left coronary system demonstrating successful PCI to LCX artery and OM branch with TIMI III flow.
Video_17
Transthoracic echocardiogram, A4C view demonstrating further LV function improvement after coronary revascularization by PCI. Estimated LV EF of 50%.