Echo Case Library
Clinical Reasoning Through Real Echo Cases
Browse image, video, and scenario-based echo cases designed to sharpen your clinical thinking — not just image interpretation, but history, decision-making, and outcomes.
Echo Case Library
Our Echo Case Library has image, video and non-image cases. Cases are intended to encourage critical thinking, not just in image review, but also in clinical history, clinical scenarios and outcomes.
Constrictive Pericarditis TTE Case
This case presents a patient with classic echocardiographic findings of constrictive pericarditis, including septal bounce, significant respiratory variation in inflow, annulus reversus, and hepatic vein expiratory diastolic flow reversal. It highlights key diagnostic criteria and their interpretation.
DCM, Severe LV Dysfunction, Functional MR, and CRT Assessment
This case explores a patient with dilated cardiomyopathy, severely reduced ejection fraction, and significant functional mitral regurgitation. It highlights the echocardiographic assessment for CRT candidacy, including evaluation of LV dyssynchrony.
HOCM with Provocable LVOT Obstruction and SAM
This case illustrates hypertrophic obstructive cardiomyopathy with resting and provocable LVOT obstruction, significant SAM of the mitral valve, and discusses management strategies. It highlights key echocardiographic findings and their clinical implications.
WATCHMAN LAA closure - thrombus exclusion
A 69-year-old Male with atrial fibrillation underwent TEE for thrombus exclusion. LAA sizing revealed dimensions of 24.6 mm at the landing zone. No LAA thrombus was identified. Pre-procedure planning confirmed suitability for WATCHMAN device.
Severe Primary Mitral Regurgitation: Quantification and Surgical Timing
This case explores the comprehensive echocardiographic assessment of severe primary mitral regurgitation, focusing on quantitative measures like vena contracta, EROA, and regurgitant volume. It highlights the importance of left ventricular remodeling and clinical symptoms in guiding surgical intervention.
Severe Dilated Cardiomyopathy with Left Bundle Branch Block and Reduced LV Ejection Fraction
A 58-year-old male with worsening dyspnea was found to have severe LV systolic dysfunction on TTE with an LVEF of 25%, marked LV dilation (LVEDD 70 mm), and a wide QRS LBBB pattern on ECG. There was globally reduced wall motion with no regional wall motion abnormalities.
Left Ventricular Apical Ballooning Consistent with Takotsubo Cardiomyopathy in Postmenopausal Female
A 65-year-old female presented with chest pain after emotional stress. TTE revealed apical ballooning with akinetic apex and hyperdynamic basal segments, LVEF 40%, and no obstructive coronary artery disease on angiogram. Wall motion abnormalities extended beyond single coronary territory.
Critical Aortic Stenosis with Severely Calcified Valve and Reduced Stroke Volume in Elderly Male
An 80-year-old male with syncope and dyspnea underwent TTE which demonstrated a heavily calcified aortic valve with peak gradient 85 mmHg, mean gradient 55 mmHg, valve area 0.6 cm², and LV hypertrophy. LVEF was 50% with evidence of concentric remodeling and reduced stroke volume index 30 mL/m².
Moderate Constrictive Pericarditis with Septal Bounce and Respiratory Variation on Doppler
A 45-year-old female with history of tuberculosis presented with worsening peripheral edema and dyspnea. TTE revealed thickened pericardium with septal bounce on M-mode, exaggerated respiratory variation (>25%) in mitral inflow velocities, and preserved LV EF of 60%. Inferior vena cava was dilated with reduced collapsibility.
Severe Hypertrophic Cardiomyopathy with Asymmetric Septal Hypertrophy and LVOT Obstruction in a Young Adult Male
A 28-year-old male presenting with exertional dyspnea and syncope was found on TTE to have asymmetric septal hypertrophy measuring 22 mm, SAM of the mitral valve, and a resting LVOT gradient of 60 mmHg. Preserved LVEF and diastolic dysfunction grade 2 were noted.
Moderate Left Ventricular Non-Compaction Presenting with Heart Failure Symptoms and Reduced Ejection Fraction
A 45-year-old female with progressive dyspnea was evaluated with TTE which revealed prominent trabeculations with a non-compacted to compacted myocardium ratio of 2.5 in the apical and mid-ventricular segments, LVEF of 35%, and mild functional mitral regurgitation.
Left Ventricular Regional WMA
Patient: 58-year-old male Indication for Test: Evaluation for suspected myocardial ischemia Clinical History: Hypertension Hyperlipidemia Former smoker Family history of coronary artery disease Presents with progressive exertional chest pressure over the last 3 months Study Ordered: Exercise stress echocardiogram with Ultrasound Enhancing Agent (UEA) due to suboptimal endocardial border definition on baseline imaging UEA Used: Definity (perflutren lipid microspheres)