#echofirst #VHD lovers: 55 yo https://abs.twimg.com/emoji/v2/... draggable="false" alt="👨🏻" title="Mann (heller Hautton)" aria-label="Emoji: Mann (heller Hautton)"> with 2 previous kidney Tx, currently on HD, referred to our #HeartValveTeam for isolated TR with 2 episodes of RHF (leg oedema, ascites). Our echo confirms severe TR, the valve looks fine (no Ebstein, no vegetation, no prolapse, no carcinoid)

so functional TR. On the left side: no MV or AV disease, normal LVEF, moderate diastolic dysfunction. Thoughts? What would you do next? @dr_benoy_n_shah @RodrigogpLima @RODRIGOVISCONT1 @iamritu @hvanspall @strain_rate @DrMarthaGulati @AnastasiaSMihai @MAecocardio @fpmorcerf

@NadeenFaza @KemalogluOz @ErinMichos @omorenou @mugander @Giulia_Vinco @VLSorrellImages @mariovar55 @VerwerftJan @AlexBJanjic @WilliamZoghbi @GWhalleyPhD @The_Echo_Nerd @echo_stepbystep @EchoCharli @The_echo_lady sorry for those I forgot to tag, please RT! @BURZOTTA_F

Update: due tohttps://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> no LV disease, no elevated LV fill press, no costriction, high GLS, CO, S’ we felt that AV fistula could be the culprit here https://abs.twimg.com/emoji/v2/... draggable="false" alt="🆘" title="Quadratisches SOS" aria-label="Emoji: Quadratisches SOS">this is the result after 2 months of AV fistula closure https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten">https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten">https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> @RosaLillo14 @Elena01808299