What is third Mogul sign? (20)

It refers to an extra mogul or bump along the upper left cardiac silhouette just below the left main bronchus in CXR.

CAUSES in order of importance:-

1-enlargement of LA Appendage

2-Partial pericardial defect

3-Right ventricular outflow tract dilatation as in Ebstein, EMF, Post TOF repair

4-Asymmetric septal hypertrophy

5-Pericardial hydatid

6-LV aneurysm (mycotic which usually involves the free wall)

7-Coronary artery aneurysm

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ECG Spotter

What is the diagnosis? Click the button below to view answer: Show Answer

Cardiology MCQ Q. Which of the following leads is not an inferior lead in ECG? A. Lead II B. Lead III C. Lead aVF D. Lead aVR Click the button below to view answer Show answer Correct answer is option D. Lead aVR

Coronary artery perforation

Management of coronary artery perforation 1. Balloon inflation for occlusion of vessel 2. General circulatory support → Intravenous fluids and vasopressors 3. Urgent pericardiocentesis if cardiac tamponade (may consider autotransfusion) 4. Call anaesthetist and inform surgeons. Repeat angiogram ↓ Extravasation settled → Yes → Monitor patient ↓ No # Large vessel perforation 1. Prolonged balloon inflation 2. Covered stent placement # Small distal vessel perforation 1. Embolization (fat, coils, thrombin, balloon fragment) 2. Covered stent in main vessel over perforated branch origin

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