Dilated coronary sinus due to significant pulmonary hypertension

Dilated coronary sinus due to significant pulmonary hypertension. You can also appreciate dilated right sided chambers, significant Tricuspid regurgitation ( dense triangular Doppler waveform with early peaking) as well as evidence of systolic flow reversal in hepatic veins

[@KebronWasihun]

So is the PAH 2ry to Coronary sinus ASD ??????
or vice versa please

[@ahmedsabbar9049]

شكرا جزيلا ياباشا

[@zikriyoabdullayev8642]

Good job.

[@hanaahanino8111]

hello, please what does "DA" (abbreveation in the echo image) stand for ?

[@drahmedmohsen]

Descending aorta

[@hanaahanino8111]

@@drahmedmohsen thank u doctor 🙏

[@zikriyoabdullayev8642]

Good job

[@firashasan2100]

Nice

[@ΑλέξανδροςΣτεφανίδης-ε6ζ]

Persistent left superior vena cava. You should give agitated saline via a left arm vein and you would be able to see it passing via this dilated coronary sinus and going to the right chambers. PS. Nice imaging!

[@drahmedmohsen]

Yes. Agree. But there was No evidence of PLSVC

[@drahmedmohsen]

Agitated saline injection in left arm