UV access: When UV line is stuck at the liver

PA view

Surgery: L-TGA with Pulm. Atresia, Alternative Surgical Option

An alternative approach to the surgical management of physiologically corrected transposition with VSD and PS or P.atresia. Ilbawi, MN, et al. JTCVS 1990;100:410-5

Prosthetic Valves

Snider book chapter on Echo evaluation of prosthetic valves
Suboptimal copy, but you get the message!

Starr-Edwards Valve - Fluoroscopy
You Tube video by NEJM

Partial Thrombosis in left atrial appendage, hinders the opening of one of the leaflets - in bileaflet prosthetic valve. Improves after 72 hrs of thrombolytic therapy.
NEJM video in You tube.

'>Spontaneous improvement in obstructed bileaflet prosthetic valve

EKG - Interpret this...

Pardon the baseline artifacts

Anatomy: IVC variations

Systemic veins develop from 3 main venous systems:

1) Vitelline venous system (Yellow)

2) Umbilical venous system (Red)

3) Cardinal venous system (Blue) - Anterior (SVC side), Posterior (IVC side)

Others:

Subcardinal veins - Green

Sacrocardinal vein - Purple

Hepatocardinal channel - Orange

Anatomy: Persistent LSVC

Anatomy: Netter - IVC - Development

ICU: EKG strip

Importance of examining a long-enough strip:

Diagnosis changes once you look at the lower panel.

What is the diagnosis for the upper panel?

What is the diagnosis for the lower panel?

ICU: EKG strip. Interpret this...

Interpret this.
3 yr old child
Modified Konno Procedure
Immediate postop.

EKG - Misplaced Leads.

4 week old baby s/p Coil occlusion for Vein of Galen malformation.
Note: Baby does not have dextrocardia.



For comparison, this is the baby's earlier EKG at 3 days of age.