heart valve | Figure 1

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tricuspid ring #Annuloplasty #rightatrium



#Manouguian procedure for #aortic root enlargement. Patient required aortic valve replacement however it was not possible to fit a prosthetic valve large enough for the patient's body size. The aortic annulus was enlarged by extending the cut in the aorta down between the left & non-coronary cusps into the fibrous tissue of the subaortic curtain. A patch of bovine #pericardium was used to reconstruct the defect.



We use a syringe filled with saline to fill the ventricle and test the competency of the repaired valve prior to closing the heart and discontinuing bypass. After the clamp is off and we fill the heart and wean from CPB, which procedure do we employ to confirm a competent valve? #perfusion #CHD #OHS #bmanmotionpictures



Which device was inserted here?

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?