small child W/ Unbalanced AV canal, Double Outlet Right #Ve | Figure 1

Case Details

small child W/ Unbalanced AV canal, Double Outlet Right Ventricle(s), Straddling of Mitral-valve components and severe Pulmonary stenosis. Mouse arrow shows Septum and lack thereof.

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This is the CT image from my last post (with the chest X-ray too). Key findings were: small sternotomy wires for an adult, meaning they were from childhood surgery, right sided aortic arch and huge pulmonary arteries. This is Tetralogy-of-Fallot corrected in childhood but with complication of pulmonary stenosis and Regurgitation. 25% have a right sided arch.

Pre and post Mitral-valve clipping.

S/P TAVR and Double MitraClip Mitral-valve Aortic-valve.

Flail Mitral-valve secondary to large vegetation. Endocarditis patient septic, intubated.

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?