Is This Really Bronchiolitis?
Fig. 14.1 (a, b, c) Serial chest radiographs showing a relatively normal cardiothoracic ratio and pulmonary venous congestion It was mid-October and the beginning of annual winter bronchiolitis epidemic in…
Fetal AVSD or Maybe Not?
Fig. 2.1 Four-chamber view of the fetal heart. LV left ventricle, RV right ventricle, RA right atrium. ★ denotes marks enlarged coronary sinus giving false impression of a primum septal…
Pulmonary Resistance: How Best to Measure?
Patient 1 (AVSD) (XMR) Patient 2 (PDA) (conventional catheter) PA pressure at baseline Systemic Systemic Qp:QS at baseline 1.9:1 1.8:1 PVR at baseline 10 WU.m2 8.1–12.4 wu.m2 (based on…
Don’t Ignore Reverse Differential Cyanosis
Fig. 21.1 Schematic showing the structural anomalies in this infant leading to reverese differential cyanosis. Blue represents deoxygenated blood, and red oxygenated blood. RA right atrium, RV right ventricle, LA…
The Test That Gets Forgotten
Fig. 20.1 ECG demonstrating left ventricular hypertrophy Of note, there was a family history of Neurofibromatosis Type 1 (NF1) in the paternal grandfather, although the child’s mother and father were…
Dilated Cardiomyopathy: Think of the Diet
Fig. 17.1 (a) Apical four-chamber view at presentation showed a dilated left ventricle with impaired systolic function and (b) Simpson’s biplane calculation showing estimated LV diastolic volume of 27 mls…
A Child with a Long QT?
Fig. 10.1 Twelve-lead ECG showing peaked T waves. The QT interval is prolonged. Paper speed 25 mm/s, 10 mm/mV A 24-h tape and an exercise test were performed and confirmed…
Dilated Cardiomyopathy: If You Don’t Suspect, You Can’t Diagnose!
Fig. 4.1 Chest radiograph showing cardiomegaly and pulmonary venous congestion Echocardiogram showed normal situs and cardiac connections, with poor biventricular function and marked tricuspid and mitral valve regurgitation. There was…
Local Improvement Teams
Process Never a problem Sometimes a problem A problem about ½ the time A problem most of the time Always a problem! Patients and Families have concerns Line Infection prevention…
Selection, Training and Mentoring of Cardiac Surgeons
Fig. 2.1 College grades for congenital heart surgeons who are now members of the CHSS (Congenital Heart Surgeons Society) or EACHS (European Association of Congenital Heart Surgeons) This ability to…
