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Radiological Case of the Month

Michael P. Mah, MD; Jonathan S. Fain, MD; Sue L. Hall, MD; Beverly P. Wood, MD
Am J Dis Child. 1991;145(12):1439-1440. doi:10.1001/archpedi.1991.02160120107029.
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A male newborn, born at 41 weeks' gestation and weighing 3230 g, presented on the first day of life with complex cyanotic heart disease, including the following signs: double-outlet right ventricle, mitral atresia with hypoplastic left ventricle, and hypoplastic aortic arch with coarctation. He was transferred to a level-3 nursery at age 12 days. He underwent pulmonary artery banding, repair of the coarctation of the aorta, and ligation of a patent ductus arteriosus. Congestive heart failure continued after surgery, and the patient was maintained on total parenteral nutrition administered through a double-lumen femoral venous catheter that had been placed during surgery. Eleven days after surgery, he was pale, poorly perfused, and tachypneic.

A septic workup was performed and cultures of blood, urine, and cerebrospinal fluid were obtained.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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