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Pediatrics
Practice-Changing Medicine
A National Roadmap to Meet the Emotional Health Needs of Pediatric Patients
NYU Langone physicians and researchers design a go-to model for educating providers and supporting patients and families.
Hassenfeld Children’s Hospital: A Leader in Advanced Pediatric Care
Highest Level Children’s Surgery Verification
from the American College of Surgeons
#1 in New York State
in Pediatric Cardiology & Heart Surgery*
*Source: 2023 U.S. News & World Report Best Children's Hospitals, national rankings Pediatric Cardiology & Heart Surgery
Level IV NICU
and Designated Regional Perinatal Center
*Source: 2023 U.S. News & World Report Best Children's Hospitals, national rankings Pediatric Cardiology & Heart Surgery
Complex Case Spotlight
Chasing Down Complications of Untreated Infective Endocarditis
Transthoracic Echocardiogram Reveals Vegetations
A patient with a bicuspid aortic valve presented with persistent fever, rashes and joint pain. Specialists diagnosed the patient with infective endocarditis after an initial transthoracic echocardiogram showed two small masses on the anterior leaflet of the mitral valve, each about 5 by 12 millimeters in size, and blood cultures came back positive.
The patient’s echocardiogram showing mitral valve vegetations.
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More Insight from Transesophageal Echocardiography
Additional echocardiography revealed vegetations on the aortic valve.
The patient’s echocardiogram showing aortic valve vegetations.
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Treating the Multi-Organ Infection
Further imaging revealed an aortic root abscess plus multiple septic brain emboli, a splenic abscess, and renal infarction. The aortic valve was successfully replaced using a pulmonary autograft (Ross) procedure, during which the mitral valve vegetations were removed. The infection to the spleen necessitated its removal and the remaining infections were treated with postoperative antibiotics.
The patient’s echocardiogram demonstrating aortic root abscess.
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