Number 18-02: Management of a Nearly Occlusive Neonatal Pulmonary Artery Thrombus
A term male infant with a birth weight of 3,623 grams failed a routine pulse oximetry screening at approximately 36 hours of life. There were no pregnancy complications aside from maternal tobacco use. Pre- and post-ductal saturations were 94% and 86-88%, respectively. An echocardiogram was notable for a large mass in the right pulmonary artery.
Number 18-01: An Unusual Presentation of Behcet's Disease
A 22-year old Caucasian gentleman was transferred as an emergency to our cardiac surgical center with a large unexplained right ventricular mass, with evidence of a large pulmonary embolus. He had a 6-week history of fevers and rigors following a dental infection and had been admitted to another hospital 10 days previously for investigation. He was otherwise fit and well, with no previous medical history or medications. He had been treated with a course of penicillin V at the time of initial dental infection, and had presented a number of times to his local emergency department in the preceding weeks with fevers, mouth ulcers, pleuritic chest pain and had raised inflammatory markers (white cell count of 18 cells per cubic millimeter of blood with neutrophilia, C-reactive protein (standard assay) of 120 mg/mL, erythrocyte sedimentation rate of 80 mm/hr) with negative blood cultures and no localizing signs of infection.