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  #1  
Old 10-11-2011
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Heart Post Cardiac Surgery Bowel Necrosis!

6 years of girl, with congenital heart disease, after correction surgery, in the hospital she developed abdominal distention and pain, vomiting, and decreased bowel sounds. The physician suspect bowel necrosis as complication to the correction surgery. What is the most likely corrected lesion?
A) VSD
B) Patent Ductus arteriosus
C) Aortic stenosis
D) Endocardial cushion defect
E) TOF
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Old 10-11-2011
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Old 10-11-2011
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i think it's > Patent Ductus arteriosus
thnx a lot for ur such a nice questions..bcz they reveal to me that I've to pay more attention to paeds.cardiology
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Old 10-11-2011
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Ok i dont realy know the qnswer but heres how im reading it.

This girl has bowl necrosis probably due to an embolism causing ischemia . Now in an adult bowel ischemia post op first thing i would think was something to do with the abdominal aorta. But in this case im thinking some kind of septal defect that allowed the thrombus to pass into arterial circulation OR something that severly dilates the left ventricle.

I really dont know the answer but my gut instinct is it that its endocardial cushion defects.
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Old 10-12-2011
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Patent Ductus arteriosus
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Old 10-12-2011
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Guys I'm sorry by mistake, the correct answer is not one of the options, this is typo error.
The scenario, describe: Postcoarctectomy syndrome is a unique problem early in the postoperative period, of correction of Coarctation of the aorta. Increases in blood flow and pressure in the mesenteric arteries after repair of coarctation may result in abdominal distention and pain, vomiting, and decreased bowel sounds. By aggressively controlling postoperative hypertension and delaying enteral feeding for 2 days after surgery, incidence of postcoarctectomy syndrome may be reduced.
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B) Patent Ductus arteriosus
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