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{
    "pk": 1319,
    "title": "Shone Complex: A Case Report of Congenital Heart Disease Detected Using Point-of-care Ultrasound",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Undiagnosed congenital heart disease and management of pediatric cardiogenic shock presents a diagnostic challenge for the emergency clinician. These diagnoses are rare and require a high index of suspicion given the overlap with more common pediatric pathology. Point-of-care ultrasound can assist in differentiating these presentations. We present a case of neonatal cardiogenic shock secondary to a previously undiagnosed congenital heart disease, specifically Shone complex, detected using point-of-care ultrasound.&nbsp;</p><p><b>Case Report:</b> A six-week-old female presented with severe respiratory distress and was found to be in cardiogenic shock secondary to a previously undiagnosed congenital heart defect.</p><p><b>Conclusion:</b> Initial diagnosis of congenital heart disease is uncommon in the emergency department, but it should be recognized by clinicians given the high associated morbidity and mortality. Point-of-care ultrasound is a powerful tool to assist in evaluating for cardiac abnormalities as an etiology for undifferentiated shock in the pediatric population.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report; Shone complex; point-of-care ultrasound; cardiogenic shock; congenital heart disease"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8tp5w20j",
    "frozenauthors": [
        {
            "first_name": "Jordan",
            "middle_name": "C.",
            "last_name": "Seaback",
            "name_suffix": "",
            "institution": "Atrium Health Wake Forest Baptist, Department of Emergency Medicine, Winston Salem, North Carolina",
            "department": ""
        },
        {
            "first_name": "David",
            "middle_name": "A.",
            "last_name": "Masneri",
            "name_suffix": "",
            "institution": "Atrium Health Wake Forest Baptist, Department of Emergency Medicine, Winston Salem, North Carolina",
            "department": ""
        },
        {
            "first_name": "Jacob",
            "middle_name": "H.",
            "last_name": "Schoeneck",
            "name_suffix": "",
            "institution": "Atrium Health Wake Forest Baptist, Department of Emergency Medicine, Winston Salem, North Carolina",
            "department": ""
        }
    ],
    "date_submitted": "2023-04-13T16:30:24.230000Z",
    "date_accepted": "2023-06-30T20:41:58.946000Z",
    "date_published": "2023-08-14T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1319/galley/1143/download/"
        }
    ]
}