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Grey's Anatomy

Grey's AnatomyABC

Season 14, Episode 15

4 medical diagnoses portrayed

Watch on Amazon

Also known as: Enlarged heart muscle disease

Heart failureVentricular aneurysmCardiac arrest requiring resuscitationVentricular scarring

Charlie is a young patient with severe ventricular scarring who was scheduled for a Dor procedure (ventricular reconstruction) but receives a donor heart transplant instead. His surgery is complicated by the donor heart being too large for his chest cavity, requiring an open chest overnight and subsequent sternal reconstruction.

Grey's Anatomy — S14E15Patient: Charlie Peterson
Schizophreniasupporting

Also known as: Schizoaffective disorder

Medication non-complianceAcute psychotic episode

Alex's mother experiences acute psychotic episodes with visual hallucinations when she forgets to take her medication. Alex cares for her and helps her through a particularly severe episode involving paranoid delusions.

Grey's Anatomy — S14E15Patient: Helen Karev (Alex's mother)
Recurring storyline
Cardiac arrestsupporting

Also known as: Heart stopped

During the heart transplant surgery, the donor heart goes into ventricular fibrillation and requires internal defibrillation to restore normal rhythm after rewarming.

Grey's Anatomy — S14E15Patient: Charlie Peterson

Also known as: Donor heart too big for chest

Resuscitative edemaFailed sternal closureOpen chest managementSize mismatch

The donor heart for Charlie's transplant is too large to fit in his chest cavity due to swelling. Surgeons perform sternal resection and leave the chest open overnight covered with sterile wrap, planning a delayed closure with muscle flap reconstruction.

Grey's Anatomy — S14E15Patient: Charlie Peterson