TvDx
The Good Doctor

The Good DoctorABC

Season 4, Episode 3

5 medical diagnoses portrayed

Watch on Amazon

Also known as: Heart tumor

Hemorrhage from cardiac surgeryCoagulopathy from prolonged bypassAtrial wall destruction requiring reconstruction

A firefighter presents with a large tumor on the wall of his heart requiring complex surgery. The team performs an autotransplantation (removing the heart entirely to excise the tumor, then reimplanting it) and must reconstruct the atrial chambers using porcine bladder tissue when tumor excision destroys too much heart tissue.

Intraoperative cardiac arrestArtery of Percheron thrombosisComa

An 18-year-old woman undergoes elective breast reconstruction surgery for tuberous breast deformity using saline implants. She experiences cardiac arrest during surgery and develops a blood clot in the artery of Percheron causing coma, requiring emergency neurosurgical intervention.

Also known as: Blood clot in brain artery

ComaLoss of consciousnessRisk of permanent cognitive deficits

During breast reconstruction surgery, the patient develops a rare blood clot in the artery of Percheron (supplying the thalamus), causing loss of consciousness and coma. The team performs emergency stent retrieval to remove the clot and restore blood flow to prevent permanent brain damage.

Also known as: V-tach

Cardiac arrestHypotension

The breast reconstruction patient develops ventricular tachycardia (dangerous heart rhythm) during surgery requiring emergency defibrillation. This complication leads to the discovery of her underlying arterial thrombosis.

Coagulopathysupporting

Also known as: Blood clotting disorder

HemorrhageHypotension

During the cardiac tumor surgery, the patient develops a bleeding disorder from prolonged cardiopulmonary bypass, causing hemorrhage at cannulation sites and requiring blood products (platelets and fresh frozen plasma) to manage.