Please join us for the CCAS Webinar Series: Pediatric combined heart and liver transplantation: A Growing Population on January 27, 2024 at 10:30am EST. This is a joint webinar from the Congenital … [Read More...]
WELCOME
CCAS is a society organized within the Society for Pediatric Anesthesia. The CCAS concept originated with cardiac anesthesia directors and other key leaders at major congenital heart disease programs, who believed there was a need for a new society because of rapid advancement of highly specialized knowledge in the field, and a great increase in the numbers of patients, including adults with congenital heart disease.
Question of the Week
A 15-year-old boy palliated with the Fontan procedure has a history of plastic bronchitis refractory to maximal medical treatment. A diagnostic cardiac catheterization demonstrates a patent Fontan pathway with an open fenestration, Fontan pressure of 15 mm Hg, a pulmonary vascular resistance of 2.5 Woods units, and a transpulmonary gradient of 5 mm Hg with a baseline SpO2 of 92% in room air. Which of the following interventions is MOST appropriate for the management of the patient’s plastic bronchitis?
A. Selective lymphatic embolization
B. Balloon dilation of Fontan fenestration
C. Initiation of Bosentan