Question of the Week 600

{“questions”:{“dv7js”:{“id”:”dv7js”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anila B. Elliott, MD – C.S. Mott Children\u2019s Hospital – University of Michigan \r\n\r\nA 5-year-old male with a history of familial cardiomyopathy underwent Berlin Heart EXCOR left ventricular assist device (LVAD) placement. By post-operative day 3, he has been extubated to BIPAP, sedation is weaning, and he is diuresing on a furosemide infusion. Direct […]

Question of the Week 599

{“questions”:{“80m6r”:{“id”:”80m6r”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anila B. Elliott, MD – C.S. Mott Children\u2019s Hospital – University of Michigan \r\nA 6-week-old infant presents with poor feeding, tachypnea, and a systolic murmur consistent with mitral regurgitation. Echocardiography reveals a dilated and poorly contractile left ventricle. Pulsed-wave doppler demonstrates retrograde diastolic flow from the left main coronary artery into the main pulmonary […]

Question of the Week 598

{“questions”:{“kainx”:{“id”:”kainx”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kanwarpal S. Bakshi, MD \u2013 Children\u2019s Hospital Los Angeles \r\nA 6-month-old infant undergoes tetralogy of Fallot repair and separates uneventfully from cardiopulmonary bypass. After administration of protamine sulfate, the mean arterial pressure (MAP) rapidly decreases from 55 to 35 mmHg. Transesopageal echocardiography (TEE) demonstrates acute RV dilation with severe RV dysfunction, an estimated right […]

Question of the Week 597

{“questions”:{“kipaa”:{“id”:”kipaa”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Amy Babb, MD – Yale University, School of Medicine – Yale New Haven Hospital \r\nA baby is born at 31 weeks\u2019 gestation, weighing 1.6 kg. He is diagnosed with a discrete coarctation of the aorta, normal sized aortic arch and normal intracardiac anatomy. Prostaglandin infusion is started to maintain systemic perfusion. The patient has […]

Question of the Week 596

{“questions”:{“v6qcw”:{“id”:”v6qcw”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Amy Babb, MD – Yale University, School of Medicine – Yale New Haven Hospital \r\nA 4-year-old undergoes an extracardiac Fontan procedure. On post-operative day 3, chest tube output increases and becomes milky after initiation of enteral feeds. Which mechanism MOST contributes to the increased risk of chylothorax in patients with Fontan physiology?”,”desc”:”EXPLANATION \r\n\tChylothorax is […]