Question of the Week 587

{“questions”:{“ync8c”:{“id”:”ync8c”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 15-year-old male (100 kg, BMI 33 kg\/m2) with a history of tetralogy of Fallot repaired with a transannular patch presents for transcatheter pulmonary valve replacement. His medical history also includes trisomy 21 and obstructive sleep apnea, with noncompliance to CPAP therapy. The interventional team plans […]

Question of the Week 586

{“questions”:{“7uj2j”:{“id”:”7uj2j”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 16-year-old adolescent with tricuspid atresia palliated to a Fontan circulation presents for combined heart-liver transplantation (CHLT) due to Fontan failure with preserved ventricular systolic function and stage 3 liver fibrosis. Which of the following is the MOST well-established advantage of CHLT compared with isolated heart […]

Question of the Week 585

{“questions”:{“d0klh”:{“id”:”d0klh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 4-year-old child with a history of truncus arteriosus status post neonatal repair presents for bilateral pulmonary artery reconstruction and right ventricle-to-pulmonary artery conduit replacement on cardiopulmonary bypass. The patient also has sickle cell disease managed with chronic exchange transfusions. Which of the following perioperative strategies […]

Question of the Week 584

{“questions”:{“0hzhm”:{“id”:”0hzhm”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Kirsten Groody, MD AND Anila B. Elliott, MD – University of Michigan – C.S. Mott Children\u2019s Hospital \r\nA 6-month-old 5 kg male undergoes closure of a large, unrestrictive perimembranous ventricular septal defect (VSD). Post-repair transesophageal echo (TEE) shows a 4mm residual shunt. Assuming normal pulmonary vascular resistance (PVR) and no pulmonary venous desaturation, what […]

Question of the Week 583

{“questions”:{“dzkr6”:{“id”:”dzkr6″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Kirsten Groody, MD AND Anila B. Elliott, MD – University of Michigan – C.S. Mott Children\u2019s Hospital \r\n\r\nA 20-year-old female with a history of hypoplastic left heart syndrome (HLHS) status post extracardiac Fontan presents for upper endoscopy to evaluate for esophageal varices. History is notable for severe atrioventricular valve regurgitation, moderately depressed ventricular function […]