Question of the Week 571

{“questions”:{“wqogh”:{“id”:”wqogh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Manal Mirreh, MD AND Asif Padiyath, MBBS – Children\u2019s Hospital of Philadelphia \r\nA 13-month-old 8 kg child with hypoplastic left heart syndrome (HLHS) status post Stage 1Norwood followed by bidirectional Glenn at 7 months of age presents for diagnostic cardiac catheterization for hypoxia with oxygen saturation of 60-65%. Superior vena cava (SVC) angiograms demonstrated […]

Question of the Week 570

{“questions”:{“in279”:{“id”:”in279″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Joseph Vitale, MD – Cincinnati Children\u2019s Hospital AND Fernando Cuadrado, MD – Cincinnati Children\u2019s Hospital \r\nA 4\u2011month\u2011old female with a history of Trisomy 21 and a Rastelli type A atrioventricular septal defect (AVSD) presents for surgical repair using a two\u2011patch technique. Pre\u2011operative TTE demonstrated trivial common AV valve regurgitation, a large inlet VSD with […]

Question of the Week 569

{“questions”:{“78hed”:{“id”:”78hed”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Maxwell James, MD \u2013 University of Mississippi Medical Center AND\r\nStephanie N. Grant, MD, FAAP \u2013 Emory University School of Medicine\/ Children\u2019s Healthcare of Atlanta \r\n\r\nA six-month old female with hypoxemia and elevated mean pulmonary artery pressure (mPAP) is undergoing a diagnostic cardiac catheterization. She demonstrates reactivity during acute vasodilator testing with an improvement in […]

Question of the Week 568

{“questions”:{“hv97h”:{“id”:”hv97h”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Jocelyn Matheson, MD AND Emily Nasser, MD – Medical University of South Carolina, Charleston, SC \r\nA 9-month-old 7-kg infant with Glenn physiology presents to urgent care with stridor and relative hypoxia secondary to viral croup. He experiences loss of consciousness while being evaluated and is found to be in pulseless ventricular tachycardia. A colleague […]

Question of the Week 567

{“questions”:{“d6y3g”:{“id”:”d6y3g”,”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, 70 kg patient with a history of orthotopic heart transplantation for dilated cardiomyopathy presents with acute rejection secondary to medication noncompliance. During hospitalization, the patient is noted to have intermittent high-grade second-degree atrioventricular block (AV block), particularly during sleep. Permanent pacemaker implantation is recommended, […]