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 […]

Question of the Week 582

{“questions”:{“7y7yd”:{“id”:”7y7yd”,”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 12-year-old male with viral myocarditis develops malignant arrhythmias and suffers a cardiac arrest. After return of spontaneous circulation (ROSC) is achieved, he is placed on VA ECMO for ongoing cardiogenic shock. Over the next few hours, his arterial pulse pressure […]

Question of the Week 581

{“questions”:{“qf4me”:{“id”:”qf4me”,”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\nIn children with congenital heart disease (CHD) supported with extracorporeal membrane oxygenation (ECMO), which of the following factors is most consistently associated with both high complication rates and worse outcomes? \r\n\r\n”,”desc”:”EXPLANATION \r\nA small but high-risk subset of patients with CHD require […]

Question of the Week 580

{“questions”:{“sxpfm”:{“id”:”sxpfm”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Amy Babb, MD AND Amanpreet Kalsi, MBBS, FRCA – Vanderbilt University Medical Center -\r\nMonroe Carell Jr. Children’s Hospital at Vanderbilt \r\n\r\nAfter surgical repair of a complex cardiac defect, an infant requires an unplanned cardiac catheterization intervention. The parents ask about the risks associated with additional procedures after the initial surgery. Based on recent Pediatric […]