Question of the Week 591

{“questions”:{“0k48l”:{“id”:”0k48l”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Manal Mirreh, MD AND Lea Matthews, MD – Children\u2019s Hospital of Philadelphia \r\nA 6-week-old, former 36-week infant undergoes surgical repair of pulmonary valve stenosis. On postoperative day 3, chest tube output increases substantially and becomes milky in nature after advancement of feeds, and testing of the pleural fluid confirms chylothorax. Genetic testing is sent […]

Question of the Week 590

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Question of the Week 589

{“questions”:{“wrkln”:{“id”:”wrkln”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Amelia Sheppard, MD, Peggy Vogt, MD, and Stephanie Grant, MD \u2013 Emory University\/Children\u2019s Healthcare of Atlanta \r\n\r\nA one-week-old female with postnatal diagnosis d-Transposition of the Great Arteries (d-TGA) with severe left ventricular outflow tract obstruction (LVOTO) and a remote restrictive ventricular septal defect (VSD) successfully underwent a balloon atrial septostomy. Given the patient’s anatomic […]

Question of the Week 588

{“questions”:{“f6l82”:{“id”:”f6l82″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University\r\nA 7-day-old, 3.2 kg neonate presents to the emergency department with poor feeding and lethargy. Echocardiogram demonstrates previously undiagnosed hypoplastic left heart syndrome (HLHS) with mitral and aortic atresia (MA\/AA), an intact atrial septum, preserved single ventricle function, and SaO2 ~ 80%. Chest radiograph shows only mild […]

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 […]