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 […]

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 […]