Question of the Week 416

{“questions”:{“6ntww”:{“id”:”6ntww”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Dylan Trujillo, DO, Felipe Medeiros, MD, Destiny F. Chau, MD; Arkansas Children\u2019s Hospital\/University of Arkansas for Medical Sciences, Little Rock, AR \r\n\r\nAn 8-year-old male child with history of an orthotopic heart transplantation six years prior due to dilated cardiomyopathy presents for laparoscopic appendectomy. The patient is compliant with transplant medications and the last cardiac […]

Question of the Week 415

{“questions”:{“nvky1”:{“id”:”nvky1″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Christopher Busack MD, Chinwe Unegbu MD, and Daniela Perez-Velasco DO \u2013 Children\u2019s National Hospital \r\n\r\nA 6-month-old male with Hypoplastic Left Heart Syndrome (HLHS) s\/p Norwood\/Sano modification receives an ABO-incompatible heart transplant secondary to severe tricuspid regurgitation and right ventricular dysfunction. After separation from cardiopulmonary bypass, the patient received 10 mL\/kg each of platelets, cryoprecipitate, […]

Question of the Week 414

{“questions”:{“i1s4t”:{“id”:”i1s4t”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Christopher Busack MD, Chinwe Unegbu MD, and Daniela Perez-Velasco DO \u2013 Children\u2019s National Hospital \r\nA 3-month-old female patient presents with failure to thrive. Echocardiography reveals severe LV dysfunction, severe mitral regurgitation, and an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA).Which operative intervention MOST LIKELY reduces the risk of in-hospital […]

Question of the Week 413

{“questions”:{“ixofz”:{“id”:”ixofz”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Christopher Busack MD, Chinwe Unegbu MD, and Daniela Perez-Velasco DO \u2013 Children\u2019s National Hospital \r\n\r\nA 4-year-old male patient with an atrial septal defect presents for surgical repair with cardiopulmonary bypass. The surgeon plans on using a clear pump prime with a hyperpolarized cardioplegic arrest. Which cardioplegia solution produces a hyperpolarized cardiac arrest?\r\n\r\n “,”desc”:”EXPLANATION \r\nThe […]

Question of the Week 412

{“questions”:{“n0imx”:{“id”:”n0imx”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2023\/03\/CCAS-Graphic-JPEG.jpg”,”imageId”:”6384″,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB, ChB, FRCA – Children\u2019s Medical Center, Dallas \r\nA 3-year-old female toddler with a large atrial septal defect (ASD) in addition to dysplastic mitral and tricuspid valves (both with severe regurgitation) presents for repair of both valves and ASD closure. After intubation, vital signs are as follows: HR 120, BP 90\/50, SpO2 […]