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 […]

Question of the Week 411

{“questions”:{“h0uon”:{“id”:”h0uon”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA. Children\u2019s Medical Center, Dallas \r\n\r\nA 17-year-old male with a history of hypertrophic cardiomyopathy presents to cardiology clinic for routine follow-up. During transthoracic echocardiography, which of the following maneuvers is MOST likely to reveal a latent gradient across the left ventricular outflow tract?”,”desc”:”EXPLANATION \r\nHypertrophic cardiomyopathy (HCM) is the most common […]

Question of the Week 410

{“questions”:{“h2cqv”:{“id”:”h2cqv”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA – Children\u2019s Medical Center, Dallas TX \r\n\r\nA dysmorphic, 3-week-old neonate is referred to pediatric cardiology due to a systolic murmur. Genetic testing revels a karyotype of 45 XO. What is the MOST likely congenital cardiac defect in this patient?”,”desc”:”EXPLANATION \r\nThe karyotype 45 XO is consistent with a diagnosis of […]