Question of the Week 540

{“questions”:{“xxwqj”:{“id”:”xxwqj”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Anila B. Elliott, MD – University of Michigan, C.S. Mott Children\u2019s Hospital \r\nA 5-month-old male with a history of Tetralogy of Fallot (TOF) underwent complete repair with transannular patch and VSD closure. On arrival to the intensive care unit, the ECG shows narrow complex tachycardia with AV dissociation and heart rates between 170-210 beats […]

Question of the Week 541

{“questions”:{“ckp55”:{“id”:”ckp55″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anila B. Elliott, MD – University of Michigan, C.S. Mott Children\u2019s Hospital \r\nA 3-day-old male with total anomalous pulmonary venous return (TAPVR) is transferred from an outside hospital. He is hemodynamically stable on no vasoactive medications and supported on nasal cannula at 2L\/min with an FiO2 of 0.21. Transthoracic echocardiography shows unobstructed flow of […]

Question of the Week 542

{“questions”:{“2p83i”:{“id”:”2p83i”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kanwarpal Singh Bakshi, MD – Children\u2019s Hospital Los Angeles \r\nA 3\u202fkg neonate undergoes a Norwood-mBTT shunt procedure for hypoplastic left heart syndrome (HLHS). Following a prolonged cardiopulmonary bypass run, the patient is placed on veno-arterial (VA) ECMO postoperatively. After several days of support, a clamp trial is performed to assess readiness for decannulation. The […]

Question of the Week 543

{“questions”:{“fuz4p”:{“id”:”fuz4p”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2026\/01\/CCAS-QOW-9-11-25-Pic.png”,”imageId”:”9170″,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anila B Elliott, MD – University of Michigan, C.S. Mott Children\u2019s Hospital \r\n\r\nA 10-year-old with bicuspid aortic valve presents for a Ross procedure. They are consented for a deep parasternal intercostal plane (DPIP) block. What is the correct order of anatomical structures in the ultrasound image below, from superficial to deep (1 to 6)?”,”desc”:”EXPLANATION […]

Question of the Week 535

{“questions”:{“yfux1”:{“id”:”yfux1″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Manal Mirreh, MD, Jennifer M. Lynch, MD, PhD, Lea C. Matthews, MD \u2013 Children\u2019s Hospital of Philadelphia, Philadelphia, PA \r\n\r\nA 4-day-old, 3 kg neonate with HLHS is undergoing a Norwood procedure under hypothermic cardiopulmonary bypass. A few minutes after initiation of antegrade cerebral perfusion (ACP) through the innominate artery, a decrease in bilateral cerebral […]