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 […]

Question of the Week 536

{“questions”:{“r7qk2”:{“id”:”r7qk2″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Amy Babb, MD, AND Amanpreet Kalsi, MBBS, FRCA – Vanderbilt University Medical Center -\r\nMonroe Carell Jr. Children’s Hospital at Vanderbilt \r\nA 16-year-old female with a history of truncus arteriosus presents for RV-PA conduit change via sternotomy and cardiopulmonary bypass. She recently underwent a cardiac catheterization procedure for attempted percutaneous pulmonary valve placement and had […]