Question of the Week 549

{“questions”:{“ag48h”:{“id”:”ag48h”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Kaitlin M. Flannery, MD, MPH – Stanford University AND Manchula Navaratnam, MBChB – Stanford University \r\nA 13-year-old, 30 kg, female with hypoplastic left heart syndrome palliated to an extracardiac Fontan with failing Fontan physiology has been listed for heart transplantation. She is highly sensitized resulting in limited compatible donor offers. An acceptable offer becomes […]

Question of the Week 538

{“questions”:{“ek71w”:{“id”:”ek71w”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Amy Babb, MD – Vanderbilt University Medical Center AND\r\nKaitlin Flannery, MD – Stanford University \r\n\r\nAn infant with Tetralogy of Fallot, pulmonary atresia and major aortopulmonary collateral arteries (TOF\/PA\/MAPCAs) presents for unifocalization. An intraoperative pulmonary artery flow study is requested by the surgeon. Which hemodynamic value obtained during the flow study is MOST likely to […]

Question of the Week 539

{“questions”:{“0bt44”:{“id”:”0bt44″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Amy Babb, MD AND Amanpreet Kalsi, MBBS, FRCA – Vanderbilt University Medical Center – Monroe Carell Jr. Children’s Hospital at Vanderbilt \r\nA 1-year-old patient is diagnosed with congenitally corrected transposition of the great arteries (cc-TGA) with intact ventricular septum and no pulmonary stenosis. Which of the following is the MOST appropriate initial surgical strategy […]

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 […]