Question of the Week 588

{“questions”:{“f6l82”:{“id”:”f6l82″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University\r\nA 7-day-old, 3.2 kg neonate presents to the emergency department with poor feeding and lethargy. Echocardiogram demonstrates previously undiagnosed hypoplastic left heart syndrome (HLHS) with mitral and aortic atresia (MA\/AA), an intact atrial septum, preserved single ventricle function, and SaO2 ~ 80%. Chest radiograph shows only mild […]

Question of the Week 587

{“questions”:{“ync8c”:{“id”:”ync8c”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 15-year-old male (100 kg, BMI 33 kg\/m2) with a history of tetralogy of Fallot repaired with a transannular patch presents for transcatheter pulmonary valve replacement. His medical history also includes trisomy 21 and obstructive sleep apnea, with noncompliance to CPAP therapy. The interventional team plans […]

Question of the Week 586

{“questions”:{“7uj2j”:{“id”:”7uj2j”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 16-year-old adolescent with tricuspid atresia palliated to a Fontan circulation presents for combined heart-liver transplantation (CHLT) due to Fontan failure with preserved ventricular systolic function and stage 3 liver fibrosis. Which of the following is the MOST well-established advantage of CHLT compared with isolated heart […]

Question of the Week 585

{“questions”:{“d0klh”:{“id”:”d0klh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Kaitlin M. Flannery, MD, MPH – Stanford University \r\n\r\nA 4-year-old child with a history of truncus arteriosus status post neonatal repair presents for bilateral pulmonary artery reconstruction and right ventricle-to-pulmonary artery conduit replacement on cardiopulmonary bypass. The patient also has sickle cell disease managed with chronic exchange transfusions. Which of the following perioperative strategies […]

Question of the Week 584

{“questions”:{“0hzhm”:{“id”:”0hzhm”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Kirsten Groody, MD AND Anila B. Elliott, MD – University of Michigan – C.S. Mott Children\u2019s Hospital \r\nA 6-month-old 5 kg male undergoes closure of a large, unrestrictive perimembranous ventricular septal defect (VSD). Post-repair transesophageal echo (TEE) shows a 4mm residual shunt. Assuming normal pulmonary vascular resistance (PVR) and no pulmonary venous desaturation, what […]