Congenital 13

A 6-week-old, 3.6 kg infant presents with oxygen saturations of 65-70%. He is warm and well-perfused without signs of distress. A chest X-ray reveals clear lung fields, and echocardiography shows tricuspid atresia with normally-related great vessels, a small ventricular septal defect, and a stenotic pulmonary valve with a small annulus. What is the best next step?

What is the most common late complication (within 1 year) for reoperation in patient who have undergone arterial switch operation?

What is the usual coronary anatomy/location in patients with d-TGA?

You are called about a term newborn with no reported prenatal issues. At birth patient noted to be cyanotic with saturations ranging in the high 30s to low 40s. The NICU physician intubated the child and starts Alprostadil. The saturations remain in the low 40s. An echo shows D-TGA, intact septum with a small PFO, and ductus is open? What is the next best step?

Balloon dilation for mitral stenosis should not be attempted all of the following patients EXCEPT:

Which congenital anomaly is commonly associated with mitral regurgitation?

Which site is the most accurate to obtain a true mixed venous saturation?

Common causes of increased systemic vascular resistance include all of the following except:

Which of the following correspond to normal vital signs for a neonate:

In neonates, postoperative urine output that would indicate adequate renal function is:

In pediatric patients, afterload is taken to include:

In the absence of respiratory complications, the PaCO2 to ETCO2 difference in children should be:

9. An oxygen saturation of 80-85% is most likely to be seen after which stage of single ventricle palliation?

15. All of the following are true of neonatal and infant physiology except:

All of the following can be a sign of post-operative low cardiac output except:

Common causes of mediastinitis after pediatric cardiac surgery cases include all of the following except:

In the absence of known preoperative pulmonary hypertension, the pulmonary artery pressure after cardiopulmonary bypass in children should be

Common causes of decreased intrinsic contractility include all of the following except: