An interesting quiz in Pediatric Cardiology Board Review : “A newborn with an in utero diagnosis of PA-IVS is admitted to the NICU. An echocardiogram confirms the diagnosis. The infundibulum appears unobstructed. There is a mild pulmonary valve hypoplasia with no systolic or diastolic flow across the annulus. The RV is small with systolic pressure. The tricuspid valve is hypoplastic with a Z score = −2.5 with moderate regurgitation. The left ventricle has normal size and function. The coronary arteries were not well identified. A large ASD with right-to-left shunting is noted. The patient has a cardiac catheterization to perform balloon valvuloplasty. The angiograph is shown below: (( What should be the next step for this patient in the cath lab?)) A. Dilation of the right coronary artery B. BAS C. Abort balloon valvuloplasty D. Refer for surgical pulmonary valvotomy E. Perform pulmonary valvuloplasty with MPA stent placement”
Posted on: Sun, 12 Oct 2014 22:26:20 +0000
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