Arrested Development
Between a Rib and a Hard Place
Ring Around the Flowsies
Heartburn Hotel
Path to Scan-lightenment
100
This tripeptide in blood cardioplegia scavenges oxygen-free radicals
What is glutathione?
100
Percentage of thoracic outlet syndrome that are neurogenic
What is 90%
100
The vessel most likely to be injured during placement of the anterior commissure suture during mitral valve annuloplasty
What is the left circumflex artery?
100
Diagnosis when high-resolution manometry shows impaired LES relaxation and absent peristalsis
What is achalasia?
100
Loss of nuclear expression of this gene is highly specific for pleural mesothelioma
What is BAP1 (BRCA1-associated protein 1)?
200
Type of cardioplegia that provides uniform distribution to the subendocardium but is contraindicated in patients with significant aortic insufficiency
What is antegrade cardioplegia?
200
Physical exam maneuver to test for thoracic outlet syndrome where patient slowly opens and closes their hands for 3 min the below position.
What is the Elevated Arm Stress Test (EAST, aka Roos test)?
200
The base of this leaflet, which corresponds to the intertrigonal distance, is used as a reference for sizing tricuspid annuloplasty rings
What is the septal leaflet?
200
Direction of gastric volvulus
What is mesenteroaxial?
200
The implanted medical device below
What is a mitra leadless cardiac pacemaker?
300
A complication that can result from excessive volume or pressure during retrograde cardioplegia
What is coronary sinus rupture?
300
Most common primary malignant chest wall tumor
What is chondrosarcoma?
300
Tricuspid valve repair is reasonable for patients with progressive (Stage B) tricuspid regurgitation undergoing mitral valve surgery when tricuspid annular end-diastolic diameter is greater than this threshold
What is 4.0 cm?
300
The vertebral level where the azygos vein travels over the right main bronchus
What is T4?
300
Positive p40, negative TTF-1
What is squamous cell carcinoma?
400
This anatomical structure may limit uniform cardioplegia distribution in retrograde delivery, especially to the right ventricle
What is the Thebesian venous system?
400
Two chest wall tumor histologies where surgery is warranted for diagnosis only
What are plasmacytoma and lymphoma?
400
A degenerative mitral valve disease in which myxoid infiltration of the valve results in a myxomatous-appearing valve where the hallmark is excess thickened leaflet tissue
What is Barlow’s disease?
400
Complication after Nissen fundoplication with this postop barium swallow and EGD view looking at the hiatus
What is a slipped wrap?
400
Diagnosis for pathology below (salt and pepper chromatin with 3 mitoses per 2 mm²)
What is atypical carcinoid?
Atypical carcinoids have 2-10 mitoses per 2 mm² or the presence of necrosis.
Typical carcinoids have <2 mitoses per 2mm².
500
For each 1°C drop in temperature, myocardial oxygen demand decreases by this percentage
What is 5-7%?
500
Size of anterior chest wall defect during chest wall tumor resection that should get a rigid or semirigid prosthesis
What is 5cm or greater?
500
The study that standard selection criteria for TEER for secondary MR are based off of, per the ACC/AHA 2020 Guidelines
What is the COAPT trial?
The enrollment criteria in COAPT trial were LVEF 20-50%, LVESD ≤70 mm, PASP ≤70 mmHg, and persistent symptoms [NYHA class II, III, or IV] while on optimal GDMT (guideline-directed medical therapy
500
Autosomal recessive congenital disorder classically characterized by a triad of ACTH-resistant adrenal insufficiency, alacrimia, and achalasia
What is Allgrove syndrome?
500
Name the coronary cusp indicated by the arrow
What is the right coronary cusp?