Do you have an idea for a Workshop, Problem-Based Learning Discussion (PBLD) or Expert Round Table Discussion that would benefit the Congenital Cardiac Anesthesia Society (CCAS) membership? If so, … [Read More...]
CCAS is a society organized within the Society for Pediatric Anesthesia. The CCAS concept originated with cardiac anesthesia directors and other key leaders at major congenital heart disease programs, who believed there was a need for a new society because of rapid advancement of highly specialized knowledge in the field, and a great increase in the numbers of patients, including adults with congenital heart disease.
Question of the Week
A previously healthy 10-year-old female child sustains a cardiac arrest while playing soccer. Return of spontaneous circulation was achieved with cardiopulmonary resuscitation. Upon hospital admission, an electrocardiogram demonstrated Q-waves and ST segment depression with inversion in the anterolateral leads. An echocardiogram revealed depressed left ventricular function, mild to moderate mitral valve regurgitation, lack of left ventricular outflow tract obstruction and the presence of abnormal collateral connections between the right and left coronary systems. A cardiac MRI was completed and demonstrated the following (Source credit: authors):
Figure 1. Cardiac MRI image: Ao = Aorta; PA = Pulmonary Artery
Which of the following is the MOST LIKELY etiology for the cardiac arrest?
A. Hypertrophic obstructive cardiomyopathy (HOCM)
B. Brugada Syndrome
C. Anomalous left coronary artery from the pulmonary artery (ALCAPA)
D. Heritable dilated cardiomyopathy