Congenital Cardiac Anesthesia Society
A Section of the the Society for Pediatric Anesthesia

{“questions”:{“vl96q”:{“id”:”vl96q”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Christopher Busack, MD and Daniela Perez-Velasco, DO \u2013 Children\u2019s National Hospital \r\nA 3-year-old male child with heterotaxy syndrome is scheduled for the Fontan procedure. Which of the following anatomic configurations is MOST LIKELY to be associated with the lowest transplant free survival after the Fontan procedure?”,”desc”:””,”hint”:””,”answers”:{“qq6u5”:{“id”:”qq6u5″,”image”:””,”imageId”:””,”title”:”A. Situs inversus totalis”},”s9de1″:{“id”:”s9de1″,”image”:””,”imageId”:””,”title”:”B. Left isomerism”},”8hv5l”:{“id”:”8hv5l”,”image”:””,”imageId”:””,”title”:”C. Right isomerism”,”isCorrect”:”1″},”vih0e”:{“id”:”vih0e”,”image”:””,”imageId”:””,”title”:”D. Situs solitus\r\n\r\n”}}}},”results”:{“pps2l”:{“id”:”pps2l”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/11\/CCAS-QOW-Posted-11-10-2022.pdf”}}}

{“questions”:{“rayb8”:{“id”:”rayb8″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Dallas, TX \r\nAn 8-month-old male infant is status post repair of a large perimembranous ventricular septal defect (VSD). After separation from cardiopulmonary bypass, the patient has the following vital signs: heart rate 130, blood pressure 80\/45, and pulse oximetry 99% with a fractional inspired oxygen (FiO_{2<\/sub>) of 0.25. The post-repair transesophageal echocardiogram (TEE) reveals a small residual VSD. In order to determine if the VSD is hemodynamically significant, the surgeon samples blood from the superior vena cava (SVC) and the main pulmonary artery (PA), resulting in oxygen saturations of 60% and 80% respectively. What is the Qp:Qs?”,”desc”:””,”hint”:””,”answers”:{“n0fvy”:{“id”:”n0fvy”,”image”:””,”imageId”:””,”title”:”A. 1:1″},”jmf93″:{“id”:”jmf93″,”image”:””,”imageId”:””,”title”:”B. 2:1″,”isCorrect”:”1″},”a76xd”:{“id”:”a76xd”,”image”:””,”imageId”:””,”title”:”C. 3:1″},”637mm”:{“id”:”637mm”,”image”:””,”imageId”:””,”title”:”D. Cannot be calculated with the given information”}}}},”results”:{“gtnc6”:{“id”:”gtnc6″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/11\/CASS-QOW-Posted-11-3-2022.pdf”}}}}

{“questions”:{“44duu”:{“id”:”44duu”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah MB ChB, FRCA \u2013 Dallas TX \r\n\r\nA 12-year-old male child is admitted to the cardiology service with frequent palpitations and dizziness. He is awake, alert and hemodynamically stable. A 12-lead ECG is performed. Which of the following types of congenital heart disease is MOST associated with supraventricular tachycardia secondary to an accessory pathway?”,”desc”:””,”hint”:””,”answers”:{“4xnv9”:{“id”:”4xnv9″,”image”:””,”imageId”:””,”title”:”A.\tCongenitally corrected transposition of the great arteries”},”axet3″:{“id”:”axet3″,”image”:””,”imageId”:””,”title”:”B.\tEbstein\u2019s anomaly”,”isCorrect”:”1″},”uxses”:{“id”:”uxses”,”image”:””,”imageId”:””,”title”:”C.\tLeft atrial isomerism”},”qyfdb”:{“id”:”qyfdb”,”image”:””,”imageId”:””,”title”:”D.\tRepaired Tetralogy of Fallot with a right ventricular to pulmonary artery conduit “}}}},”results”:{“onj1q”:{“id”:”onj1q”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/10\/CCAS-QOW-Posted-10-26-2022.pdf”}}}

{“questions”:{“l10fn”:{“id”:”l10fn”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA – Dallas, TX \r\n\r\nA 16-year-old adolescent male with a history of dilated cardiomyopathy is transferred to the cardiac intensive care unit from the emergency room due to persistent \u201clow flow\u201d alarms on a Heartmate 3 left ventricular assist device (LVAD). On examination, he appears fatigued with a heart rate of 130 in sinus tachycardia. A transthoracic echocardiogram demonstrates LVAD inflow and outflow cannulas in the appropriate position and normal position of the interventricular septum. The LVAD controller is showing a low-flow alarm and a decreased pulsatility index. What is the MOST LIKELY etiology of the low-flow alarm on the LVAD?”,”desc”:””,”hint”:””,”answers”:{“s1wxc”:{“id”:”s1wxc”,”image”:””,”imageId”:””,”title”:”A. Volume overload\/Hypervolemia”},”sojt0″:{“id”:”sojt0″,”image”:””,”imageId”:””,”title”:”B. Arterial hypertension”},”rgg9j”:{“id”:”rgg9j”,”image”:””,”imageId”:””,”title”:”C. Hypovolemia”,”isCorrect”:”1″},”gs4n6″:{“id”:”gs4n6″,”image”:””,”imageId”:””,”title”:”D. Right ventricular failure”}}}},”results”:{“3e9m2”:{“id”:”3e9m2″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/10\/CCAS-QOW-Posted-10-20-2022.pdf”}}}

{“questions”:{“ozlj0”:{“id”:”ozlj0″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Dallas, TX \r\n\r\nA 16-year-old, 65 kg adolescent male is placed on peripheral veno-arterial (VA) extracorporeal membrane oxygenation via the left femoral artery and the right femoral vein due to acute fulminant myocarditis. Following five days of ECMO, a transthoracic echocardiogram demonstrates improved left ventricular function with an epinephrine infusion of 0.05 mcg\/kg\/min. Pulse oximetry on the right arm and right leg demonstrates oxygen saturations of 60% and 96% respectively. Non-invasive cerebral oximetry has decreased from 80 to 40 with a fractional inspired oxygen of 1.0 and a chest x-ray demonstrating appropriate endotracheal tube position. What is the MOST APPROPRIATE clinical intervention at this time ?”,”desc”:””,”hint”:””,”answers”:{“reebi”:{“id”:”reebi”,”image”:””,”imageId”:””,”title”:”A.\tIncrease inotropic support”},”4f8c9″:{“id”:”4f8c9″,”image”:””,”imageId”:””,”title”:”B.\tIncrease ECMO circuit flow”},”9xwx6″:{“id”:”9xwx6″,”image”:””,”imageId”:””,”title”:”C.\tConvert to central ECMO cannulation “},”52isr”:{“id”:”52isr”,”image”:””,”imageId”:””,”title”:”D.\tInsertion of an additional arterial cannula into the right internal jugular vein”,”isCorrect”:”1″}}}},”results”:{“flkox”:{“id”:”flkox”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/10\/CCAS-QOW-Posted-10-13-2022.pdf”}}}