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

{“questions”:{“hewmh”:{“id”:”hewmh”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anna Hartzog MD and Chinwe Unegbu MD \u2013 Children\u2019s National Hospital \r\n\r\nAn 8-month-old male with Tetralogy of Fallot (TOF) with hypercyanotic spells presents for complete surgical repair. Preoperatively, the patient has a baseline heart rate of 160-170. Induction of anesthesia is uneventful, and the patient is initiated on a dexmedetomidine infusion following intubation. After 120 minutes on cardiopulmonary bypass with a cross clamp time of 79 minutes, the patient is separated from bypass and is noted to be in normal sinus rhythm, have a core temperature of 37.8\u00b0C, and have a low calcium level. Which factor in this patient is MOST LIKELY to be protective against the development of postoperative junctional ectopic tachycardia (JET)? \r\n”,”desc”:””,”hint”:””,”answers”:{“1cvxf”:{“id”:”1cvxf”,”image”:””,”imageId”:””,”title”:”A. Preoperative heart rate “},”481h5”:{“id”:”481h5″,”image”:””,”imageId”:””,”title”:”B. Postbypass calcium level “},”5t96m”:{“id”:”5t96m”,”image”:””,”imageId”:””,”title”:”C. Early initiation of an intraoperative dexmedetomidine infusion “,”isCorrect”:”1″},”zl6j1″:{“id”:”zl6j1″,”image”:””,”imageId”:””,”title”:”D. Core temperature of 37.8\u00b0C. in the postbypass period”}}}},”results”:{“9thsu”:{“id”:”9thsu”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:” https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/03\/CCAS-QOW-Posted-3-17-2022.pdf”}}}

{“questions”:{“q7yf7”:{“id”:”q7yf7″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Anna Hartzog MD\u2013 Children\u2019s National Hospital, Chinwe Unegbu MD \u2013 Children\u2019s National Hospital <\/br><\/br>\r\nAn 8-day-old, full term neonate with dextro-Transposition of the Great Arteries (d-TGA), aortic coarctation, ventricular septal defect (VSD), and a left circumflex coronary artery arising from a right coronary artery with an intramural course is now status post arterial switch operation, arch reconstruction, and VSD closure. In this patient, which of the following associated anomalies is the MOST LIKELY factor contributing to an increased risk of myocardial ischemia in the post-operative period? \r\n”,”desc”:””,”hint”:””,”answers”:{“vptik”:{“id”:”vptik”,”image”:””,”imageId”:””,”title”:”A. Aortic coarctation”},”7sjxu”:{“id”:”7sjxu”,”image”:””,”imageId”:””,”title”:”B. Ventricular Septal Defect”},”kono1″:{“id”:”kono1″,”image”:””,”imageId”:””,”title”:”C. Intramural course of a coronary artery”,”isCorrect”:”1″},”lu717″:{“id”:”lu717″,”image”:””,”imageId”:””,”title”:”D. Left circumflex artery arising from the right coronary artery”}}}},”results”:{“9jd3s”:{“id”:”9jd3s”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/03\/CCAS-QOW-Posted-3-10-2022.pdf”}}}

{“questions”:{“gcnc8”:{“id”:”gcnc8″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Children\u2019s Medical Center, Dallas \r\n\r\nHypoplastic left heart syndrome (HLHS) consists of several different anatomical variants. Which of the following subtypes of HLHS is MOST LIKELY to be associated with the worst clinical outcome?”,”desc”:””,”hint”:””,”answers”:{“xgj2h”:{“id”:”xgj2h”,”image”:””,”imageId”:””,”title”:”A.\tMitral atresia\/Aortic atresia (MA\/AA)”},”fis34″:{“id”:”fis34″,”image”:””,”imageId”:””,”title”:”B.\tMitral atresia\/Aortic stenosis (MA\/AS)”},”s116x”:{“id”:”s116x”,”image”:””,”imageId”:””,”title”:”C.\tMitral stenosis\/Aortic atresia (MS\/AA)”,”isCorrect”:”1″},”vgfw0″:{“id”:”vgfw0″,”image”:””,”imageId”:””,”title”:”D.\tMitral stenosis\/Aortic stenosis (MS\/AS)”}}}},”results”:{“fzwye”:{“id”:”fzwye”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/03\/Question-of-the-Week-Posted-3-3-22.pdf”}}}

{“questions”:{“3alul”:{“id”:”3alul”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Children\u2019s Medical Center, Dallas \r\n\r\nA 25-year-old woman with phenylketonuria has been poorly compliant with dietary advice during her pregnancy. Which of the following congenital heart defects is MOST likely to occur in her newborn?\r\n”,”desc”:””,”hint”:””,”answers”:{“blo3y”:{“id”:”blo3y”,”image”:””,”imageId”:””,”title”:”A.\tTricuspid atresia”},”7o7di”:{“id”:”7o7di”,”image”:””,”imageId”:””,”title”:”B.\tHypoplastic left heart syndrome”,”isCorrect”:”1″},”ehj40″:{“id”:”ehj40″,”image”:””,”imageId”:””,”title”:”C.\tEbstein\u2019s anomaly”},”drqla”:{“id”:”drqla”,”image”:””,”imageId”:””,”title”:”D.\tTransposition of the Great Vessels”}}}},”results”:{“r5kct”:{“id”:”r5kct”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/02\/Final-AC-and-SG-edits-QOW-21-Feb-2022.pdf”}}}

{“questions”:{“2zvpu”:{“id”:”2zvpu”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Sana Ullah, MB ChB, FRCA \u2013 Children\u2019s Medical Center, Dallas \r\n\r\nIn pediatric patients, which of the following types of cardiac tumors is MOST LIKELY to be associated with a lethal ventricular arrhythmia?\r\n\r\n”,”desc”:””,”hint”:””,”answers”:{“o9ehz”:{“id”:”o9ehz”,”image”:””,”imageId”:””,”title”:”A.\tAtrial myxoma”},”welhi”:{“id”:”welhi”,”image”:””,”imageId”:””,”title”:”B.\tRhabdomyoma”},”pp9z3″:{“id”:”pp9z3″,”image”:””,”imageId”:””,”title”:”C.\tFibroma”,”isCorrect”:”1″},”1febm”:{“id”:”1febm”,”image”:””,”imageId”:””,”title”:”D.\tAngiosarcoma”}}}},”results”:{“pjwkq”:{“id”:”pjwkq”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/02\/Final-AC-and-SG-edits-Question-of-the-Week-Sana-1-Feb-2022.pdf”}}}