ABA Cardiac Anesth case studies
ABA Cardiac Anesth · Put your knowledge to work in context.
The Adult Cardiac Anesthesiology Exam is one of the subspecialty examinations listed by the American Board of Anesthesiology (ABA), appearing alongside the board's other subspecialty exams. Subspecialty certification is intended for anesthesiologists who already hold primary certification in anesthesiology and who want formal recognition of advanced expertise in the perioperative care of patients undergoing cardiac surgery and related procedures. The ABA Cardiac Anesth case studies are 5 cases and about 4,640 words.
1New Systolic Anterior Motion and Mitral Regurgitation After an Apparently Successful Repair
A 58-year-old man with degenerative mitral regurgitation undergoes posterior leaflet resection and implantation of a 32-mm annuloplasty ring. Preoperative LVEF is 65%, LV end-diastolic dimension 56 mm, and there is no left ventricular hypertrophy.
888 words, about 4 min2Choosing Temporary Mechanical Support for Postcardiotomy Shock
A 66-year-old man with severe aortic stenosis and an LVEF of 30% undergoes bioprosthetic aortic valve replacement and three-vessel CABG. Separation from bypass fails twice.
939 words, about 5 min3Postoperative Day 1 Low Output with Inferior ST Elevation
A 74-year-old woman with diabetes and COPD undergoes CABG with a left internal thoracic artery to the LAD and vein grafts to the obtuse marginal and posterior descending arteries. Preoperative LVEF is 45%.
984 words, about 5 min4Laparoscopic Surgery in an Adult with a Fontan Circulation
A 24-year-old man with hypoplastic left heart syndrome palliated to an extracardiac Fontan conduit presents with acute calculous cholecystitis and needs laparoscopic cholecystectomy. Baseline SpO2 is 92% on room air, BP 102/62 mmHg, and HR 72 in sinus rhythm.
895 words, about 4 min5A Vasoactive Infusion Mix-Up and a Colleague Who Wants Silence
During an emergency CABG, a relief certified registered nurse anesthetist hangs a bag labeled 'nitroglycerin 100 mcg/mL' that in fact contains norepinephrine 16 mcg/mL, prepared by pharmacy for a different patient in the same room. Within two minutes the mean arterial pressure rises from 70 to 165 mmHg and the heart rate from 75 to 105.
934 words, about 5 min