ABTS Congenital Cardiac case studies

ABTS Congenital Cardiac · Put your knowledge to work in context.

The ABTS Congenital Cardiac Surgery Initial Certification is a board certification credential for surgeons who have completed approved training in congenital cardiac surgery, or who qualify through the alternate pathway. It is designed to assess the knowledge, judgment, and operative readiness needed to care for neonates, infants, children, and adults with congenital heart disease. The ABTS Congenital Cardiac case studies are 5 cases and about 2,368 words.

Ductal Stent, Shunt, or Waiting in a 2.4-kg Neonate With Pulmonary Atresia

6-day-old boy born at 34+6 weeks, now 2.4 kg, with tetralogy of Fallot and pulmonary atresia. Branch pulmonary arteries are confluent, 3.0 and 3.2 mm; the ductus arises from the left arch and narrows to 1.8 mm.

521 words, about 3 min 2

Timing and Type of Pulmonary Valve Replacement in a 15-Year-Old With Repaired Tetralogy

15-year-old girl, 52 kg, repaired tetralogy of Fallot at 8 months. She has severe pulmonary regurgitation, RVEDVI 168 mL/m2, RVEF 46%, LVEF 58%, peak VO2 26 mL/kg/min (68% predicted), QRS 148 ms, no ventricular tachycardia on Holter, mild tricuspid regurgitation, and no RVOT aneurysm.

479 words, about 2 min 3

Hypotension After Arterial Switch: Coronary or Something Else?

3.5 kg term neonate with d-transposition and intact ventricular septum underwent arterial switch with coronary transfer. Eight hours later: HR 165/min, BP 62/38 mmHg, CVP 12 mmHg, LA pressure 14 mmHg, mixed venous saturation 48%, lactate 6.8 mmol/L and rising, urine 0.5 mL/kg/h.

456 words, about 2 min 4

Operability in a 5-Month-Old With a Large VSD and Borderline Pulmonary Vascular Resistance

5-month-old boy, 4.8 kg, with a large perimembranous VSD. Catheterization: pulmonary artery pressure 68/32 (mean 45) mmHg, aortic pressure 78/42 (mean 55) mmHg, Qp/Qs 1.9, PVR 5.2 Wood units·m2.

438 words, about 2 min 5

Trisomy 18, Ductal-Dependent Circulation, and a Family's Request for Surgery

2.9 kg term girl with trisomy 18, an atrioventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. She is ductal-dependent, on PGE1, and has had one episode of necrotizing enterocolitis treated medically.

474 words, about 2 min