RCCS case studies
RCCS · Put your knowledge to work in context.
The Registered Congenital Cardiac Sonographer (RCCS) is a credential administered by Cardiovascular Credentialing International (CCI), the body that lists the RCCS alongside its sonography, electrophysiology, invasive, vascular, and rhythm-analysis credentials. The designation is aimed at sonographers who perform echocardiography in congenital heart disease, where fetal, pediatric, and adult congenital anatomy, physiology, and surgical palliation differ substantially from acquired adult disease. The RCCS case studies are 5 cases and about 4,051 words.
1Six Hours Old With a 4% Pre/Postductal Step and a 3.4 m/s TR Jet
A 3.4 kg, 39-week infant is 6 hours old after an uncomplicated delivery; the mother had no diabetes and there was no prenatal diagnosis. Preductal SpO2 is 96% on room air and postductal 92%, respiratory rate 72 with mild subcostal retractions, and there is no murmur.
781 words, about 4 min2Three Months Old, 4.2 kg, an 8 mm VSD and a Low Gradient
A 3-month-old boy weighing 4.2 kg (5th centile) is referred for poor feeding and sweating during feeds. Respiratory rate is 60, heart rate 150, systolic blood pressure 82 mmHg in the right arm with a 16 mmHg step-down to the legs, and the liver edge is 3 cm below the costal margin.
754 words, about 4 min3Imaging a 2 mm Isthmus in a 2.1 kg Preterm Infant
A 9-day-old, 2.1 kg infant born at 32 weeks is on nasal CPAP for apnoea of prematurity. The nurse reports weak femoral pulses and a 15 mmHg arm-to-leg blood pressure difference.
814 words, about 4 min4A 12 mm ASD, a Dilated Right Ventricle and a Qp/Qs of 1.4
A 7-year-old, 24 kg girl is referred after a murmur. She is asymptomatic and growing normally.
833 words, about 4 min5Desaturation Ten Days After a Norwood With a 3.5 mm Shunt
A 4-week-old, 3.4 kg boy with hypoplastic left heart syndrome is 10 days after a Norwood operation with a 3.5 mm modified Blalock-Taussig shunt. He is intubated on milrinone, with an umbilical arterial line and a central venous line.
869 words, about 4 min