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NECCA Surveys

NECCA Surveys. Clinical Scenarios 2011. Bicuspid Aortic Valve. 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes.

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NECCA Surveys

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  1. NECCA Surveys Clinical Scenarios 2011

  2. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  3. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  4. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  5. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  6. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  7. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  8. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  9. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  10. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  11. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  12. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  13. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  14. Bicuspid Aortic Valve 15 y.o with BAV and trivial to mild AS (MIG 22mmHg), trivial AI, Nl LV size and function, Ao root Z=3.0, AsAo Z=2.5. Nl ECG No recent changes 12 y.o. balloon dilated at birth for critical AS. Mod AS (MIG 52mmHg, up from 42) Mod AI (unchanged) Nl ECG, LV dilated (Z=2.7), Nl fx, Ao root Z=3, AsAo Z=2.5 12 y.o with chest pain. BAV w/o AS or AI. Nl LV, Ao root Z=1.3 AsAo Z=0.5

  15. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  16. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  17. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  18. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  19. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  20. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  21. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  22. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  23. Post-op tetralogy of Fallot 3 y.o. with non trans-annular patch at 3 mos. No sxs. Nl RV size and function. QRS=0.10 RVOT=22 mmHg RVp=36 plus RA Nl LV 12 y.o. with trans-annular patch at 3 mos. No sxs. Rare PVCs QRS=0.140 Free PR Mod to severe RV dilation. Nl RV function RVp=28 plus RA Nl LV 17 y.o. with tran-annular repair at 2 yrs. Device closure of residual VSD Dec’d exercise tolerance. Palpitations. ETT=8 mins QRS 0.150 Mod TR Mod PR RVp=46 plus RA Mod decrease Rv function. Mildly decreased LV function.

  24. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

  25. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

  26. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

  27. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

  28. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

  29. Syncope 16 y.o. with two syncopal episodes, one in class, one in the store. No family history Nl ECG 14 y.o with syncope at the end of a cross country race. No family history. Nl ECG 10 y.o. with loss of consciousness while swimming. Family history unknown. QTc=0.47

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