CME in Cardiothoracic and Vascular AnesthesiaReading the Journal of Cardiothoracic and Vascular Anesthesia can now provide you with Category 1 Credits. With each issue, youwill have the opportunity to respond to questions related to the content of the Journal’s current Review Articles, Pro and Con,Emerging Technology, Case Conferences, and Diagnostic Dilemmas. Category 1 Credit materials will be available in the Journaland on the Journal’s web site: www.jcardioanesthesia.com. Please read the following information carefully.

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Category 1 CreditTo earn Category 1 credit, read the articles designated for Category 1 credit, complete the Category 1 Credit form, and submit the formwithin one month of the issue date. It will be the responsibility of the participant to maintain a record of credit received from this Journal.The AMA Physician’s Recognition Award (PRA) is available only to physicians licensed in the United States, Canada, and Mexico.

Accreditation StatementThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council forContinuing Medical Education (ACCME) through the joint sponsorship of the University of Louisville School of Medicine and TheJournal of Cardiothoracic and Vascular Anesthesia. The University of Louisville School of Medicine is accredited by the ACCME toprovide continuing medical education for physicians.

Designation StatementThe University of Louisville Continuing Health Sciences Education designates this education activity for a maximum of 1 hour inCategory 1 credit per Journal issue toward the AMA Physician’s Recognition Award. Each physician should claim only those hours ofcredit actually spent in the educational activity.

Overall Educational Purpose, Target Audience, ObjectivesPurpose: The content of the Journal of Cardiothoracic and Vascular Anesthesia is designed to educate readers in current developments

in the practice of cardiac, thoracic, and vascular anesthesia, and critical care.The target audience: Physicians and other medical professionals (including physicians-in-training) in the practice of anesthesia,

especially in the subspecialties of cardiac, thoracic, and vascular anesthesia, and critical care.

Learning Objective for each article in this issue:• Review Article: Stentless xenografts for aortic valve replacement.

Objective: To know the surgical indications, advantages, and disadvantages of stentless aortic valves and understand surgicaltechniques for implantation of these xenografts.

• Case Conference: Aprotinin use during deep hypothermic circulatory arrest for Type A aortic dissection and Cesarean section ina woman with preeclampsia.Objective: To learn how to manage a pre-eclamptic pregnant woman with aortic dissection for combined Cesarean delivery andsurgical aortic repair using deep hypothermic circulatory arrest.

• Pro & Con: Treatment of coronary artery disease in the year 2003 [Editorial]; Standard percutaneous coronary intervention is theprocedure of choice for myocardial revascularization; Standard CABG is the procedure of choice for myocardial revascularization.Objective: To learn the advantages and disadvantages of current and developing options for the treatment of coronary arterydisease.

• Diagnostic Dilemmas:(1) An abnormal TEE on bypass.

Objective: To learn the echocardiographic findings associated with bypass venous cannula malposition.(2) Valvular pathology diagnosed with transesophageal echocardiography during aortic root replacement.

Objective: To learn echocardiographic findings associated with incidental mitral valve pathologies during aortic root replace-ment.

Category 1 Credit Form and SubmissionThe completed Category 1 Credit Form must be fax marked or postmarked within 4 weeks of the issue date of the Journal. To

earn Category 1 credit, read the articles designated for Category 1 credit and complete the Category 1 Credit Form. In order toreceive Category 1 Credit, the participant must correctly answer three of the five questions.

A $20.00 processing fee is required to process the form, so be sure to include your VISA or MasterCard information or a check.In order to receive a certificate for Category 1 Credit:

(1) Fax the completed Category 1 Credit form to (502) 852-6300. All faxes are confidential.(2) Mail the completed form to Continuing Health Sciences Education, School of Medicine, 500 South Preston Street – Bldg.

A-114, University of Louisville, Louisville, KY 40202. If three of the five questions are correct, a certificate will bereturned via fax or mail.

(3) Go online at www.chse.louisville.edu, select the Journal of Cardiothoracic and Vascular Anesthesia, read the articles, andcomplete the form online. If three of the five questions are correct, a certificate will automatically be generated.

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CATEGORY 1 CREDIT FORMPart 1: TEST QUESTIONS

CME Questions for April 2003 issue ofJournal of Cardiothoracic and Vascular Anesthesia

Prepared by Carol L. Lake, M.D., M.B.A., M.P.H.

For each of the following, choose A, B, C, D, or E to indicate the correct completion(s):A. 1, 2, and 3B. 1 and 3C. 2 and 4D. 4 onlyE. All of the above

1. Use of aprotinin during hypothermic circulatory arrest1. May cause diffuse intravascular thrombosis2. May cause postoperative renal dysfunction3. Requires use of kaolin to monitor activated clotting time4. Reduces blood product usage. ANSWER _____

2. Intraoperative management goals for repair of aortic dissection during pregnancy include1. Avoidance of fetal bradycardia2. Maintenance of hematocrit � 25%3. Cesarean section prior to aortic repair if gestational age is � 32 weeks4. Treatment of concomitant pre-eclampsia. ANSWER _____

3. As compared to percutaneous coronary interventions, coronary bypass grafting is disadvantageous because of1. Higher in-hospital mortality2. Longer hospital stay3. Graft failure4. Decreased long-term survival. ANSWER _____

4. Signs of a malpositioned venous cannula during cardiopulmonary bypass include1. Right atrial distention2. Hepatic congestion3. Decreased venous return to pump4. Air in the right ventricle. ANSWER _____

5. Common causes of an aneurysm of the anterior mitral leaflet are1. Myxomatous degeneration2. Aortic valve endocarditis3. Quadricuspid aortic valve4. Coronary artery disease. ANSWER _____

Part 2.● What change(s) do you plan to make in your practice as a result of reading any of these articles?

● Please suggest article topics for future Journal publications.

285Journal of Cardiothoracic and Vascular Anesthesia, Vol 17, No 2 (April), 2003: pp 285-286

● Additional Comments

Part 3. Please PRINT legibly or TYPE the following information.

Name

Address

City State ZIP

Telephone (_____) _____________________ Fax (______) _____________________

Method of Payment� Enclosed is my $20.00 check payable to the University of Louisville.

Please charge my credit card $20.00:� MasterCard � Visa

Name as it appears on card (please print)

Card Number

/Expiration Date / Signature of Card Holder (required)

If you have any questions call (502) 852-5329, fax (502) 852-6300, or e-mail chse@louisville.edu.

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