from the editor

Collaboration: Key Element of our Mission

Dr. ZabalaBy Luis M. Zabala, MD
UT Southwestern Medical Center
Children’s Medical Center, Dallas

My two-year term as Editor of the CCAS Newsletter has now come to an end. It has been a pleasure and an honor for me to serve our members. During this period, we have all been well assisted by our excellent editorial team, Gregory Latham and Viviane Nasr, who together have set a high standard for the educational and quality content for our Newsletter.

Both the CCAS website ( and the Newsletter ( have undergone a tremendous transformation during these two years and all thanks to these two individuals. Today, our website delivers to us a question of the week, the poll of the month and a semi-annual Newsletter, keeping us engaged with our Society. All elements are designed to stimulate our readers with thought- provoking topics and intended to involve our members to participate in our Society’s Collaborative Mission: Bringing together Society members for discussion of clinical care, education and research for the anesthetic care of patients with congenital heart disease. The success of the Newsletter truly relies on the dedicated efforts of the large number of contributors.

I would like to thank and congratulate our current and newly elected president, Dr. Emad Mossad and Dr. Nina Guzzetta, for their unconditional support and mentorship. I would also like to acknowledge the guidance of Dr. Mark Twite and all the CCAS Board of Directors. For those of us who have the pleasure of working with such individuals, the biggest lesson learned is perhaps their dedication to serve the younger generations in our specialty. In this edition, we have the pleasure of announcing the results of the CCAS Board of Directors election (link to the new officers and directors Bio page in the Newsletter), and together we share the responsibility of guiding our younger generation to be active in our Society.

As usual, this issue offers two exceptional articles. The first one comes to us from our colleague Jennifer Hernandez et al. from Children’s Health Dallas, titled: “Glycemic Control in the Preoperative Period for patients with Congenital Heart Disease (CHD)”. This excellent review summarizes the most up-to-date literature on the topic and brings to surface a thoughtful commentary in regards to tight glycemic control in pediatric patients with CHD. Also, Dr. Hernandez presents us the STS guidelines for perioperative glycemic control in adult patients with acquired heart disease and raises the question; is it applicable to patients with adult congenital heart disease? There is a lot of work to be done in this area.

The second article is an exceptionally written review of the literature on “Coronary Artery Anomalies with Focus on Anomalous Aortic Origin of a Coronary Artery (AAOCA): Definition, Pathophysiology and Anesthetic Implications” from Benjamin Kloesel et. al. from Masonic Children’s Hospital, Minneapolis, MN. Coronary anomalies, outside the anomalous left coronary arising from the pulmonary artery (ALCAPA), are extremely rare and many times an incidental finding. The surgical management often inspires great discussion amongst cardiologist and surgeons, more so when confounded by the presence of a young athletic individual. This manuscript serves as reference on the topic to all pediatric cardiac anesthesiologist.

Finally, I am pleased to hand over the responsibility for the Newsletter to Dr. Latham of Seattle Children’s Hospital as new Editor of the Newsletter and Dr. Viviane Nasr of Boston Children’s Hospital as Associate Editor for the next term. By setting a two-year term to these roles we vacate the position of Editor of Education Initiatives, expertly occupied by Dr. Nasr. Filling this position will not be easy, it demands an incredible amount of work and dedication. The education initiative role is a great opportunity to be an active member of the Congenital Cardiac Anesthesia Society and contributes to the teaching of the CCAS members, colleagues and trainees. The expectation is to help advance our education by providing input to the website, ensuring a weekly question (52 questions/year) with explanation and references. All questions and poll will be reviewed and edited by Dr. Viviane Nasr and Dr. James DiNardo who is an ABA board examiner with a huge experience in question writing and editing. You can read the complete job description here. Who is up for the challenge?

I wish you all a wonderful holiday celebration and successful 2017.

See you in Austin.

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