Pediheart: Pediatric Cardiology Today
328 episodes - English - Latest episode: 9 days ago - ★★★★★ - 164 ratingsA review of the latest literature and thought leaders in pediatric cardiovascular care.
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Episodes
Pediheart Podcast #210: Down Syndrome And Cardiac Transplantation
June 10, 2022 05:00 - 24 minutes - 22 MBThis week we delve into the world of heart transplantation to review a recent article on the topic of outcomes of the Down syndrome patient undergoing heart transplantation. Are infections or cancers more common in this patient group following transplantation? What role does intellectual disability play in the present era in decisions regarding transplantation in this patient group? Associate Professor of Pediatrics at Vanderbilt University, Dr. Justin Godown, shares his insights into this im...
Pediheart Podcast #209: Live From SCAI - Pulmonary Vein Stenosis Therapy With Systemic Sirolimus
June 03, 2022 05:00 - 37 minutes - 34.5 MBThis week we play a session of the podcast from SCAI 2022 in Atlanta with Professor of Pediatrics, Columbia University - Dr. Christopher Petit reviewing a recent publication on the topic of systemic sirolimus in concert with catheter interventions for the treatment of pulmonary vein stenosis. Who is a candidate for this sort of therapy? Does systemic sirolimus confer a survival benefit over local stent delivery? Who should be caring for patients with pulmonary vein stenosis? Who is a candidat...
Pediheart Podcast #208: Live From SCAI - Changes In Fontan Conduit Size Over Time
May 27, 2022 05:00 - 34 minutes - 31.7 MBThis week in a live session from SCAI 2022 we hear Assistant Professor of Pediatrics, Dr. Eimear McGovern shares her insights into a recent work she co-authored on changes in Fontan dimensions over time. Who needed interventions and how does the team in Kentucky choose to perform surveillance catheterizations on their Fontan patients? Is there an optimal time? What degree of stenosis or narrowing of a Fontan deserves intervention? Dr. McGovern provides the answers from Atlanta's SCAI Scientif...
Pediheart Podcast Replay #92: Factors Associated With Shunt Failure In The Single Ventricle Patient
May 20, 2022 05:00 - 34 minutes - 31.5 MBIn this replay of episode 92 from 2019, we speak with cardiovascular surgeon Dr. Johann Brink about a recent work he co-authored from the Royal Children's Hospital in Melbourne, Australia about the team's experience with shunt malfunctions. Are there factors that are associated with shunt failure in this sometimes fragile patient group? Survival to Fontan in most series is roughly 70% - what, if anything, can 'move the needle' to higher levels of survival in this patient population? Dr. Brink...
Pediheart Podcast #207: Impact Of Prenatal Diagnosis Of Vascular Rings On Outcomes
May 13, 2022 05:00 - 26 minutes - 24.2 MBThis week we review a recent report from Lurie Children's in Chicago on the impact of fetal diagnosis of vascular rings. Does prenatal knowledge of this problem enhance postnatal outcomes? Who deserves cross sectional imaging after birth if prenatally diagnosed with a ring or sling and when and how should this be performed? We speak with Assistant Professor of Surgery at the Mayo Clinic, Dr. Elizabeth Stephens about a recent work she authored on this topic. We also briefly speak with Dr. Kena...
Pediheart Podcast #206: Intraoperative Mapping Of Conduction During Congenital Heart Surgery
May 06, 2022 05:00 - 37 minutes - 34 MBThis week we review a recent report from the team at Boston Children's Hospital about a novel approach to avoid heart block during complex congenital heart surgery? Assistant Professor of Pediatrics at Harvard Medical School Elizabeth DeWitt shares with us her insights into a recent report she co-authored by the departments of surgery and cardiology at her institution about intraoperative mapping of conduction. How easy is it to identify the conduction system and how effective at avoiding hea...
Pediheart Podcast # 205: Cefazolin Dosing For Pediatric Cardiovascular Surgery
April 29, 2022 05:00 - 28 minutes - 25.6 MBThis week we move into the world of cardiac surgery when we review a recent work from Australia on levels of cefazolin during and after surgery. Is there an optimal dose regimen that will achieve proper MIC levels of drug? What should the goal of therapy be in regards to MIC levels? Are there novel means of dosing cefazolin? We speak with pediatric critical care pharmacy coordinator at Mount Sinai Kravis Children's Hospital, Dr. Jessica Frye for the pharmacist's perspective on some of these i...
Pediheart Podcast #204: The State Of Fetal Heart Disease Counseling Training in 2022
April 22, 2022 05:00 - 29 minutes - 26.9 MBThis week we delve into two areas of interest - fellowship training and fetal cardiology when we review a multi-center work endorsed by the Fetal Heart Society on the topic of fetal heart disease counseling. How is this skill taught to cardiology fellows and what are the deficiencies that present exist? Is empathy something that can be taught? What efforts are afoot regarding formalized curricula for this topic? What is the best way to train this critical skill for the cardiologist providing ...
Pediheart Podcast Replay of #155: Comparison Of Warfarin vs. Aspirin In The Fontan Patient
April 15, 2022 09:48 - 29 minutes - 26.7 MBIn this week's replay episode we review the important topic of anticoagulation of the Fontan patient. We speak with hematology researcher, Dr. Chantal Attard of The Murdoch Children's Research Institute of The University of Melbourne about a recent cross-sectional study comparing multiple factors in patients with Fontan circulation on aspirin vs. warfarin. What were the demonstrable differences in outcome? Are there ways to make the use of warfarin more safe? What about novel anticoagulants -...
Pediheart Podcast #203: A Conversation With Dr. Michael Freed
April 08, 2022 05:00 - 54 minutes - 49.8 MBThis week we speak with living legend of cardiology, Dr. Michael Freed about his life and also his landmark paper in 1981 on PGE1. How did Dr. Freed come to conduct one of the first multi center trials of an agent in pediatrics? What was life like in the world of pediatric cardiology prior to PGE1? What is Dr. Freed up to today? What advice does he have for the younger generation? This is a rare opportunity to speak with one of the living legends of our field. DOI: 10.1161/01.cir.64.5.899
Pediheart Podcast #202: Can SVT Be A Cause Of Sudden Cardiac Arrest In Children?
April 01, 2022 05:00 - 28 minutes - 26.1 MBThis week we review a recent work from the team at NY Presbyterian on SVT and a possible role it may rarely play in sudden cardiac arrest in children. When a patient does not have an obvious cause of arrest, is SVT a possible etiology and should invasive EP testing be considered? We speak with the senior author of this work, Dr. Leonardo Liberman about his thoughts on SVT as a possible cause of arrest and who amongst the many non-pre-excited SVT patients are perhaps 'higher risk'. doi: 10.100...
Pediheart Podcast #201: Stenting Pulmonary Veins - A New Technique and Discussion
March 25, 2022 05:00 - 33 minutes - 30.9 MBThis week we review the concept of stenting the pulmonary veins and we speak with Assistant Professor of Pediatrics at Baylor Medical College, Dr. Melissa Webb about a recent work she co-authored on this topic. Dr. Webb reviews a novel approach to shortening Palmaz stents and then reviews for us the rationale for stenting PV's and also discusses how these patients are longitudinally followed at Texas Children's Hospital. doi: 10.1002/ccd.29984
Pediheart Podcast #200: Goal Directed Therapy In The Pediatric CICU - Follow The Lactate
March 18, 2022 05:00 - 1 hour - 58.8 MBIn this milestone 200th episode of Pediheart, we review a 2005 paper from the team at Nicklaus Children's Hospital on how lactate level was used to monitor oxygen delivery and consumption in the postop congenital heart patient and the impact that a protocol involving frequent monitoring and response to this value improved outcomes in the pediatric CICU. Joining us is the first author of the work, Dr. Anthony Rossi, former chief of cardiology at NIcklaus Children's Hospital. Once again, let's ...
Pediheart Podcast Replay: Episode #137 - Role Of The ECG In Pre-Participation Screening Of College Athletes
March 11, 2022 06:00 - 37 minutes - 34 MBThis week's replay episode is co-branded with SADS.ORG and is on the topic of pre-participation screening from 2 years back. Can the ECG offer important benefits vs. the standard 14 point AHA H&P approach? Which approach was more effective in 'real life'? We speak with Professor Robert Campbell of Emory University this week to delve into this contentious and important topic. DOI: 10.1016/j.hrthm.2020.04.032
Pediheart Podcast #199: Glutaraldehyde-Treated Homograft Pericardial Patches For CHD Surgery
March 04, 2022 06:00 - 35 minutes - 32.7 MBThis week we delve into cardiac surgery and review a recent paper from Rady Children's Hospital about patch material and outcomes in the CHD surgical patient. What are the reasons that glutaraldehyde is used to treat patches used for surgery and what are the potential benefits and disadvantages? What sorts of patches are best for what indications? Are there data to suggest superiority of one patch material versus another? We speak with the senior author of this week's work, Assistant Professo...
Pediheart Podcast #198: What Is The Optimal Medical Management Of Post-Op Pericardial Effusion In Children?
February 25, 2022 06:00 - 26 minutes - 23.8 MBThis week we review a recent work from Utrecht University in The Netherlands on the topic of postoperative pericardial effusion following congenital heart surgery. Some use steroids, some NSAIDs and some colchicine. Are there any data supporting one agent versus the other? We speak with the first author of this work, Poznan University of Medical Sciences student, Nirmiti Somani about this practical and important issue in congenital heart surgery. DOI: 10.1007/s00246-022-02820-4
Pediheart Podcast #197: Is Liver Volume Associated With Outcomes In The Fontan Patient?
February 18, 2022 06:00 - 29 minutes - 26.9 MBThis week we delve into the world of the single ventricle patient when we speak with Dr. Adam Lubert of Cincinnati Children's Hospital Center about a recent work he co-authored on MRI imaging of the liver in the Fontan patient. Can simple liver metrics help predict hemodynamics or even outcomes in the single ventricle patient with a Fontan? What is the optimal way to image the liver in this patient group? Are there congenital patients other than Fontan patients who might merit liver imaging? ...
Pediheart Podcast #196: A Tribute To Professor David J. Sahn
February 11, 2022 06:00 - 39 minutes - 36 MBThis week we travel back in time to 1991 to review one of the first collaborative projects between Dr. Lisa Hornberger of U. Alberta and the legendary pediatric cardiology investigator, Dr. David Sahn. In this work on tricuspid valve disorders with TR and their diagnosis in fetal life, we learn about our first understandings of this complex physiology and problem and use this as starting point to speak about Professor Sahn, who passed just a few weeks ago. Dr. Hornberger was one of his most i...
Pediheart Podcast #90 Replay: Early Outcomes In Heart Transplantation In The Low Risk Pediatric Recipient And Steroid Avoidance
February 04, 2022 06:00 - 27 minutes - 25 MBIn a replay of episode #90 from 2019, we re-review a recent report from the CTOTC-04 study group assessing the impact of novel anti-rejection approaches which generally markedly reduce or remove steroids in the prevention of rejection. How are rejection rates affected by such an approach? Did incidences of diabetes or PTLD differ when using this form of steroid reduced approach in the 'low immunological risk' subset of patients undergoing heart transplantation? We speak with the first author ...
Pediheart Podcast #195: What Non-Emergent Minor Echo Findings In Asymptomatic Newborns Warrant Follow-Up?
January 28, 2022 06:00 - 25 minutes - 23.5 MBThis week we delve into general pediatric cardiology and discuss those mild abnormalities that are sometimes seen on echo in the newborn nursery. Which of these minor findings in healthy newborns should be monitored and who can be 'discharged' from cardiology follow-up? Are there data to help inform these decisions? Dr. John Hokanson, Professor of Pediatrics, U. Wisconsin, shares his insights this week. DOI: 10.1007/s00246-021-02795-8
Pediheart Podcast #194: Increased Markers Of Myocardial Fibrosis In TOF Patients Associated With An HIF1A Variant
January 21, 2022 06:00 - 30 minutes - 28.2 MBThis week we review a recent CMR study assessing changes in myocardial fibrosis identified with CMR T1 mapping seen in TOF patients with a single nucleotide polymorphism (SNP) of hypoxia inducible factor 1 alpha. Is myocardial fibrosis in the TOF patient due to hemodynamic factors alone or are there genetic factors that predispose to differences that can be measured on CMR? Professor Lars Grosse-Wortmann of OHSU shares his deep insights into this fascinating topic in which our understanding i...
Pediheart Podcast #193: Melody Valve Endocarditis And Factors Associated With Surgical Replacement
January 14, 2022 06:00 - 23 minutes - 21.5 MBMelody valves have been demonstrated to be associated with a small but consistent rate of endocarditis. Are there factors that might help predict who would need surgical explantation versus those who can be medically managed without surgery? Dr. Arpine Davtyan, senior cardiology fellow at Rady Children's Hospital shares insights from her recent multicenter, retrospective study on this topic. doi: 10.1007/s00246-021-02801-z
Pediheart Podcast #192: A Tribute To Professor George Ofori-Amanfo
January 07, 2022 06:00 - 1 hour - 79.8 MBDr. George Ofori-Amanfo, Division Chief of Pediatric Critical Care Medicine in the Jack and Lucy Clark Department of Pediatrics at the Icahn School of Medicine at Mount Sinai and at the Mount Sinai Kravis Children's Hospital, died last week after a very long illness. To honor him, we go back to episode #2 in 2018 in which Professor Ofori-Amanfo shares his insights into the delivery of cardiovascular care in the developing world. Following this interview, the first in the entire Pediheart seri...
Pediheart Podcast #191: Retirement Investing With Personal Finance Expert Paul Merriman
December 31, 2021 06:00 - 51 minutes - 46.7 MBThis week's episode, the final of 2021, is on personal finance and we speak with noted personal finance expert Paul Merriman about strategies to improve investing results within a retirement account. Mr. Merriman reviews index funds, the value of these over 'actively managed' funds, and his thoughts on 'target date funds'. Finally, he shares a strategy that may improve the outcome of a target date fund strategy. Here's to a good 2022.
Pediheart Podcast # 135 Replay: Mortality Attributable To CHD And Persistent Racial/Ethnic Disparities In Mortality In The US
December 24, 2021 06:00 - 43 minutes - 39.5 MBThis week we revisit episode 135 where we discussed the topic of mortality attributable to CHD in the US and persistent racial/ethnic disparities over the past 20 years. We speak with Professor Keila Lopez of Texas Children's Hospital about a recent large scale, 'big data' study she co-authored about this topic and review the reasons for these disparities and think about possible remedies. An essential episode on a critically important topic for CHD care. doi: 10.1161/CIRCULATIONAHA.120.046822
Pediheart Podcast #190: Fate Of The Truncal Valve
December 17, 2021 06:00 - 28 minutes - 26 MBThis week we delve into the world of congenital heart disease when we review a recent work from the team at Boston Children's Hospital on the long term outcomes of truncal valves in the setting of truncus arteriosus. Who amongst truncus patients is at risk for the development of truncal regurgitation or a need for reintervention? Are there predictors that might help forecast patients who should be more closely monitored? How do the data in this work help inform the fetal counseling of the tea...
Pediheart Podcast #189: Cardiac MRI Findings At Mid-Term Following MIS-C
December 10, 2021 06:00 - 29 minutes - 26.9 MBThis week we delve into the coronavirus pandemic and specifically the multisystem inflammatory syndrome in children (MIS-C) following COVID-19 infection. When there was significant initial cardiac involvement seen in the setting of MIS-C, what findings are common in the CMR of patients 6+ months later? How common is delayed enhancement seen and how does this compare with findings seen in other myocarditis patients? Who should be referred for a CMR following MIS-C? Dr. David Barris, 2nd year c...
Pediheart Podcast #188: IV Sotalol For The Treatment Of JET
December 03, 2021 06:00 - 25 minutes - 23.1 MBThis week we turn to a recent work from the group at Texas Children's Hospital about IV sotalol and the treatment of junctional ectopic tachycardia (JET). How did sotalol fair in comparison to IV amiodarone for the treatment of this potentially lethal postoperative arrhythmia? What differences were observed? How should IV sotalol be dosed and who is or is not a candidate? We speak with the first author of this work, Assistant Professor of Pediatrics at The Children's Hospital at Montefiore, ...
Pediheart Podcast #187: A Conversation With Living Legend, Professor Roberta Williams
November 26, 2021 06:00 - 52 minutes - 48.2 MBIn this week's special 'fellow takeover episode', Dr. Sarah Pradhan, sometime co-host of Pediheart and third year cardiology fellow at Cincinnati Children's Hospital, speaks with Professor Roberta Williams of USC about her long and illustrious career as a pioneer in both echocardiography as well as pediatric cardiac critical care. Prepare for a lot of wisdom about career and life from this giant in the field of pediatric cardiology. An inspirational episode to end the month of November, 2021.
Pediheart Podcast #186: A Population Health Approach To Address Congenital Heart Disease in Kerala, India
November 19, 2021 06:00 - 47 minutes - 43.3 MBThis week we move into the realm of public health for congenital heart care when we review a recent report on a novel approach to tackling the daunting task of enhancing access to care for congenital heart disease to all who need it in a limited resource region. We speak with Ms. Bistra Zheleva of Children's HeartLink and Professor Krishna Kumar of Amrita Institute in Cocchin, India about a recent report on how a large group of professionals have used a private/public cooperative approach bas...
Pediheart Podcast #185: How Long Should Infants With SVT Be Medically Treated?
November 12, 2021 06:00 - 31 minutes - 29 MBThis week we delve into the world of EP when we review a recent work from the team at Rady Children's Hospital on length of treatment for infant SVT. Is there an optimal length of therapy for the infant with SVT? Are there predictors of recurrence that might suggest benefit to a longer course of medical therapy? We speak with Director of Pacing at Rady Children's Hospital, Dr. Matthew R. Williams who is the senior author of this week's work. doi: 10.1007/s00246-020-02534-5
Pediheart Podcast #184: Assessing The Coronary Microvasculature Of HLHS Patients Through CMR
November 05, 2021 05:00 - 28 minutes - 26.1 MBThis week we review a recent important work from Germany about the coronary perfusion in patients with HLHS and possible relations between this flow and clinical outcomes. What factors are associated with abnormalities in microvascular coronary flow in the HLHS patient? What anatomical substrate is more concerning for these sorts of problems? Are there factors that might be modifiable that could possibly improve outcomes due to coronary microvascular flow problems in the HLHS patient? How pra...
Pediheart Podcast #77 Replay: Risk for Cancer Amongst Those With Congenital Heart Disease
October 29, 2021 05:00 - 28 minutes - 25.8 MBThis week we replay an episode reviewing a large administrative database study from Sweden on risk for cancer amongst patients with CHD. Why are cancer rates different in the CHD patient? What are the most important factors? What actions should be taken by cardiologists caring for ACHD patients in order to properly screen for cancer? We discuss these issues with Assistant Professor of Pediatrics, Harvard Medical School, Dr. Michelle Gurvitz. doi:10.1001/jamanetworkopen.2019.6782
Pediheart Podcast #183: Feasibility of Real Time Myocardial Contrast Echo To Assess Pediatric Cardiac Allograft Vasculopathy
October 22, 2021 05:00 - 28 minutes - 26.2 MBThis week we delve into the world of heart transplantation and echocardiography to review a recent work on non-invasive assessment of the pediatric heart transplant patient. Can stress echo and real time myocardial contrast echo identify coronary vasculopathy in this patient group? How do the results compare to coronary angiography? How difficult is this form of imaging and can it be done by pediatric echo techs and staff physicians? Professor Jonathan N. Johnson of the Mayo Clinic shares his...
Pediheart Podcast #182: Contemporary Outcomes Of Aortic Arch Reconstruction
October 15, 2021 05:00 - 24 minutes - 22.1 MBThis week we delve into the world of cardiovascular surgery to review a recent work on outcomes of arch reconstruction in the newborn and small child. We speak with Dr. Ramana Dhannapuneni, lead cardiac surgeon of Alder Hey Children's Hospital in Liverpool, UK. How often in the present era is re-operation or reintervention required? How common is the recurrent laryngeal nerve or phrenic nerve injured or affected by surgery? Dr. Dhannapuneni provides us with the surgical perspective to this co...
Pediheart Podcast #181: Delirium In The Pediatric Postoperative Cardiac Patient
October 08, 2021 05:00 - 29 minutes - 26.6 MBThis week we enter the world of cardiac critical care to discuss delirium in the postoperative pediatric cardiac patient. We speak with nursing scientist, Professor Sandra Staveski of UCSF about a recent large multicenter study she conducted on this topic. How prevalent is this problem and why is it an important morbidity to tackle and reduce? How can nursing interventions reduce this problem and how can the ICU team working together identify and manage this problem? Dr. Staveski shares her d...
Pediheart Podcast #180: Fetal and Neonatal Findings Associated With Neonatal Permanent Pacing In Antibody-Mediated CCHB
October 01, 2021 05:00 - 24 minutes - 22.2 MBThis week we review a recent report from the team at Children's Hospital of Los Angeles about prenatal and neonatal factors that might help predict the need for newborn permanent pacing in the setting of antibody-associated CCHB. We speak with Assistant Professor of Pediatrics at Mount Sinai, Dr. Justin Pick about this work. How important is third trimester fetal heart rate in predicting possible need for early pacing? Dr. Pick provides many insights this week. doi: 10.1007/s00246-021-02723
Pediheart Podcast #179: Bivalirudin Use For Pediatric Ventricular Assist Devices
September 24, 2021 05:00 - 42 minutes - 38.7 MBThis week we review a recent work on the use of bivalirudin on outcomes of pediatric VAD patients. We speak with Dr. Caroline Carly Heyrend of Primary Children's Hospital in Utah about a recent work she co-authored on time in therapeutic range for this agent in children with VAD's. How does bivalirudin work differently than heparin and what are the theoretical benefits or disadvantages of this agent in comparison with unfractionated heparin? Why are thrombotic complications still common among...
Pediheart Podcast #81 Repeat: A Standardized Protocol To Improve Junior Cardiology Fellow Echo Function Assessment
September 17, 2021 05:00 - 30 minutes - 27.9 MBThis week we enter the worlds of fellow education and echocardiography to review a recent report of a QI project performed at Children's Hospital of Philadelphia regarding the performance of echocardiograms by first year fellows in cardiology. Can the implementation of a checklist protocol improve the consistency of echocardiograms performed by fellows? What was the impact of this protocol? What areas were particularly well served by this approach? Dr. Brian White, senior cardiology fellow at...
Pediheart Podcast #178: Outcomes Of Pregnancy For the DTGA/Arterial Switch Patient
September 10, 2021 05:00 - 28 minutes - 26.5 MBThis week we delve into the world of ACHD when we review a recent large data evaluation from the team at Erasmus University in the Netherlands regarding outcomes of DTGA/Arterial Switch patients who have gone through pregnancy. How do these patients fare in general? What sort of pre-pregnancy evaluation should these patients have? Where should their offspring be delivered? Is a maternal fetal medicine expert required for all? Do all DTGA/Switch patients require tertiary care centers? Dr. Kari...
Pediheart Podcast #177: Clinical Outcome Disparities Among Black Children With Kawasaki Disease
September 03, 2021 05:00 - 20 minutes - 18.6 MBThis week we review a recent work from the team at University of Alabama in Birmingham about clinical outcome disparities amongst Black children with Kawasaki disease. What differences exist in outcomes between these groups and are these differences social or biological in origin? We speak with one of the authors of this work, Assistant Professor of Pediatrics Leslie Collins about this important work. doi: 10.1016/j.jpeds.2020.09.052
Replay of Pediheart Podcast #130: What Are The Stressors And Fears Of The New Pediatric Cardiology Fellow?
August 27, 2021 05:00 - 37 minutes - 34.3 MBFrom August 2020 - This week we delve into the topic of fellow wellness and review a recent work from the Boston Children's group on fellow fears and stressors when beginning their training. Are there patterns amongst the fellow concerns that can be identified and used to inform interventions to help allay these fears and reduce the stress? We speak with Dr. David Brown, Associate Professor of Pediatrics, Harvard Medical School and also Dr. Tony Pastor who is the ACHD Fellow at Boston Childre...
Pediheart Podcast #176: A Conversation With Pediatric Cardiology Pioneer Dr. Peter Lang
August 20, 2021 05:00 - 1 hour - 59.8 MBThis week we spend the entire episode speaking with Professor Peter Lang of Harvard University about his rich and long career in pediatric cardiology during one of the most exciting times of the field. Dr. Lang's story includes a virtual who's who of important cardiologists and cardiac surgeons for the past 50 years including Dr. Connie Hayes, Dr. Roberta Williams, Dr. Alexander Nadas, Dr. Richard Van Praagh, Dr. Aldo Castaneda, Dr. Bill Norwood and many, many more. This is a rare opportunity...
Pediheart Podcast #175: Changes In Extra-Cardiac Fontan Conduit Cross Sectional Area Over Time
August 13, 2021 05:00 - 21 minutes - 19.5 MBThis week we review a recent work assessing changes in Fontan conduit cross sectional area over time. What accounts for these changes and how do these affect exercise capacity? What does the future hold for the Fontan procedure? Is there an optimal conduit size for patients? We speak with Assistant Professor of Pediatrics at USC, Dr. Neil Patel this week! doi: 10.1016/j.jtcvs.2020.09.140
Pediheart Podcast #174: Outcomes Of The Potts Shunt In Pulmonary Hypertension Management
August 06, 2021 05:00 - 31 minutes - 28.8 MBThis week we enter the world of pulmonary hypertension (PH) and review a large multicenter registry study assessing outcomes of the Potts shunt for the management of severe PH. Who is a good or bad candidate for this therapy? Is there an advantage to placement of a valve in the shunt? Does this form of palliation affect lung transplant eligibility? We speak with the first author of this week's paper, Dr. R. Mark Grady, Professor of Pediatrics at Washington University. doi: 10.1016/j.jacc.2021...
Pediheart Podcast #173: Diaphragm Paralysis and Plication Following Congenital Heart Surgery
July 30, 2021 05:00 - 20 minutes - 19.1 MBThis week we enter the world of CT surgery to review a recent STS database study on outcomes of diaphragm paralysis following congenital heart surgery. How common is a diaphragm paralyzed following surgery and what are the main risk factors for this complication? How commonly are these plicated and how do those who are plicated fare in comparison to those managed more conservatively? Professor Narutoshi Hibino of U. Chicago shares his insights this week. doi: 10.1016/j.athoracsur.2020.05.175.
Pediheart Podcast #66 Replay: Avoiding Furosemide Induced Ototoxicity In Single Ventricle Infants
July 23, 2021 05:00 - 30 minutes - 28.1 MBThis week we replay an episode that reviews a critically important neurodevelopmental issue affecting infants who have single ventricle palliation - namely hearing loss. How common is hearing loss seen and what role does IV furosemide play in this finding amongst single ventricle patients? Are there techniques to avoid this complication and yet still use this commonly used diuretic agent? We discuss this important issue and study with Dr. Ari Joffe, Professor of Pediatrics University of Alber...
Pediheart Podcast #172: Are Myocarditis Outcomes In Children Influenced By Genetic Variation?
July 16, 2021 05:00 - 32 minutes - 30.1 MBThis week we delve into the world of myocarditis and cardiogenetics when we review a recent work on deleterious cardiomyopathic genes and a possible role for these in patients who have unfavorable myocarditis outcomes. Are cardiomyopathy genes seen more commonly in pediatric patients with myocarditis who die? Is there a role for genetic testing in the myocarditis patient? How might deleterious genetic defects influence outcomes in myocarditis? We speak with Assistant Professor of Medicine at ...
Pediheart Podcast #171: Associations Of Tracheostomy And Outcomes Of Pediatric Heart Transplantation
July 09, 2021 05:00 - 29 minutes - 27.4 MBThis week we delve into the heart failure and transplantation realm when we review a recent large scale PHIS database study assessing the associations of tracheostomy and outcomes of pediatric heart transplantation. Are tracheostomies associated with worse outcomes or mediastinitis? Who is a good candidate for this therapy? How difficult is it to discuss this option with families and why? These are amongst the questions reviewed with the senior author of this work, Professor Antonio Cabrera o...
Pediheart Podcast #170: A Conversation With Cardiovascular Surgeon Dr. Elisabeth Martin
July 02, 2021 05:00 - 36 minutes - 33.4 MBThis week in our 2nd 'fellow takeover' episode we speak with the inspiring figure, Dr. Elisabeth Martin, who is Assistant Professor of Surgery at Stanford University and one of the cardiovascular surgeons at Lucile Packard Children's Hospital. How did this young surgeon choose to become a cardiac surgeon and what trials and tribulations have accompanied her journey to the highest levels of congenital cardiovascular surgery in the world today? Dr. Sarah Pradhan, 3rd year cardiology fellow at C...