Pediheart: Pediatric Cardiology Today
328 episodes - English - Latest episode: 10 days ago - ★★★★★ - 164 ratingsA review of the latest literature and thought leaders in pediatric cardiovascular care.
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Episodes
Pediheart Podcast # 77: Risk For Cancer Amongst Those With Congenital Heart Disease
July 19, 2019 05:00 - 27 minutes - 38 MBThis week we review a recent Swedish paper that assessed the risk for cancer in patients with congenital heart disease and compared this to normal controls in a large administrative database. Why are cancer rates different in the congenital heart patient? What are the most important factors? What actions should be taken by those cardiologists caring for ACHD patients to properly screen for cancer? We discuss all of the above and more with Assistant Professor of Pediatrics - Harvard University...
Pediheart Podcast #76: Use Of A Femoral Venous Homograft As Sano Shunt
July 12, 2019 05:00 - 35 minutes - 48.5 MBThis week we explore a provocative paper on the use of a femoral vein homograft for Sano shunt for Stage I palliation for HLHS. Does the incorporation of this form of shunt improve outcomes? How does the valve in this graft function over time? Are there demonstrable improvements in RV function or PA growth when using this approach? We speak with Dr. TK Susheel Kumar who is Associate Professor of Surgery at NYU Medical Center. Dr. Kumar shares his thoughts and insights into this novel approach...
Pediheart Podcast # 74.5: Replay of Episode 35!
July 05, 2019 05:00 - 42 minutes - 58 MBThis week we have a replay of an episode from 9 months ago on T wave inversions in athletes and why their presence may represent possible disease in the athlete. We speak with Professor Sanjay Sharma of the UK who is a world authority on this topic. This is an important episode worth hearing once more. Coming this week in the middle of the week is our 75th episode with Professor Sylvia Griffiths! Keep a look out for Professor Griffith's episode coming later this week!
Pediheart Podcast # 74: Catheter Interventions For Supravalvar Pulmonary Stenosis Following Arterial Switch Operation
June 28, 2019 05:00 - 26 minutes - 35.9 MBThis week we review the topic of transposition of the great arteries and the most common late long term complication of the arterial switch operation - supravalvar pulmonary distortion or stenosis. How effective were interventions for this problem and what complications were encountered? Does balloon dilation alone ever work to help this problem? Are there risk factors for possible catheterization related complications when working on the pulmonary arteries? We discuss these and more question...
Pediheart Podcast #73: "Treating To Close" - Closing the Adult ASD With Moderate-Severe PAH
June 21, 2019 05:00 - 39 minutes - 53.9 MBThis week we jump back into the world of ACHD and review a recent registry study assessing outcomes in adults with ASD and elevated PVR who underwent ASD closure. Who was a good candidate for this approach? What were the long term outcomes of this form of therapy? Did ASD closure in this setting confer a survival benefit? We review these and many other questions in a 'virtual roundtable' discussion with Drs. Elisa Bradley of Ohio State and Ali Zaidi of Mount Sinai - NYC. Both are world author...
Pediheart Podcast # 72: Transcatheter Interventions Following Congenital Heart Surgery
June 14, 2019 05:00 - 30 minutes - 41.8 MBThis week we enter the worlds of cardiovascular surgery and interventional catheterization to review a recent STS dataset analysis of postoperative transcatheter interventions. Who needed these sorts of catheterizations more commonly after surgery and what was the relation between needing such an intervention and overall outcomes? How much variability existed between centers in their use of interventional cath following congenital heart surgery? We speak with Associate Professor of Pediatrics...
Pediheart Podcast # 71: CPVT and The "VUS" - Rescuing Missense Variants From "Genetic Purgatory"
June 07, 2019 05:00 - 52 minutes - 71.7 MBIn this special episode # 71 co-presented with the SADS Foundation (SADS.ORG) we speak with the president of the foundation, Professor Michael Ackerman of The Mayo Clinic about a recent work he co-authored on a novel approach to assessing patients with possible CPVT. How should the phenotype help to inform genotype results? Can a novel CPVT scorecard help to improve our understanding of genetic test results? How are genes determined to be 'benign', 'likely disease causing' or a variant of unc...
Pediheart Podcast #70: Complications Associated with ACHD Surgery And The Impact On Outcomes
May 31, 2019 05:00 - 29 minutes - 40.3 MBThis week we review the role that complications have on outcomes in the ACHD patient undergoing cardiac surgery. How commonly do complications occur and if they do occur, what impact do these have on ultimate outcomes? Are there strategies that can be employed to reduce complications amongst this fragile patient population? We discuss these issues and more with the senior author of this work, Dr. Oscar Benavidez who is the Director of Congenital Cardiology at Massachusetts General Hospital in...
Pediheart Podcast # 69: Lymphatic Abnormalities in Noonan's Syndrome
May 24, 2019 05:00 - 32 minutes - 44.2 MBThis week we speak with Professor Yoav Dori of Children's Hospital of Philadelphia about a recent paper he co-authored on the topic of lymphatic abnormalities in children with Noonan's syndrome. What are the typical findings in severely affected children and who is a candidate for intervention? Are there patients who are good candidates for 'thoracic duct ligation' or pleurodesis? Is there anyone in whom this would be considered appropriate therapy? We discuss these questions and more with th...
Pediheart Podcast # 68: Pulmonary Flow Maldistribution In The Fontan and Its Implications
May 17, 2019 05:00 - 27 minutes - 38.3 MBThis week we explore a recent CMR study in Fontan patients assessing the impact of pulmonary blood flow maldistribution and exercise capacity. How closely associated are these differences in relative pulmonary blood flow to functional status and overall outcomes? How aggressively should we intervene for these sorts of problems? We discuss these issues and more with Dr. Rahul Rathod who is the senior author of this work and also Assistant Professor of Pediatrics, Harvard Medical School. doi: 1...
Pediheart Podcast # 67: IV Antiarrhythmic Agents and Cardiac Function
May 11, 2019 14:30 - 32 minutes - 29.3 MBThis week we review a fascinating paper that assesses the direct myocardial effects of IV antiarrhythmic agents upon cardiac muscle function performed by the group at Boston Children's Hospital - Harvard University. We speak with one of the principle authors of this work, Dr. Elizabeth DeWitt, who is an attending electrophysiologist at that large institution about this important work. Which agents were substantial negative inotropes and which had no effects? The answers may be surprising. Dr....
Pediheart Podcast #66: Avoiding Furosemide Induced Ototoxicity In Single Ventricle Infants
May 03, 2019 05:00 - 30 minutes - 42.4 MBThis week we review 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 Alberta - Stollery Children'...
Pediheart Podcast #65: Use Of ECMO Following Cardiac Transplantation
April 26, 2019 05:00 - 33 minutes - 45.6 MBThis week it's National Pediatric Transplant Week and we review a recent work on ECMO following cardiac transplant and speak with its first author, Assistant Professor of Pediatrics in Vanderbilt University, Dr. Justin Godown. How does the use of ECMO in the postoperative period influence outcomes in the short and long term? Are there differences in outcomes when it is used for patients with cardiomyopathy versus congenital heart disease? We review all of these and more with Dr. Godown. We sp...
Pediheart Podcast #64: Femoral Arterial Thrombosis Following Catheterization In Small Infants
April 19, 2019 05:00 - 24 minutes - 33.4 MBThis week we review a recent report from Duke University regarding the incidence of femoral arterial thrombosis after femoral arterial cardiac catheterization in small infants. How did the use of routine ultrasonography improve identification of this post-cath complication? What are the outcomes of therapy with heparin or enoxaparin for this problem? Are there factors that are associated with femoral arterial thrombosis? We discuss these questions and more with Associate Professor of Pediatri...
Pediheart Podcast # 63: Exercise Stress Echocardiography In Pediatric Patients
April 12, 2019 05:00 - 30 minutes - 42.5 MBThis week we explore the utility of exercise stress echocardiography in pediatric patients. How often were clinical decisions made based upon findings at stress echo? What sort of extra training is needed to perform these studies? How safe was this form of testing? How are stress echo results incorporated into the decision making process for pediatric patients at Emory University? Dr. Soham Dasgupta, 2nd year fellow in cardiology and first author of this work, shares some of the insights of t...
Pediheart Podcast #62: The Ozaki Procedure for Aortic Valve Disease + Anomalous PA's Arising from the AoAs
April 04, 2019 05:00 - 49 minutes - 67.3 MBThis week we review 2 surgical reports. The first is on the Ozaki Procedure for aortic valve repair and we speak with valvular expert David Kalfa, MD PhD of Columbia University. Who is a good candidate for this approach and what evidence exists of its efficacy in children? Dr. Kalfa shares his insights. We also review a recent report from Taormina, Italy on outcomes of repair of anomalous origin of the PA's from the ascending aorta. We discuss this work with its author, Professor Salvatore Ag...
Pediheart Podcast # 61: A Novel Antibiotic Envelope To Prevent Pacemaker/ICD Infections
March 29, 2019 05:00 - 31 minutes - 42.9 MBThis week we review a recent randomized and controlled trial from the NEJM on the use of the novel Medtronic TYRX envelope for the prevention of pacemaker or ICD infections in adult high risk patients. Did the use of this antibiotic envelope result in reduced incidences of infection? Were there complications associated with its use? Should this be used in only in high risk patients? Is this a cost effective solution? These are amongst the many questions we tackle with co-author of this import...
Pediheart Podcast # 60: Oral Pentobarbital Sedation For Transthoracic Echocardiography In The Young
March 22, 2019 05:00 - 31 minutes - 43.2 MBThis week we review a recent report from the team at the Kravis Children's Hospital at Mount Sinai - Icahn School of Medicine at Mount Sinai on the use of pentobarbital for oral sedation for transthoracic echocardiography. Associate Professor of Pediatrics Rajesh Shenoy shares with us insights into sedation for this indication, the general approach of the echo lab at Sinai and how decisions are made regarding sedation for this reason. doi: 10.1111/echo.14301
Pediheart Podcast #59: Transcatheter Pulmonary Valve Replacement With The Sapien S3 Valve
March 15, 2019 05:00 - 40 minutes - 55.2 MBThis week we review a recent report on transcatheter pulmonary valve replacement with the Sapien S3 prosthesis. What are the circumstances in which this valve might be preferable versus other valve types? What are the disadvantages of this device? How can patients be effectively screened as candidates for different valves? How can decisions be made between self expanding systems like Harmony or Venus P versus this sort of device for large RVOT's? We review all of these issues and more with Dr...
Pediheart Podcast #58: AV Valve Regurgitation In The Fontan Patient
March 08, 2019 06:00 - 39 minutes - 54.5 MBThis week we review an impressive review of the large Australian/New Zealand registry of Fontan patients assessing the impact of AV valve regurgitation and failure on Fontan outcomes. We discuss this work with the senior author Yves D'udekem, Associate Professor of Surgery at The Murdoch Children's Research Institute and also speak with Professor Frank Cetta of the Mayo Clinic who authored a wonderful editorial on this work. Who is at most risk for AV valve failure at Fontan? How well do pati...
Pediheart Podcast #57: Survival Without Transplant In Children With Dilated Cardiomyopathy
March 01, 2019 06:00 - 33 minutes - 46.2 MBThis week we review a recent publication on modern day outcomes for children with dilated cardiomyopathy. It seems as if they are doing better than patients did 10 years earlier - why is this so? What factors may account for the improvements in outcomes? We discuss these questions and more with the first author of this multi center work, Dr. Rakesh Singh, Associate Professor of Pediatrics at UC SanDiego and also the Director of the Pediatric Heart Failure and Transplantation Program at Rady C...
Pediheart Podcast # 56: Balloon Angioplasty And Stenting for Unilateral PA Stenosis - Impact On Formal Exercise Testing Results
February 22, 2019 06:00 - 36 minutes - 49.7 MBThis week we discuss the rationale for intervening for unilateral proximal PA stenosis with a stent or angioplasty. In the setting of normal RV function or pressure, are there exercise data to support intervening and if so, at what degree of maldistribution should such an intervention be considered? How should this decision be made? Is this safe? We review these and other questions with the first author of this work, Gurumurthy Hiremath MD who is the director of the pediatric catheterization ...
Pediheart Podcast #55: Extended Ambulatory ECG Monitoring In The ACHD Patient
February 15, 2019 06:00 - 34 minutes - 47.7 MBThis week we review a recent paper on the topic of extended ambulatory ECG monitoring in the ACHD patient. Does this form of monitoring provide benefit versus a more traditional 24 or 48 hour "Holter" monitor? How commonly were arrhythmias in ACHD patients found after 48 hours and how commonly were changes made to management based upon these findings? We discuss these issues and more with the senior author of this work, Dr. Scott R. Ceresnak, Associate Professor of Pediatrics - Stanford Unive...
Pediheart Podcast #54: Sildenafil Use In Children With Pulmonary Hypertension
February 08, 2019 06:00 - 27 minutes - 37.5 MBThis week we review the topic of pulmonary hypertension and specifically the use of sildenafil for treatment of this difficult problem. Is this agent safe in children? How commonly does it need to be discontinued for side effects? Is it effective? Do patients ever improve to a degree that it can be discontinued? We review all of these questions and more with Dr. Jennifer Cohen who wrote this work while a general cardiology fellow at Columbia University but is now the Advanced Non-Invasive Ima...
Pediheart Podcast #53: Psychological Interventions For Patients with Childhood-Onset Cardiovascular Disease
February 01, 2019 06:00 - 40 minutes - 36.6 MBThis week we speak with Associate Professor of Medical Psychology at UNSW, Nadine Kasparian about a recent publication regarding evidence for efficacy for various forms of psychological therapy in the setting of childhood-onset heart disease. What do we know about the efficacy of interventions for this fragile population of congenital heart disease patients? How prevalent are psychological problems amongst patients and patient families with childhood onset heart disease? What approaches work ...
Pediheart Podcast # 52: Artificial Intelligence - Cardiologist-Level Interpretation of ECG Rhythm
January 25, 2019 06:00 - 30 minutes - 42.5 MBThis week we go back to the world of artificial intelligence and review a recent work from Stanford University on the use of deep neural networks to interpret ECG rhythms. How good did a novel algorithm do in comparison to cardiologists in characterization of rhythm abnormalities? What are some novel uses of AI in medicine today and how can AI potentially identify signs of disease that even human scientists are unable to discern? We discuss these interesting questions and many others with Pra...
Pediheart Podcast # 51: CINE Magnetic Resonance Imaging to Visualize Fetal Congenital Heart Disease
January 18, 2019 06:00 - 29 minutes - 39.9 MBThis week we delve into the world of fetal cardiology to review a recent work comparing fetal MRI to fetal echo. How did this relatively new technology application fair in comparison to more traditional echocardiography? What role might this technology have in the assessment of congenital heart disease in the fetus? We explore these questions and others with fetal cardiology expert, Professor Lisa Hornberger of the University of Alberta - Stollery Children's Hospital. Dr. Hornberger also dis...
Pediheart Podcast #50: Contrast Induced Acute Kidney Injury In The ACHD Patient
January 11, 2019 06:00 - 31 minutes - 43.1 MBThis week we review a recent work on contrast induced acute kidney injury in the ACHD patient undergoing catheterization. Are there data to suggest what a safe volume of dye might be in this population of patients? Does the renal response to contrast suggest something about the general health of the patient? How does the team in Boston plan catheterizations in the adult congenital population to minimize contrast usage? We review these questions and others with the first author of this work, D...
Pediheart Podcast 49: Surveillance of the Fontan Patient + Novel Ventilation Approaches for the Fontan Patient
January 04, 2019 06:05 - 52 minutes - 72.1 MBThis week we review the Fontan and long term issues of surveillance and Fontan failure with 2 articles. The first is a large survey study reviewing practice patterns amongst large Fontan clinics in the US. We review this interesting topic of optimal assessment of the Fontan with Dr. Mike DiMaria who is first author of this recent work and also Associate Professor University of Colorado. We then review a case report on biphasic curaiss ventilation for the treatment of Fontan associated PLE and...
Pediheart Podcast # 48: Individualized Family-Centered Care for Infants in the CICU
December 28, 2018 06:00 - 36 minutes - 50.7 MBThis week we turn to the world of cardiovascular nursing and review the notion of individualized family centered care for infants in the CICU. What is meant by the term "Individualized Family-Centered Developmental Care" and what are its components? What is the evidence that use of this approach can result in improved neuro-developmental outcomes? We review these important concepts with the first author of this work, Amy Jo Lisanti PhD, RN who is a clinical nursing specialist and researcher a...
Pediheart Podcast # 47: ICD's In Young Athletes
December 21, 2018 06:00 - 41 minutes - 57.1 MBThis week we review the notion of sports participation in athletes who have ICD's. Is this a safe approach? How do the athletes fare? How do the devices stand up to sport? What are the subtleties of discussing this important topic with a family and how does shared decision making work in this process? We review this serious and complex topic with Dr. Rachel Lampert, Professor of Medicine at Yale University and Dr. Elizabeth Saarel, Professor of Pediatrics - The Cleveland Clinic. Both experts ...
Pediheart Podcast #46: A New Nomenclature For VSD's
December 14, 2018 06:00 - 39 minutes - 54.8 MBThis week we enter into the world of cardiac morphology and speak with Professor Leo Lopez of Stanford University about a recent work he wrote with the International Society for Nomenclature of Pediatric and Congenital Heart Disease regarding proper nomenclature for VSD's. Is it defect geography or borders that are most important in naming these structures? How was agreement forged between such disparate super-hero experts in cardiovascular medicine and congenital heart disease? Is Dr. Lopez ...
Pediheart Podcast #45: PA/VSD with MAPCA's - The Stanford Approach and Experience
December 07, 2018 06:00 - 44 minutes - 60.4 MBThis week we review a landmark paper reviewing the very large experience of Dr. Hanley and his team at Stanford University in managing VSD/PA with MAPCA's. What advantages are seen with the 'midline unifocalization' approach popularized by this team over the past 20+ years? Is this an approach that can be broadly applied or are the technical operative skills too challenging for most? Why are these operations so difficult? How does the Stanford team decide who is a candidate for a single opera...
Pediheart Podcast #44: Aortic Coarctation and Late Stroke and Coronary Artery Risk
November 30, 2018 06:00 - 41 minutes - 37.9 MBThis week we return to the world of adult congenital heart disease to review 2 related works on the topic of late cardiovascular risks in patients who have undergone prior coarctation repair. Are such patients at elevated risk for early coronary artery disease and stroke? What are the causes for these late complications? What role does hypertension play in the development of these late sequelae? Are there other factors that may explain these risks and how should patients be screened for these...
Pediheart Podcast # 43: Novel Biomarker To Identify ARVC
November 23, 2018 06:00 - 30 minutes - 28 MBThis week we explore the topics of cardiomyopathy, electrophysiology and sudden death and delve into the world of arrhythmogenic right ventricular cardiomyopathy (ARVC). What role might autoimmune disease play in this disorder? Can a biomarker potentially allow us to identify the vast majority of individuals with this disease with high sensitivity and specificity? Can this biomarker identify 'pre-clinical' disease? Can immunological therapies possibly be used to change the course of this diso...
Pediheart Podcast # 42: Possible Impact of Preoperative Factors on Arterial Switch Operation Results
November 16, 2018 06:00 - 35 minutes - 32.9 MBThis week we review a recent paper from Circulation on the topic of preoperative factors that may impact outcomes of the arterial switch operation. Is there an optimal time to perform an arterial switch operation? Are there other modifiable factors that may auger a better outcome with shorter hospital stay and lower cost? We discuss these questions and others with the first author of this work, Assistant Professor of Pediatrics at The Perelman School of Medicine, University of Pennsylvania, D...
Pediheart Podcast # 41: Fetal Heart Rate and Rhythm Monitoring and Development of Heart Block
November 09, 2018 06:00 - 40 minutes - 36.9 MBThis week we enter the world of fetal cardiology to ask the question, 'Can an inexpensive heart rate monitor for fetuses accurately identify in a timely manner fetal patients with impending heart block and can this allow for more timely and potentially effective therapies for AV conduction disease associated with maternal antibodies?' Is there an optimal time to intercede? We discuss a recent multi center work on a home monitoring program with its first author and world authority on fetal car...
Pediheart Podcast #40: A Discussion With Professor R. Krishna Kumar
November 02, 2018 05:00 - 55 minutes - 51.1 MBThis week we review a paper from the Amrita Institute in Kerala, India on outcomes of infant surgery in that region and discuss the results with its senior author, Dr. Raman Krishna Kumar. Professor Kumar explains how this large center in India has been able to develop a program that would be the envy of any city in the world, all on a 'shoestring' budget. He reviews with us the path he took from the time he left the US with cardiology training and how he and his associates were able to build...
Pediheart Podcast # 39: Coronary Artery Compression from Epicardial Leads
October 26, 2018 05:00 - 36 minutes - 33.4 MBThis week we speak with Dr. Douglas Mah, Assistant Professor of Pediatrics - Harvard Medical School and Director of the Pacemaker and ICD Service at Children's Hospital Boston about a recent paper he published with his colleagues on coronary artery compression from epicardial pacemaker leads. Who is at risk for this rare complication? How can patients be screened? Once identified, what is the treatment? We review all this and more with Dr. Mah. doi: 10.1016/j.hrthm.2018.06.038
Pediheart Podcast # 38: Postoperative Sedation and Pain Management and 'Fast Tracking'
October 19, 2018 05:00 - 39 minutes - 36.4 MBThis week we explore the world of 'fast tracking' patients following cardiac surgery and focus on how to best provide analgesia and sedation to such patients. Are there advantages to intermittent boluses of such agents rather than a low dose basal infusion? What are the implications of such a strategy for nursing and medical care? Does 'waiting' for discomfort prior to administration of medication work better than 'preventing' such? Are there patients who would not be good candidates for such...
Pediheart Podcast # 37: Optimal Timing of The Fontan
October 12, 2018 05:00 - 36 minutes - 33.2 MBThis week we explore the question of optimal timing of the Fontan operation. What factors are associated with good or bad outcome after Fontan in regards to age at surgery? Can Fontan palliation have a positive impact on cardiac function? Is there a 'sweet spot' regarding timing of this single ventricle palliation? Who deserves a fenestration? These are amongst the many questions we review this week in our review of a recent large German experience in Fontan in patients with advanced age at F...
Pediheart Podcast # 36: Transcatheter Pulmonary Valve Replacement - Latest Literature
October 05, 2018 05:00 - 40 minutes - 36.7 MBInterventional cardiology is on tap this week as we explore the world of transcatheter management of the dysfunctional RVOT with 2 papers on this topic. In the first, Dr. Mary Hunt Martin, Assistant Professor of Pediatrics - University of Utah is the first author on a recent PHN paper on outcomes of Melody implantation in the native RVOT. Dr. Martin joins us to answer a number of questions about this important work. The second work is a recent multi center French study on use of the Sapien va...
Pediheart Podcast #35: Assessment of T wave inversions in athletes
September 28, 2018 05:00 - 40 minutes - 37 MBThis week we explore the interpretation of T wave inversions in the athlete with Professor Sanjay Sharma, Professor of Cardiology University of London. Which T wave inversions are "normal variants" and which are worrisome for disease? What is the role of genetic testing in determining who has disease? We review Prof. Sharma's group's recent paper on this topic and discuss different aspects of this work with this world-renowned figure in this field. DOI: 10.1161/CIRCULATIONAHA.118.034208
Pediheart Podcast 34: Aortic Wall Stiffness in The Marfan Syndrome
September 21, 2018 05:00 - 37 minutes - 33.9 MBThis week we delve into the world of Marfan Syndrome and review a recent report from the Pediatric Heart Network with the first author of this work, Dr. Seda Selamet Tierney - Associate Professor of Pediatrics, Stanford University. Why does stiffness of the aortic wall predict dilation and need for surgery? Does the use of atenolol or losartan affect aortic growth or dilation? Which agent is preferable? Dr. Selamet Tierney shares her insights this week on the podcast. DOI: 10.1016/j.amjcard.2...
Pediheart Podcast # 33: Brain Aging in TOF + Ventilation Effects on Catheter Stability During SVT Ablation
September 14, 2018 05:00 - 41 minutes - 37.7 MBThis week we review a novel paper on MRI changes observed in TOF adults. Are these signs for advanced brain 'aging' in tetralogy adults? We also review a prospective trial of different mechanical ventilation strategies during SVT ablations in children. Can tidal volume or PEEP affect catheter stability while mapping or ablating SVT? We discuss this question with the first author of this work, Dr. Christopher Janson, Assistant Professor of Pediatrics at The Children's Hospital of Philadelphia....
Pediheart Podcast # 32: Cardiac Transplantation After Fontan Palliation
September 07, 2018 05:00 - 35 minutes - 32.1 MBThis week we explore the world of cardiac transplantation with particular emphasis on the Fontan patient and transplantation. Outcomes are improving rapidly. Why is this? What about the liver and how are decisions made regarding cardiac versus cardiac+hepatic transplantation in this patient population? We review all of these questions with world authority on cardiac transplantation Dr. Daphne Hsu, Professor of Pediatrics, Chief of Pediatric Cardiology and Interim Chair of Pediatrics at Montef...
Pediheart Podcast # 31: Fetal Treatment for Rhabdomyoma + LV Retraining for Transposition
August 31, 2018 05:00 - 50 minutes - 46.3 MBThis week we explore both fetal cardiology and cardiovascular surgery. The first work reviews a fascinating case report of fetal treatment of cardiac rhabdomyomas in the setting of hydrops fetalis. The second reviews a recent report on LV retraining prior to attempted double-switch operations in LTGA and DTGA. Can one accurately predict 'retrainability' of the LV? Can life threatening rhabdomyomas be treated in fetal life? These are amongst the questions answered this week. Articles: DOI: 1...
Pediheart Podcast # 30: Preserving the Pulmonary Valve in TOF/PS Repair
August 24, 2018 05:00 - 38 minutes - 35.4 MBThis week we explore the notion of pulmonary valve function preservation at the time of TOF/PS repair with Dr. Ram Emani, Associate Professor of Surgery at Harvard Medical School/Boston Children's Hospital. Dr. Emani shares his insights from recent work he and colleagues have performed using a novel intraoperative balloon dilation approach. Can TOF/PS repair be performed without creating significant degrees of pulmonary valve regurgitation? We learn the answers this week.
Pediheart Podcast # 29: Zika Virus + Plastic Neurotoxicants in Neonatal Cardiac Surgical Care
August 17, 2018 05:00 - 40 minutes - 37 MBThis week we discuss 2 papers on different areas of congenital cardiology. The first is a recent Brazilian report on Zika Virus Syndrome and associations with congenital heart disease. The second is a recent report by the team at Children's Hospital of Philadelphia on exposure to plastic neurotoxicants found in many common medical devices. Do these plastic substances have an impact on neurodevelopmental outcomes? Dr. William Gaynor of CHOP speaks with us about this very important and somewhat...
Pediheart Podcast #28: Long Term Outcomes of HCM in Childhood
August 10, 2018 05:00 - 26 minutes - 24.2 MBThis week we review a very recent work on long term (14 years!) outcomes of children with hypertrophic cardiomyopathy in Australia and speak with its author, Professor Robert Weintraub of Royal Children's Hospital in Melbourne. Dr. Weintraub explains the data in his work for us and what he considers to be important risk factors for poor outcomes. He also shares some thoughts on how he thinks about who might be a candidate for primary ICD prophylaxis in the young HCM population.