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A review of the latest literature and thought leaders in pediatric cardiovascular care.
Episodes & Posts
Episodes
Posts
Transcribed
21 MAR 2025 · This week we review a recent study assessing the rate of hematochezia seen in children following neonatal congenital heart surgery, predominantly for aortic obstruction such as in HLHS. How often is this sign observed in this patient group and what percentage of these patients have actual necrotizing enterocolitis (NEC)? Are there any modifiable risk factors for NEC? How can these data help clinicians separate out those with more benign forms of hematochezia from those with NEC and how might this improve care for this patient group? These are amongst the questions reviewed this week with the work's first author, University of Michigan Assistant Professor of Pediatrics, Dr. Courtney Strohacker.Â
- DOI:Â https://doi.org/10.1007/s00246-024-03485-x
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https://www.feedspot.com/fs/tk/GEbRwGROFRcc6hVGCc0f%2BhIZyrmPT%2BTqGeQXSNr3R83fGPm2ZCAX5hwXFBgJzhrN4w7A9Y9S8PYR3R9KHAkj2RdWCPChI%2BLlVSAVSAUIWscVR%2FnkoVkiKhMUIFLTBUv9GEMI8pdMEiZUFRRGFwlZyO5I%2BeWSUhfzGuHjGdfOG78OVQbja0%2FlFUsWElkZB0v9DkcB4ZdV3%2BJZKiFK4dVMCBtOA%2FejWQ%3D%3D
Transcribed
14 MAR 2025 · This week we review a recent report of 4 patients with serious complications related to either perforation or external compression from the distal tines of the Alterra prestent when used for transcatheter pulmonary valve replacement. We speak with Dr. R. Allen Ligon, interventional cardiologist at Children's Healthcare of Atlanta/Emory University about a recent multicenter report of rare complications seen with this prosthesis. How common are perforations seen with this device and how often are these clinically silent? What should be done for clinically silent prestent perforations? What sort of surveillance of all patients with this device is warranted after successful placement? These are amongst the questions posed to Dr. Ligon and discussed this week.Â
DOI: 10.1016/j.jaccas.2024.102836
Transcribed
7 MAR 2025 · This week we review a report from the teams at University College, Dublin and Texas Children’s Hospital about a collaborative approach to education in which two centers across the globe participate in a shared fellow learning conference. In this conference which is aimed at fellow education, topics are chosen and discussed with facilitated learning from faculty at both sites. What can be gained for fellows on opposite sides of the Atlantic that cannot be learned from exposure to just their one site? How did this approach help fellows learn about how to deal with uncertainty in decision making? How did this trans-continental learning approach enhance patient and team communication? These are amongst the many questions posed to senior cardiologist and senior author of this week’s work, Professor Colin McMahon of University College, Dublin, Ireland. Â
 ·        DOI: https://doi.org/10.1007/s00246-024-03469-x
Transcribed
28 FEB 2025 · This week we review a recent review paper on newest innovations and literature on pacing in pediatric patients and learn a bit about such diverse pediatric pacing topics as:
- Use of the Medtronic Micra device in an off-label manner for epicardial pacing in small infants
- Novel, less invasive approaches to placing epicardial leads in small children
- The role of leadless pacing in the pediatric or CHD patient
- Conduction system pacing in 2025 in the congenital patient
The above are amongst the potpourri of pacing topics that we review with noted congenital electrophysiologist, Dr. Charles Berul of Children's National Hospital in Washington, DC in a co-branded episode with the SADS Foundation. For more information on SADS, please go to their website: SADS.ORG.
- DOI:Â https://doi.org/10.1016/j.hrthm.2024.02.011
Transcribed
21 FEB 2025 · This week we step back in time 3 years ago to review an important cardiac MRI report on Fontan geometry and hemodynamics as measured by computational fluid dynamic analysis. How do factors like Fontan geometry or 'power loss' relate to quality of life for the Fontan young adult patient? How do these data inform imaging in the operating room during these palliations? We speak with the first author of this work, Associate Professor of Pediatrics at U. Penn, Dr. Laura Mercer-Rosa about this important and intriguing work. https://doi.org/10.1016/j.athoracsur.2022.01.017
Transcribed
14 FEB 2025 · This week we review a work from the department of cardiology and department of cardiac surgery at Boston Children's Hospital on late hypertension in patients following coarctation repair. Late hypertension has been associated previously with late transverse aortic arch Z score but can this be predicted by the immediate postoperative transverse aortic arch Z score also? What factors account for late hypertension in the coarctation patient? Should more patients have their aorta repaired from a sternotomy? Dr. Sanam Safi-Rasmussen, who is a PhD candidate at Copenhagen University, shares her insights from a work she performed while a research fellow at Boston Children's Hospital.Â
- DOI:Â https://doi.org/10.1016/j.jtcvs.2024.08.049
Transcribed
7 FEB 2025 · This week we delve into the world of cardiovascular surgery and general cardiology when we review a recent report from UVA on the topic of feeding around the time of neonatal heart surgery. Does preoperative oral feeding improve the chances for 'tube-free' enteral feeds at discharge after heart surgery in small infants? Why might oral feedings improve the chances of discharge oral feedings? How should clinicians think about the known benefits of early CHD surgery for some CHD lesions with the benefits of oral feedings? Dr. Aseel Dabbagh of Children's Mercy Hospital in Kansas City shares her insights into these and other questions.Â
- DOI:Â https://doi.org/10.1007/s00246-024-03750-z
Transcribed
31 JAN 2025 · This week we review a recent ACTION NETWORK project comparing outcomes of children with CHD who undergo VAD support in comparison to those children with VAD's who do not have CHD. How do morbidity and mortality rates compare between these two cohorts? Why might there be differences in outcomes between these two groups? How are heart failure and transplant cardiologists going to improve outcomes in complex CHD VAD patients in the future? How can all cardiologists make more timely referrals to heart failure and transplant cardiologists for their congenital heart patients? Dr. Shahnawaz Amdani of the Cleveland Clinic provides many insights this week.Â
- DOI:Â https://doi.org/10.1016/j.jacc.2024.10.083
Transcribed
24 JAN 2025 · In this week's replay episode from 2023, we speak with Associate Professor of Pediatrics at Mount Sinai, Dr. Jennifer Cohen about a recent large scale Fetal Heart Society project she conducted on the topic of fetal ccTGA and outcomes. What observations in fetal life are associated with worse clinical outcomes? Why is it valuable to perform serial fetal echocardiograms in this patient group? How common are genetic or extracardiac abnormalities in this patient group? These are amongst the many questions reviewed with Dr. Cohen this week.Â
- DOI: https://doi.org/10.1161/jaha.122.029706
Transcribed
17 JAN 2025 · This week we delve into the world of cardiovascular surgery when we review a recent multicenter ("Ross Collaborative") study of long term outcomes of the Ross procedure in newborns and infants. How durable of a repair is this in this young age range? How does the neo-aortic root grow with time? Why might the neo-aorta not dilate in this age group as much as is reported in older patients following the Ross procedure? Who is a candidate for this approach? How are decisions made between aortic valve repair and Ross procedure? Professor David Winlaw who is director of cardiovascular surgery at Lurie Children's Hospital/Northwestern University joins the podcast this week to discuss the results of this multicenter work on this topic of which he is the senior author.
- DOI:Â https://doi.org/10.1016/j.jtcvs.2024.06.030
A review of the latest literature and thought leaders in pediatric cardiovascular care.
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| Author | Robert Pass |
| Organization | Robert Pass |
| Categories | Health & Fitness |
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