Pediheart: Pediatric Cardiology Today

In this landmark 25th episode of the podcast we delve into the world of echocardiography with one of the masters of this field, Dr. Shubhika Srivastava of Mt. Sinai Medical Center in NYC to discuss a recent paper by her team on 'twisting' and 'untwisting' abnormalities in repaired tetralogy patients. Who is at risk for these problems? What do these findings mean? Can they help inform decisions regarding surgery or follow-up? Dr. Srivastava helps us understand this somewhat complex topic on the podcast this week!

This week we explore the role of transcatheter closure of the PDA in the infant, particularly those < 2 kg and even < 1 kg. We review data from the IMPACT trial on closure of the PDA in small infants and also discuss an important paper by Dr. Evan Zahn on transcatheter closure of PDA's in the premature or very small infant. What are the outcomes when closing the PDA in a small infant? What are the possible benefits or risks? Dr. Zahn offers many answers and also gives us some insights into the near future of this rapidly developing approach to the transcatheter management of the large duct in a small child.

This week we explore the role of transcatheter closure of the PDA in the infant, particularly those < 2 kg and even < 1 kg. We review data from the IMPACT trial on closure of the PDA in small infants and also discuss an important paper by Dr. Evan Zahn on transcatheter closure of PDA's in the premature or very small infant. What are the outcomes when closing the PDA in a small infant? What are the possible benefits or risks? Dr. Zahn offers many answers and also gives us some insights into the near future of this rapidly developing approach to the transcatheter management of the large duct in a small child.

This week we review a recent paper on follow-up of the novel approach of percutaneous carotid artery vascular access in infants requiring neonatal or early infancy catheterizations with Dr. Christopher Petit of Children's Healthcare Atlanta - Emory University. Dr. Petit reviews how the team in Baylor and Atlanta came to use this type of vascular approach and also some important 'pearls' of performing these very difficult and dangerous procedures. What happened to the carotid arteries after Dr. Petit and colleagues placed vascular sheaths in them when they performed repeat angiography 3+ months later? Dr. Petit shares his experience with us all this week!

This week we review a recent paper on follow-up of the novel approach of percutaneous carotid artery vascular access in infants requiring neonatal or early infancy catheterizations with Dr. Christopher Petit of Children's Healthcare Atlanta - Emory University. Dr. Petit reviews how the team in Baylor and Atlanta came to use this type of vascular approach and also some important 'pearls' of performing these very difficult and dangerous procedures. What happened to the carotid arteries after Dr. Petit and colleagues placed vascular sheaths in them when they performed repeat angiography 3+ months later? Dr. Petit shares his experience with us all this week!

This week we explore fetal cardiology with 2 fetal cardiology experts - Mary Donofrio, MD from Children's National Medical Center and Maciej Slodki of Polish Memorial Mother's Research Institute. Both authors/experts discuss the notion of predicting the initial minutes and hours after birth with complex congenital heart disease. Are there new ways to predict the need for atrial septal intervention in HLHS or DTGA? Drs. Donofrio and Slodki help explain.

This week we explore fetal cardiology with 2 fetal cardiology experts - Mary Donofrio, MD from Children's National Medical Center and Maciej Slodki of Polish Memorial Mother's Research Institute. Both authors/experts discuss the notion of predicting the initial minutes and hours after birth with complex congenital heart disease. Are there new ways to predict the need for atrial septal intervention in HLHS or DTGA? Drs. Donofrio and Slodki help explain.

This week we delve into the world of postoperative CICU management of complex congenital heart surgical patients with one of the pioneers of this field, Dr. Anthony Rossi of Nicklaus Children's Hospital. Dr. Rossi has been at the forefront of research into the optimal management of children following complex congenital heart surgery. Are there ways to predict problems before they become problems in these ill infants? Dr. Rossi has 30 years of experience with this question and shares his insights and the evolution of his thoughts on this topic this week...

This week we delve into the world of postoperative CICU management of complex congenital heart surgical patients with one of the pioneers of this field, Dr. Anthony Rossi of Nicklaus Children's Hospital. Dr. Rossi has been at the forefront of research into the optimal management of children following complex congenital heart surgery. Are there ways to predict problems before they become problems in these ill infants? Dr. Rossi has 30 years of experience with this question and shares his insights and the evolution of his thoughts on this topic this week...

This week's 20th episode tackles the topic of pulmonary hypertension both in the newborn premature infant and the adult with primary pulmonary hypertension. We have 2 experts this week - Dr. Nicole Sutton of Albert Einstein College of Medicine and Erika Berman Rosenzweig of Columbia University College of Physicians and Surgeons speak about managing pulmonary hypertension in infants with BPD and history of prematurity and also the exciting novel approach of using a Pott's shunt to palliate primary pulmonary hypertension in the adult. You will not want to miss these expert's insights into their field.

This week's 20th episode tackles the topic of pulmonary hypertension both in the newborn premature infant and the adult with primary pulmonary hypertension. We have 2 experts this week - Dr. Nicole Sutton of Albert Einstein College of Medicine and Erika Berman Rosenzweig of Columbia University College of Physicians and Surgeons speak about managing pulmonary hypertension in infants with BPD and history of prematurity and also the exciting novel approach of using a Pott's shunt to palliate primary pulmonary hypertension in the adult. You will not want to miss these expert's insights into their field.

This week we delve into the topic of pregnancy in the single ventricle Fontan patient with 2 experts in this area - Dr. Melinda Davis of University of Michigan and Dr. Mark Johnson of Imperial College - London, England - to discuss who is a good Fontan candidate for pregnancy and what are the risks. We review the latest data on this area and also the many aspects of this topic that remain unknown at this time.

This week we delve into the topic of pregnancy in the single ventricle Fontan patient with 2 experts in this area - Dr. Melinda Davis of University of Michigan and Dr. Mark Johnson of Imperial College - London, England - to discuss who is a good Fontan candidate for pregnancy and what are the risks. We review the latest data on this area and also the many aspects of this topic that remain unknown at this time.

In this week's episode we learn about the latest data on pulmonary vein stenosis outcomes from a large meta-analysis of prior works on this topic and then review recent provocative data from the group in Boston on the use of adjunctive biological inhibition agents in concert with interventional approaches to combat multi vessel intraluminal pulmonary vein stenosis. The work's first author, Dr. Ryan Callahan of Boston Children's Hospital joins us to review this important trial's results and to review aspects of how his team assesses and manages these complex and heterogeneous patients.

In this week's episode we learn about the latest data on pulmonary vein stenosis outcomes from a large meta-analysis of prior works on this topic and then review recent provocative data from the group in Boston on the use of adjunctive biological inhibition agents in concert with interventional approaches to combat multi vessel intraluminal pulmonary vein stenosis. The work's first author, Dr. Ryan Callahan of Boston Children's Hospital joins us to review this important trial's results and to review aspects of how his team assesses and manages these complex and heterogeneous patients.