- Congenital Heart Disease Studies
- Cardiovascular Issues in Pregnancy
- Cardiac Structural Anomalies and Repair
- Ultrasound in Clinical Applications
- Cardiovascular and Diving-Related Complications
- Cardiac Imaging and Diagnostics
- Advanced MRI Techniques and Applications
- Cardiomyopathy and Myosin Studies
- Cardiovascular Function and Risk Factors
- Peptidase Inhibition and Analysis
- Pregnancy and preeclampsia studies
- Coronary Interventions and Diagnostics
- Cardiac Valve Diseases and Treatments
- Transplantation: Methods and Outcomes
- Aortic Disease and Treatment Approaches
- Galectins and Cancer Biology
- Kawasaki Disease and Coronary Complications
- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Effects of Exercise
- Craniofacial Disorders and Treatments
- Protein Tyrosine Phosphatases
- Organ Donation and Transplantation
- Sepsis Diagnosis and Treatment
- Coronary Artery Anomalies
- Muscle Physiology and Disorders
Lucile Packard Children's Hospital
2021-2025
Stanford Medicine
2025
Boston Children's Hospital
2021-2024
University of California, San Francisco
2016-2024
Stanford University
2021-2024
Palo Alto University
2023-2024
Harvard University
2021-2023
Boston Children's Museum
2020
Rotterdam University of Applied Sciences
2010
University of California, Los Angeles
2010
Echocardiography is the mainstay for diagnosing congenital heart disease (CHD). Diagnostic errors can lead to suboptimal surgical outcomes. This multicenter pediatric echocardiography collaborative learning initiative explores reasons diagnostic errors, investigates associations between patient- and center-specific factors relays benefits of a approach decrease these as first step improve CHD Participating centers submitted evaluations on patients prior 2-ventricle repair into central...
ABSTRACT Background Primary determinants of pulmonary blood flow in the Fontan circulation are low transpulmonary gradient and vascular resistance (PVR). Changes intrathoracic pressure during intermittent positive ventilation can influence gradient, PVR, flow, cardiac output. The aim this study was to evaluate effect (5 mL/kg) versus high (10 tidal volume ( V T ) on hemodynamics. Method Postoperative patients with a were enrolled single‐center, randomized crossover trial. Patients, group 1...
We aimed to examine clinical features and outcomes of consecutive molecularly characterized patients with Noonan syndrome multiple lentigines hypertrophic cardiomyopathy.
Fetal aortic valvuloplasty (FAV) for severe stenosis (AS) has shown promise in averting progression to hypoplastic left heart syndrome. After FAV, predicting which fetuses will achieve a biventricular (BiV) circulation after birth remains challenging. Identifying predictors of postnatal on late gestation echocardiography improve parental counseling.Liveborn patients who underwent FAV and had available were included (2000-2017, n = 96). Multivariable logistic regression classification tree...
Background: In patients with Fontan palliation, ejection fraction (EF) and global longitudinal strain (GLS) are associated exercise capacity survival. We investigated the associations between EF GLS on echo 4-dimensional phase contrast (4DF) cardiac MRI (CMR) parameters, including percent collateral flow (%CF). Methods: Single-center, retrospective review of post-Fontan who underwent CMR in 2023 echocardiogram within 1 year. was measured apical 4-chamber view. %CF regurgitant fractions were...
Transthoracic echocardiography (TTE) is an essential tool for diagnosis and management of congenital heart disease. Pediatric presents unique challenges including complex anatomy, variable patient cooperation provider expertise. Diagnostic errors inevitably occur. We designed a collaborative stepwise quality improvement (QI) process to address diagnostic within our laboratory. retrospectively reviewed medical records identify TTE in 100 consecutive cardiac surgery patients ≤ 5 years old...
Introduction: Interval assessment of systolic function in patients with Duchenne Muscular Dystrophy (DMD) is challenging by echocardiography (echo). Cardiac magnetic resonance imaging (CMR) has been limited due to study duration and patient experience. We developed an abbreviated CMR (aCMR) protocol which consisted only cine acquisitions the short axis, 4 chamber vertical long axis planes, compared it echo regard to: exam duration, satisfaction, clinical utility image quality scores....
Introduction: Neonates with dextro-transposition of the great arteries (d-TGA) require adequate mixing at atrial level. If not present, these infants experience severe cyanosis, necessitating an urgent balloon septostomy (BAS). Multiple studies have identified various fetal echocardiography (FE) findings as risk factors for postnatal BAS. Anecdotally, predictive value remains poor in clinical use. Hypothesis: We aimed to determine relationship between inter-rater reliability (IRR) FE BAS...
Introduction: The American Heart Association (AHA) guidelines recommend testing for inducible myocardial ischemia in all patients with a history of coronary artery aneurysm (CAA) after Kawasaki disease (KD). Because the prevalence clinical complications is exceedingly low whose worst-ever CAA dimension was <large/giant, we examined yield stress KD over 20-year period. Methods: Retrospective study including <18 yo who underwent cardiac imaging to evaluate between 2000-2019. Patients...