A5012405274- Congenital Heart Disease Studies
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Liver Disease and Transplantation
- Health Policy Implementation Science
- Cardiovascular and Diving-Related Complications
- Cardiovascular Function and Risk Factors
- Cardiac pacing and defibrillation studies
- Tracheal and airway disorders
- Kawasaki Disease and Coronary Complications
- Aortic aneurysm repair treatments
- Fuel Cells and Related Materials
- Blood Coagulation and Thrombosis Mechanisms
- Streptococcal Infections and Treatments
- Coronary Artery Anomalies
- Innovations in Medical Education
- Coronary Interventions and Diagnostics
- Health Promotion and Cardiovascular Prevention
- Infective Endocarditis Diagnosis and Management
- Liver Disease Diagnosis and Treatment
- Racial and Ethnic Identity Research
- Migration, Health and Trauma
- Vascular Anomalies and Treatments
- Healthcare professionals’ stress and burnout
- Blood Pressure and Hypertension Studies
University of California, San Francisco
2022-2024
Rady Children's Hospital-San Diego
2020-2022
University of California, San Diego
2020-2021
University of California, Los Angeles
2017-2021
Mattel Children's Hospital
2021
Liver fibrosis and cirrhosis are late complications in Fontan palliation. biopsy is the gold standard. The goal of this study to correlate transjugular liver (TJLB) setting palliation with noninvasive testing hemodynamics.Between August 2014 July 2017, 49 patients underwent TJLB. All had hemodynamic evaluation, 28 MRE (magnetic resonance elastography) 40 cardiopulmonary exercise test. Histologic was quantitated using traditional histologic scoring systems a modified Ishak congestive hepatic...
This is the first systematic review and meta-analysis assessing cardiovascular disease incidence risk factors among refugees asylum seekers.PubMed, PsycINFO, CINAHL, Embase databases were searched for studies in English from January 1, 1977, to March 8, 2020. Inclusion criteria (1) observation of refugee history participants; (2) diagnosis CVD (coronary artery disease, heart failure, stroke, or mortality) (hypertension, diabetes, tobacco use, hyperlipidemia, obesity, psychosocial factors);...
Abstract Background Professional society guidelines are evidence-based recommendations intended to promote standardized care and improve health outcomes. Amid increased recognition of the role racism plays in shaping inequitable healthcare delivery, many researchers practitioners have critiqued existing guidelines, particularly those that include race-based recommendations. Critiques highlight how influences evidence based on its interpretation. However, few used a systematic methodology...
Abstract Guidelines for management of Melody transcatheter pulmonary valve (TPV) infective endocarditis (IE) are lacking. We aimed to identify factors associated with surgical removal versus antimicrobial therapy in TPV IE. Multicenter retrospective analysis all patients receiving from 10/2010 3/2019 was performed cases Surgical explants non-surgical were compared. Of the 663 implants, there 66 IE 59 (59/663, 8.8%). 39/66 (59%) treated IV antimicrobials and 27/66(41%) underwent explantation....
Background: Total anomalous pulmonary venous connection (TAPVC) comprises 2% of congenital heart disease cases.Obstructed TAPVC typically presents with respiratory distress secondary to congestion.We report a case an infant patient who was electively referred catheterization for stent placement relieve vertical vein (VV) stenosis.Our objective prevent the emergent need surgical intervention while allowing additional growth before surgery.Case Presentation: A 7-day-old, late pre-term, small...
Abstract Background Patent ductus arteriosus (PDA) stenting is evolving as an alternative to surgical aorto‐pulmonary shunts for infants with ductal‐dependent pulmonary blood flow. Given anatomical proximity, the PDA can compress ipsilateral bronchus. We report a case series of four patients bronchial compression by tortuous who underwent stenting. Methods Our received stents flow despite preprocedure imaging evidence compression. reviewed cross‐sectional chest assess degree and variables...
Background: Intentional stent fracture in vivo induces medial dissection/vessel injury.Spontaneous humans can lead to collapse, hemodynamic compromise, and embolization of fragments, which could be prevented by pre-stenting.Objectives: To evaluate the short-term mid-term effects pre-stenting prior intentional on vessel size integrity a piglet model.Methods: Five months after 14 low-profile stents (Cook Formula 418 stents) were implanted aorta four piglets, they intentionally fractured using...
Atrial septal defect (ASD) is a major cause of left-toright intracardiac shunting.If persisting into adulthood, an ASD can lead to larger shunt, which may eventually pulmonary hypertension and right ventricular failure.Large shunts cannot be tolerated in patients with underlying lung disease such as cystic fibrosis.Although the association between shunt fibrosis has been reported literature, impact closure on clinical course not studied.Here, we report case patient hypoxemia out proportion...
Transcatheter aortic valve replacement (TAVR) has become the treatment of choice for high or intermediate risk patients with symptomatic severe stenosis.Transcatheter mitral (TMVR) native stenosis is still under investigation in clinical trials.Results from a global registry, however, show that TMVR annulus calcification feasible but associated significant adverse events.Simultaneous TAVR and on valves only been reported twice.Here, we report first case simultaneous using Edwards Certitude...
A 67-year-old male with Ebstein's anomaly and a dual-chamber pacemaker due to sick sinus syndrome was admitted our hospital cardiogenic shock.Echocardiography revealed severe functional mitral valve regurgitation preserved ejection fraction.He referred for percutaneous repair (PMVR) refractory shock in the setting of prohibitive surgical risk.Invasive hemodynamics obtained during PMVR worsening septal dyssynchrony induced by patient's permanent pacing.He underwent successful subsequent...