- Cardiac Valve Diseases and Treatments
- Congenital Heart Disease Studies
- Pulmonary Hypertension Research and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Coronary Artery Anomalies
- Cardiac Arrhythmias and Treatments
- Cardiovascular Issues in Pregnancy
- Vascular Anomalies and Treatments
- Mechanical Circulatory Support Devices
- Medical Imaging and Pathology Studies
- Central Venous Catheters and Hemodialysis
- Hepatitis C virus research
- Heart Failure Treatment and Management
- Cardiac Health and Mental Health
- Streptococcal Infections and Treatments
- Gastrointestinal Tumor Research and Treatment
- Counseling, Therapy, and Family Dynamics
- Metastasis and carcinoma case studies
- Musculoskeletal Disorders and Rehabilitation
- Families in Therapy and Culture
- Gastrointestinal disorders and treatments
- Cardiac Arrest and Resuscitation
- Hepatitis B Virus Studies
Primary Children's Hospital
2014-2023
University of Utah
2014-2023
Intermountain Healthcare
2020-2023
Seattle Children's Hospital
2017
Children's Healthcare of Atlanta
2017
Emory University
2017
C. S. Mott Children's Hospital
2017
University of Iowa Stead Family Children’s Hospital
2017
Cincinnati Children's Hospital Medical Center
2017
Children's Hospital of Philadelphia
2017
Although hepatitis C infection has been clearly demonstrated to be transmitted through blood products or contamination, most cases of sporadic are unassociated with parenteral risk factors, and it is unclear how might acquired by nonparenteral means. One potential mode transmission body secretions. We used a highly sensitive specific polymerase chain reaction assay determine whether viral genomic RNA could detected in secretions obtained from nineteen individuals chronic virus infection. was...
Abstract Objectives To describe a multicenter experience of percutaneous transcatheter pulmonary valve replacement (TPVR) using the Edwards SAPIEN S3 without use prior stent (“pre‐stenting”). Background The and XT valves have durable cobalt–chromium frames which may allow for TPVR in large diameter dysfunctional right ventricular outflow tracts (RVOTs) pre‐stenting landing zone. Methods A retrospective review was performed all patients with Congenital Heart Disease RVOT who underwent...
Abstract Background Since FDA approval of the Melody valve, transcatheter pulmonary valve replacement (TPVR) has been offered to an expanding population. Limited data exist regarding safety and feasibility TPVR in smaller patients. Methods All patients weighing <20 kg who underwent catheterization for percutaneous at four centers were reviewed. Results Of 51 reviewed, 43 (84%) had successful implantation 8 (16%) found not be candidates due access veins too small ( n = 3), coronary...
Follow-up of transcatheter pulmonary valve replacement (TPVR) with the Melody has demonstrated good short-term and long-term outcomes, but there are no published studies focused on performance in Contegra bovine jugular vein conduit.This is a retrospective, multicenter study short- intermediate-term outcomes TPVR within conduit right ventricle to artery position. Data from 13 centers were included analysis. During period, 136 patients underwent 139 catheterizations for attempted median...
Abstract Background Ventricular arrhythmia incidence in children and adolescents undergoing transcatheter pulmonary valve replacement (TPVR) within the native right ventricular outflow tract (nRVOT) is unknown. We sought to describe incidence, severity, duration of arrhythmias identify associated risk factors this population. Methods This was a retrospective cohort study 78 patients <21 years age who underwent TPVR nRVOT. Patients were excluded for pre‐existing or antiarrhythmic use....
Percutaneous transcatheter pulmonary valve replacement with the Melody Valve is fast becoming an important adjunct in treatment of older children and adults failing right ventricular outflow tract conduits. Recently, has also been successfully implanted tricuspid, mitral, aortic positions, typically within a bioprosthetic valve. We present patient who underwent Fontan palliation for hypoplastic left heart syndrome variant subsequently developed severe neoaortic regurgitation, which was...
This consensus document for the performance of Cardiovascular Computed Tomography (CCT) to guide intervention in right ventricular outflow tract (RVOT) patients with congenital disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons cardiac imagers expertise specific this patient subset. The summarizes definitions RVOT dysfunction as assessed multi-modality imaging techniques reviews existing statements guideline documents pertaining indications...
Describe outcomes following unplanned cardiac catheterization after congenital heart surgery.Utility of surgery is relatively understudied.Retrospective study examining demographics, indications, and at a single institution.Between October 2004 April 2011, 120 patients underwent 150 postoperative catheterizations. Median day was 20 (range 1-269 days). Survival 30 days postcatheterization 85%; overall survival to hospital discharge 72%. Indications for catheterization: 63 hemodynamic...
Abstract Background: A 10% prevalence of intracranial aneurysms in patients with coarctation the aorta has been described a few studies. Our objective is to describe rate aneurysm detection current era. We hypothesise that, earlier and intervention, lower than previously reported screening imaging may only be warranted older or certain risk factors. Methods: This retrospective study 102 aged 13 years who underwent brain computed tomography angiography, magnetic resonance (MRI), angiography...
Transcatheter pulmonary valve replacement (TPVR) is an established therapy for dysfunctional right ventricular (RV) outflow tract conduits. TPVR in patients with congenitally corrected transposition of the great arteries, subpulmonary left ventricle, and (LVOT) conduit dysfunction has not been studied. Unique anatomic physiological aspects this population may contribute to distinct risks outcomes.Across 10 US centers, 27 a LVOT were evaluated catheterization laboratory between December 2008...
This consensus document for the performance of cardiovascular computed tomography (CCT) to guide intervention in right ventricular outflow tract (RVOT) patients with congenital heart disease (CHD) was developed collaboratively by pediatric and adult interventionalists, surgeons, cardiac imagers expertise specific this patient subset. The summarizes definitions RVOT dysfunction as assessed multimodality imaging techniques reviews existing statements guideline documents pertaining indications...
Abstract We describe a case of patient admitted with apparent life threatening events characterized by hypotension and bradycardia. The was ultimately found to have intermittent severe aortic insufficiency. Upon surgical exploration, abnormalities were discovered in the valve, which had small left coronary cusp absence nodulus Arantius. Following repair aimed at preventing from becoming stuck open position, has remained episode free for over one year.
While the Fontan operation is a reliable treatment option for many complex congenital heart defects, development of pulmonary arteriovenous malformations (PAVMs) remains problematic outcome some patients. Pulmonary stem from an imbalance hepatic blood flow in system. Balancing this has shown promising results PAVMs. We report clinical course young patient with heterotaxy syndrome and unbalanced right dominant atrioventricular septal defect. This developed PAVMs following procedure, however,...