A5053639889- Congenital Heart Disease Studies
- Cardiovascular and Diving-Related Complications
- Pulmonary Hypertension Research and Treatments
- Mechanical Circulatory Support Devices
- Cardiac Arrhythmias and Treatments
- Aortic Disease and Treatment Approaches
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Neonatal Respiratory Health Research
- Cardiac Valve Diseases and Treatments
- Cardiovascular Issues in Pregnancy
- Coronary Artery Anomalies
- Vascular anomalies and interventions
- Genetic and Kidney Cyst Diseases
- Cystic Fibrosis Research Advances
- Tracheal and airway disorders
- Pharmaceutical studies and practices
- Cardiac and Coronary Surgery Techniques
- Ultrasound in Clinical Applications
- Takotsubo Cardiomyopathy and Associated Phenomena
- Cardiovascular Conditions and Treatments
- Medical Imaging and Pathology Studies
- Pediatric Pain Management Techniques
- Gastroesophageal reflux and treatments
Helen DeVos Children's Hospital
2018-2023
Corewell Health Blodgett Hospital
2018-2023
Spectrum Health
2018-2023
Michigan State University
2018-2023
Grand Rapids Community College
2018-2019
Miami Children's Hospital
2012-2016
Florida International University
2016
Determine the accuracy of echocardiography to diagnose coronary anatomy in transposition great arteries and evaluate effect on surgical outcomes changes over time.Retrospective chart review neonates admitted February 1999 March 2013 with transposition. Coronary pattern from preoperative echocardiogram operative reports were collected compared determine diagnostic accuracy. patterns further confirmed by intraoperative images taken during surgery.Tertiary care children's hospital.Neonates...
Fontan fenestration allows right-to-left shunting increasing cardiac output and oxygen delivery. Increased occurs as function ventricular end-diastolic pressures improve, potentially decreasing saturation. Complete closure may result in impaired haemodynamics low output; however, there are no dedicated devices to reduce size. We describe size reduction using the Atrial Flow Regulator.
Abstract Background: Up to 90% of adults with untreated atrial septal defect will be symptomatic by 4 th decade, and 30-49% develop heart failure. 8–10% these patients have pulmonary arterial hypertension a female predominance regardless age. We aimed demonstrate that fenestrated closure can safely performed in decompensated failure defect-associated improved outcome. Methods: Transcatheter closures (Occlutech GmbH, Jena, Germany) were on compassionate-use basis 5 consecutive adult severe...
Abstract Primary ciliary dyskinesia (PCD) is a rare genetic condition characterized by respiratory tract infections, situs inversus or heterotaxy, and male infertility. Chronic infections begin in childhood result complications such as bronchiectasis. As hypoxemia often attributed to bronchiectasis, other etiologies for desaturation this setting are not routinely evaluated. The development of pulmonary arteriovenous malformations (PAVMs) PCD an established association. PAVMs the etiology may...
Abstract Despite advances in percutaneous interventions, transcatheter Fontan completion remains experimental and performed only select cases. Non‐surgical requires surgical preconditioning at an earlier stage of palliation. We describe a 15‐year‐old male with previously failed palliation without preconditioning.
Pulmonary arterial hypertension (PAH) is a severe and progressive disease. Treatment options include anti-PAH medications, continuous intravenous therapies, diuretics. Lung transplant required in many cases. Atrial septostomy an under recognized option symptomatic patients on maximal PAH therapy. However, creating sustainable restrictive atrial communication challenging with existing devices. We describe emergency use of the Occlutech ® Flow Regulator, novel device, 35-year-old female...
Paravalvular leak (PVL) is a complication caused by development of gaps due to dehiscence between the annulus and implanted valve.Clinically significant PVL in bioprosthetic pulmonary valves are extremely rare.Currently, surgical intervention first line treatment.However, surgery associated with greater risk for morbidity mortality when compared primary repair or valve replacement.We present 22-yearold male who underwent successful transcatheter hemodynamic symptomatic improvement.
We describe a newborn with complex, congenital cardiac anomalies, most notably single ventricle physiology, interruption/atresia of the ascending aorta and coronary circulation that was totally Right Ventricle (RV) dependent. This arrangement left supply in very precarious situation, theoretically much worse than patients Pulmonary Atresia/Intact Ventricular Septum ( PA/IVS), since entire RV The patient underwent palliative surgical correction, but expired following day. believe this is...
Patients with single-ventricle physiology require staged palliation.Additional interventions may be required due to Fontan failure, formation of collaterals or pulmonary arteriovenous malformations (PAVMs).Transcatheter are preferable in this setting avoid the risks redo-sternotomy, and cardiopulmonary bypass.We present our experience transcatheter revision circulation a cyanotic adult congenital heart patient hypoplastic left syndrome (HLHS).Transcatheter completion feasible option patients...
The arterial switch operation (ASO) is the standard surgical technique for transposition of great arteries.Although there have been significant improvements in long-term outcomes patients undergoing ASO when compared to atrial procedure (Mustard or Senning), early and mid-term morbidity mortality due coronary complications identified.We describe percutaneous artery angioplasty a 9-week-old infant on extracorporeal membrane oxygenation status post with optimal outcomes.
Abstract Alveolar capillary dysplasia with misalignment of the pulmonary veins is an uncommon disorder that affects lung vasculature development in neonatal period and leads to hypertension. We describe two patients alveolar associated left-sided obstructive heart defects different genetic variants. Our cases highlight importance early recognition this disease setting persistent supra-systemic hypertension despite surgical correction lesions. Identification these will facilitate a...