Podcasts about Fontan

This week we review a study assessing the impact of bundle branch block (BBB) on exercise tolerance amongst the single ventricle Fontan patient cohort. Why would this be associated with worse outcomes for exercise? How should the cardiologist use this datum of BBB in a single ventricle patient to inform clinical decision making in this patient group? Why is cardiac resynchronization therapy so challenging in this patient group? Dr. Omar Meziab of The University of Arizona shares his deep insights this week. https://doi.org/10.1007/s00246-024-03500-1

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Acute Effects of Enhanced External Counterpulsation in Adults With Fontan Circulation.

A pediatric thoracic surgeon at Indiana University, has spent decades fixing broken hearts. And his research led him to a team of engineers at NASA.

This week we step back in time 3 years ago to review an important cardiac MRI report on Fontan geometry and hemodynamics as measured by computational fluid dynamic analysis. How do factors like Fontan geometry or 'power loss' relate to quality of life for the Fontan young adult patient? How do these data inform imaging in the operating room during these palliations? We speak with the first author of this work, Associate Professor of Pediatrics at U. Penn, Dr. Laura Mercer-Rosa about this important and intriguing work. https://doi.org/10.1016/j.athoracsur.2022.01.017

This week we review a recent large scale, multicenter adult congenital heart study on outcomes of HLHS Fontan patients versus other single RV Fontan patients. How do the two groups compare in regards to thromboembolic risk, risk for arrhythmia or risk for death and heart transplantation? Why might there be differences between these single RV patient groups? How can these results inform management? We speak with Assistant Professor of Medicine and Pediatrics at The Icahn School of Medicine at  Mount Sinai, ACHD expert Dr. Kali Hopkins. doi: 10.1161/JAHA.124.034757. Epub 2024 Nov 27

En este episodio: nos despedimos del sobreviviente Fermín Fontanés; lo último de la Extraordinaria; quién gana y quién pierde en el escrutinio y las movidas de la burócrata nivel sayayín Yanira Raíces para atornillarse en Educación. - ¡Vota AHORA en los PPP Awards en podcastppp.com! - Si fueras partes de nuestro patreon, hubieras escuchado este episodio ayer martes. ¡Únete a la mejor comunidad del internet boricua en patreon.com/puestospalproblema! Aprovheca la oferta de Cyber Week todo el mes de diciembre. - Presentado por el mejor internet de Puerto Rico - AeronetPR.com. Cambiate ahora llamando al 787 273 4143. Nuestros Patroncitos PYMES de hoy: High Quality Solutions es un equipo especializado en la impermeabilización de techos y pintura en PR. En el sellado de techo, nos enfocamos en preparar y reparar las superficies, utilizando materiales destinados para este uso y de alta calidad. Ofrecemos varios sistemas de sellado, como para techos regulares y/o transitables. Sistemas en Silicona y Poliuretanos, Cementicios y otros. LLEGAN AL TECHO ORIGINAL! LIMPIAN TODO ANTES DE PONER EL TRATAMIENTO. Nuestros sistemas son perfectos para residencias, comercios, terrazas, Airbnb, estacionamientos, cisternas, entre otros. Preparamos de forma efectiva ante cualquier inclemencia del tiempo, como lluvias, tormentas y huracanes. Evitar humedad y filtraciones, que afectan la calidad de vida. También realizamos trabajos de pintura, con productos de compañías prestigiosas. Mejoramos el aspecto estético, transformando el entorno en uno renovado. Nos encargamos de convertir la visión de nuestros clientes en realidad. En High Quality Solutions ofrece servicios que garantizan la durabilidad y seguridad de la inversión. Brindamos garantías para nuestros trabajos y estamos certificados por DACO, Seguro de Responsabilidad Pública y El Fondo de Seguro del Estado, para mantener la confianza de nuestros clientes. Pueden comunicarse con José R. Nieves Solís, contratista al 787-223-8960 o al cel.787-552- 4631. Puedes acceder a nuestra página hqsolutionspr.com, para más información. También puede buscarnos en Instagram y Facebook como High Quality Solutions. Bright International Investments ofrece servicios relacionados a las finanzas. Específicamente creamos y manejamos carteras de portafolios de inversión a clientes particulares que deseen invertir su dinero en la Bolsa de Valores de Nueva York. Tú haces la inversión y nosotros nos encargamos del resto. Este 2024 sácale dinero a tu dinero y hazte cargo de tu futuro. ¡Bright International Investments es tu solución! ¡Por un futuro brillante! Para más información visita brightinternationalinvestments.com. Suscríbete a nuestro Patreon y recibe contenido exclusivo, artículos: https://patreon.com/puestospalproblemaSee omnystudio.com/listener for privacy information.

In this episode, Dr. Valentin Fuster highlights five cutting-edge cardiology studies from the December 2024 issue of JACC, covering topics such as cardiac MRI's role in predicting sudden cardiac events in Fontan patients, the impact of oxidized phospholipids on calcific aortic valve disease, and the effects of renal and liver function on outcomes after tricuspid valve repair. With insights on mortality risks from influenza in heart failure patients and the outcomes of anatomical versus physiological repair for congenital heart defects, the episode offers a comprehensive look at critical advancements in cardiovascular care.

In this episode, Dr. Valentin Fuster discusses a groundbreaking study on cardiac MRI predictors of arrhythmic sudden cardiac events in patients with Fontan circulation, highlighting key risk factors for these life-threatening incidents. The study, part of the multi-center FORCE registry, reveals significant findings, including the impact of clinical status and ventricular function, while emphasizing the importance of large-scale research in improving outcomes for single ventricle patients.

This week we delve into the world of adult congenital heart disease to review the topic of liver disease in the Fontan patient and specifically, hepatocellular carcinoma (HCC). What is the prevalence of this disease in the Fontan single ventricle adult patient? How effective are scores like the MELD-XI or Fibrosis-4 Index at identification of HCC in the Fontan patient? How should the Fontan adult patient be surveilled for this form of cancer? What evidence is there that earlier identification of HCC is associated with better outcomes? What may prove to be the most important factor in protection of the liver in the Fontan patient? Dr. Yuli Kim, Director of the ACHD program at The University of Pennsylvania shares her deep insights this week into this important topic. DOI: 10.1093/eurheartj/ehad788

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on liver imaging in fontan patients, comparing ultrasound to cross-sectional imaging.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the latest salaries and conditions of cardiothoracic surgeons in the United States. He explores the highest versus lowest compensation areas, areas with the highest growth for compensation, and where cardiothoracic surgeons rank among other surgeons. He also highlights the highest paid specialties, burnout rates, early retirement, and noncompete clauses.   Joel also reviews recent JANS articles on transcatheter aortic valve replacement for asymptomatic severe aortic stenosis, transcatheter aortic valve replacement in patients with systolic heart failure and moderate aortic stenosis, valve-in-valve transcatheter aortic valve replacement versus isolated redo surgical aortic valve replacement, and the seven pillars of techniques to treat and repair tricuspid endocarditis.  In addition, Joel explores surgical aortic annulus enlargement using a balloon technique, quadruple valve replacement for carcinoid heart disease, and Fontan conversion in a patient with hypoplastic left heart syndrome. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned  1.) Transcatheter Aortic-Valve Replacement for Asymptomatic Severe Aortic Stenosis—EARLY TAVR Trial  2.) Transcatheter Aortic Valve Replacement in Patients With Systolic Heart Failure and Moderate Aortic Stenosis: TAVR UNLOAD  3.) Valve-in-Valve Transcatheter Aortic Valve Replacement Versus Isolated Redo Surgical Aortic Valve Replacement  4.) The Seven Pillars of Techniques to Treat and Repair Tricuspid Endocarditis  CTSNET Content Mentioned  1.) Surgical Aortic Annulus Enlargement Using a Balloon Technique  2.) Quadruple Valve Replacement for Carcinoid Heart Disease  3.) Fontan Conversion in a Patient With Hypoplastic Left Heart Syndrome: A 38-Year-Old Norwood Saga  Other Items Mentioned  1.) Doximity Pay Report 2023   2.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper about high-performing Fontan patients in a Fontan outcome registry by cardiac magnetic resonance imaging study.

Send us a textMeet Marina Lohri, a true trailblazer in the world of congenital heart defects (CHDs). Born with tricuspid atresia, a ventricular septal defect, and an atrial septal defect, Marina's journey from a life-saving C-section to being among the first in Switzerland to undergo a modified-Fontan procedure at just 11 months old is nothing short of miraculous. In our conversation, Marina unfolds her inspiring story and shares her passion for working at atHeart Medical, where she is dedicated to promoting innovative solutions for those with similar heart conditions.Navigating the complexities of living with Atrial Fibrillation (AFib) and congenital heart defects is no small feat. Marina opens up about her personal experiences with rapid heart rates and the profound decision to undergo an ablation. As she contemplates the intricate considerations surrounding pregnancy with a congenital heart condition, we delve into the evolving medical advice she received and the diverse perspectives of healthcare professionals. Marina's story is a testament to the importance of specialized care and the expertise found at top hospitals in Switzerland.From finance to the medical field, Marina's career journey is a testament to aligning work with personal values and health needs. As she shares her transition to atHeart Medical, a startup focused on congenital heart defects, Marina highlights the rewards of working in a supportive environment that truly understands the challenges of living with CHD. Her advocacy extends beyond her professional life, as she continues to inspire others with similar heart conditions to pursue their passions and find purpose in their careers. Marina's resilience shines through as she navigates life's challenges with a positive attitude and a commitment to the CHD community.Helpful Links:atHeart Medical website: https://atheartmedical.comSupport Organizations:Mended Hearts: https://mendedhearts.org(In German)Herznetz: https://www.herznetz.ch/Fontanherzen: https://fontanherzen.ch/Swiss Heart: https://swissheart.ch/Thanks to our newest HUG Patron, Ayrton Beatty and long-standing Patrons: Laura Redfern, Pam Davis, Michael Liben, Nancy Jensen, Alicia Lynch, Deena Barber, Carlee McGuire, Carter & Faye Mayberry, and Frank Jaworski. We appreciate you!Support the showAnna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

Few people will have a Founder's story like Olivia's.  Born with hypoplastic left heart syndrome Olivia was part of the early patient cohort to progress from Norwood through to Fontan under the care of Birmingham Children's Hospital.   After experiencing first-hand the inadequacies of the existing hospital gowns she has set about redesigning patient-wear with patients in mind.  Revising everything from comfort to clinician access to carbon cycle impact, Olivia has built her company Hypoplas to provide patient-wear that works for the twenty-first century.   Connect to Olivia Burns on Linked In:               linkedin.com/in/olivia-burns-hypopolas            Website:         hypoplas.com      (The website is undergoing a little reconstructive work at the moment so an alternative contact email is in operation for enquiries in the meantime: www.hypoplas@gmail.com) SCTS Education Podcast:  Email: sctseducationpodcast@gmail.com X: @podcast_scts  

This week we delve into the world of the single ventricle when we speak with Dr. David Hoganson, Assistant Professor of Surgery at Harvard Medical School about a recent work he co-published with investigators from Boston Children's Hospital on computational fluid dynamic modeling in the planning of the Fontan operation. Single ventricle heterotaxy patients with interrupted IVC are at enhanced risk for the development of pulmonary AVM's due to flow maldistribution to the pulmonary arteries from the hepatic veins in a Fontan. Can a computational fluid dynamic model predict which operative approach would result in the most balanced hepatic venous flow distribution? Can this reduce the incidence of pulmonary AVM's? How well did the models predict the actual pulmonary flow measured after surgery on CMR? Who beyond the heterotaxy patient might benefit from this approach? Dr. Hoganson offers us a peek into the world of personalized surgery in this week's exciting episode.         DOI: 10.1016/j.jacadv.2024.101057

This week we turn back the clocks to re-review a recent research letter from the team at the Harvard Congenital Heart Program about venous insufficiency in the Fontan patient. Why do patients with Fontan circulation develop chronic venous insufficiency and what are the implications of this problem in the Fontan patient? What sort of evaluation should be performed on the Fontan patient presenting with lower extremity venous changes? How worried should the cardiologist be when presented with a Fontan patient with these changes? These are amongst the questions reviewed on this topic with this week's guest, Associate Professor at Baylor University, Dr. Tony Pastor.JACC Adv 2022 Mar, 1 (1) 100002

Commentary by Dr. Candice Silversides

This week we review a recent paper from last 2023 about outcomes of cardiac transplantation in the adult congenital heart patient (ACHD). Little has been written on this topic until this very robust and large scale report. How do single ventricle ACHD patients fair at transplant and how do they compare to non-ACHD heart transplant recipients? Why might 1 and 3 year outcomes not be a 'fair' method of assessing outcomes in this very high risk patient group? How do HLHS patient outcomes compare with other single ventricles? Are there better ways to measure risk in this patient group and how might the data in this work inform risk stratification and management of failing Fontan patients in whom transplantation is being considered? These are amongst the questions posed this week to the week's expert, Dr Daphne Hsu who is Professor of Pediatrics at the Albert Einstein College of Medicine at The Children's Hospital at Montefiore. https://doi.org/10.1016/j.jacc.2023.06.037For those interested in learning more about Dr. Hsu, take a listen to episode #166 from June, 2021:https://www.spreaker.com/episode/pediheart-podcast-166-a-conversation-with-professor-daphne-hsu--45144274

Noticias Con Café 21/06/2024 La culpa en el Gobierno de Pierluisi es huérfana. La insistencia de Fermín Fontanés de no asumir responsabilidad por el mal trabajo de LUMA. Violencia de Estado y violación de derechos humanos el fracaso de la privatización de energía ante Comité de Descolonización de la ONU. Pierluisi inaugura “obras” con AAA, agencia que nunca ha respondido por los permisos que otorgó para desarrollos de terrenos protegidos en Salinas. El lunes se demolerá la primera de muchas construcciones ilegales. ¡Sintoniza y Comparte! #periodismoindependiente #periodismodigital #puertorico #anairmariveralassen #ferminfontanes #jessikapadilla

Noticias Con Café 21/06/2024 La culpa en el Gobierno de Pierluisi es huérfana. La insistencia de Fermín Fontanés de no asumir responsabilidad por el mal trabajo de LUMA. Violencia de Estado y violación de derechos humanos el fracaso de la privatización de energía ante Comité de Descolonización de la ONU. Pierluisi inaugura “obras” con AAA, agencia que nunca ha respondido por los permisos que otorgó para desarrollos de terrenos protegidos en Salinas. El lunes se demolerá la primera de muchas construcciones ilegales. ¡Sintoniza y Comparte! #periodismoindependiente #periodismodigital #puertorico #anairmariveralassen #ferminfontanes #jessikapadilla

Noticias Con Café 19/06/2024 El desempeño de Fermín Fontanés frente a las Alianzas Público Privadas que se supone que fiscalicen los contratos de privatizadores. ¿Será similar al de Luma Energy? El análisis de sus expresiones ayer. Lo que dijo de la contratación para construir una planta de gas metano en PR que negocia en NYC con tres proveedores. Las regalías de los músicos, más allá de la orquesta y de sus dueños. La crisis de energía mata a gente, dicen los portavoces de proveedores de servicios de salud. ¡Sintoniza y Comparte! #periodismoindependiente #periodismodigital #puertorico #rafaelithier #ferminfontanes #anaescobar

Noticias Con Café 19/06/2024 El desempeño de Fermín Fontanés frente a las Alianzas Público Privadas que se supone que fiscalicen los contratos de privatizadores. ¿Será similar al de Luma Energy? El análisis de sus expresiones ayer. Lo que dijo de la contratación para construir una planta de gas metano en PR que negocia en NYC con tres proveedores. Las regalías de los músicos, más allá de la orquesta y de sus dueños. La crisis de energía mata a gente, dicen los portavoces de proveedores de servicios de salud. ¡Sintoniza y Comparte! #periodismoindependiente #periodismodigital #puertorico #rafaelithier #ferminfontanes #anaescobar

Send us a Text Message.When my daughter Hope graced the podcast with her presence, her story wasn't just a chronicle of living with a single ventricle heart at 29—it was a profound testament to her strength amid her gender transition. Our conversation unveils the seamless integration of her heart health with her journey of self-discovery, all while providing tangible advice for those who feel the pull of the pen and the thrill of authorship. Hope's insights on her upcoming book light the way for aspiring writers, proving that even with life's hurdles, one's voice and story are paramount.Flipping through the pages of Hope's past, we're reminded of the days when storytelling was a fledgling passion, cultivated through pen pals and children's magazines. The revelation of a bucket list in college sparked a monumental shift from engineering to writing, a decision that charted the course for my current literary adventures. Sharing these moments isn't just about nostalgia—it's about tracing the delicate threads that weave together to form a writer's identity, culminating in the excitement of discussing her latest book.For anyone out there who's ever doubted the path of a writer, let this episode serve as a beacon. We'll journey through the landscape of crafting narratives, the role of supportive writing communities, and the reality of financial expectations in the writing world. The serendipity of connecting with a publisher keen on LGBT+ stories is a reminder that sometimes, the stars align in unexpected ways, providing the chance to see one's work in the hands of eager readers. Join us for a heart-to-heart that celebrates the written word and the unwavering spirit of those who dare to write it.Hope's previous Heart to Heart with Anna Appearances:Congenital Heart Defects and Gender Identity: https://www.buzzsprout.com/62761/11506572Celebrating 300 Episodes of “Heart to Heart with Anna"https://www.buzzsprout.com/62761/8240177Sports and Extra-Curricular Activities for CHD Survivorshttps://www.buzzsprout.com/62761/398939Surviving a Long Hospital Stayhttps://www.buzzsprout.com/62761/398934Writer's League of Texas Agents and Editor's Conference (2024)https://writersleague.org/calendar/2024-agents-editors-conference/Armadillocon (2024)https://armadillocon.org/d46/Rattling Good Yarnshttps://rattlinggoodyarns.com/Slug Tribehttp://www.slugtribe.org/We appreciate it when people support Hearts Unite the Globe podcasts. Thank you to our newest supporters -- Annie Ulchak (Patreon) and Judy Miller (Buzzsprout)!Support the Show.Anna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite

Commentary by Dr. Candice Silversides

In episode 45 of The Heart Chamber Podcast, we dive into Aimee Mackovic's inspiring journey through a triple organ transplant during the pandemic. An accomplished poet and English professor from Austin, Texas, Aimee shares her battle with a congenital heart defect and subsequent heart and liver failures. Her memoir, "Contains Recycled Parts," available on Amazon, details this life-altering experience. Aimee was born with a congenital defect and needed the Fontan procedure at 15 months old. To her surprise, she learned at age 44, she would need a new heart and liver and then, eventually, a new kidney. We discuss the challenges she faced, including recovery, the importance of understanding medical information, and the invaluable role of community support. Aimee emphasizes the significance of emotional readiness and the impact of writing as a healing tool. Tune in to hear her incredible story of resilience and the life-saving power of organ donation.A Little More About Today's GuestAimee Mackovic was born with a congenital defect (a hole in the middle of her heart) and underwent her first open heart surgery at 15 months for a pulmonary banding, which was a temporary fix. That "fix" lasted until she was 22 years old. At 22, Aimee underwent another open-heart surgery to potentially now repair the hole. Due to the nature of the defect, a full repair was not possible, so they did a newly touted Fontan procedure, which was meant to be a bridge surgery to an eventual heart transplant. Well, another 22 years later with another hospital stay, she is admitted to Dell's Children Hospital in Austin, TX with heart and liver failure. The very complex and urgent nature of her case caused her to be taken on by Stanford Hospital in California, where she received her heart and liver on December 13th, 2019. She received a kidney transplant in June of 2022. In June of 2023, she moved back to Austin, TX, where she resumed her teaching life at Austin Community College and her social life with her friends. Her memoir, Contains Recycled Parts, is a humorous, gut-wrenching look at her triple-transplant journey.How to connect with AimeeInstagram: @aimeemackovicWebsite: www.aimeemackovic.comBook: Contains Recycled Parts - https://twosisterswriting.com/book/contains-recycled-parts/**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well. You can share directly from this platform or send them to:Open Heart Surgery with Boots

This week we review a recent survey study on the topic of junctional rhythm and sinus node dysfunction in the Fontan. How important is this finding in our Fontan patients? When should a patient with a Fontan undergo pacemaker insertion? Is the loss of AV synchrony the more important hemodynamic effect of junctional rhythm or is it chronotropic incompetence? Who should be considered for a possible endocardial, transvenous atrial pacemaker in the Fontan patient? These are amongst the questions posed to this week's guest, noted pediatric electrophysiologist and Professor of Pediatrics at OHSU, Dr. Seshadri Balaji. https://doi.org/10.1007/s00246-023-03296-6

Commentary by Dr. Candice Silversides

This week we delve into the world of interventional cardiology and the Fontan when we review a recent report from the Children's Hospital of Philadelphia on the use of the "MitraClip" for the treatment of AV valve regurgitation in the congenital heart patient. Who would be a good candidate for this novel approach? What are the steps in planning or consideration of this technique in a congenital heart patient? How durable is this form of repair? These are amongst the many questions reviewed this week with this week's senior author, Professor of Pediatrics at the Children's Hospital of Philadelphia, Dr. Matthew J. Gillespie. DOI: 10.1002/ccd.30935

This week we enter the world of the adult congenital heart patient when we discuss Fontan associated liver disease with an ACHD expert, Dr. Katia Bravo-Jaimes of the Mayo Clinic. In this episode we discuss the role of intrahepatic transcriptomics and how genetic analysis of liver biopsy tissue may provide new insights into the pathophysiology of this disease process. How can differential gene expression in the liver of Fontan patients help to explain why some patients have mild versus others severe fibrosis or even frank cirrhosis? Can these insights provide hope for improved surveillance or therapy for this problem? Dr. Bravo-Jaimes provides the answers this week. https://doi.org/10.1016/j.jacc.2023.12.005

This week we enter the world of the adult congenital heart patient when we discuss Fontan associated liver disease with an ACHD expert, Dr. Katia Bravo-Jaimes of the Mayo Clinic. In this episode we discuss the role of intrahepatic transcriptomics and how genetic analysis of liver biopsy tissue may provide new insights into the pathophysiology of this disease process. How can differential gene expression in the liver of Fontan patients help to explain why some patients have mild versus others severe fibrosis or even frank cirrhosis? Can these insights provide hope for improved surveillance or therapy for this problem? Dr. Bravo-Jaimes provides the answers this week. https://doi.org/10.1016/j.jacc.2023.12.005

Commentary by Dr. Valentin Fuster

Commentary by Dr. Candice Silversides

#25 Join host Boots Knighton as she welcomes Leigh Kamping-Carder, the mind behind The Heart Dialogues, to delve into the realities of living with a complex heart defect. She shares her journey of childhood surgeries from tricuspid atresia to navigating the uncharted waters of adult care. Leigh sheds light on the emotional toll of her condition, while offering hope and support to others facing similar battles. A Little More About Today's GuestLeigh Kamping-Carder is the writer of The Heart Dialogues, a free newsletter featuring candid conversations and writing for people born with heart conditions (and the people who care about them). She was born with a complex heart defect called tricuspid atresia and had three heart surgeries before the age of 4, including a Fontan operation. She is also a professional journalist, currently heading up the newsletters team at one of the top newspapers in the U.S. She has been a reporter, editor and digital journalist for a decade and a half, covering everything from luxury homes to innovation to arts and culture. How to connect with LeighNewsletter: theheartdialogues.substack.comTwitter: @Leigh_KC**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well. You can share directly from this platform or send them to:Open Heart Surgery with Boots

CardioNerds (Amit Goyal and Daniel Ambider) ACHD series co-chair Dr. Daniel Clark (Vanderbilt University), cardiology FIT lead Dr. Stephanie Fuentes (Houston Methodist Hospital), and Dr. Frank Fish, a Pediatric Electrophysiologist and the Director of the Pediatric Electrophysiology (EP) Lab at Monroe Carrell Jr Children's Hospital at Vanderbilt University. He is a board certified Adult Congenital Heart Disease (ACHD) physician and has a wealth of experience performing EP procedures in adults living with congenital heart disease. Audio editing was performed by student Dr. Shivani Reddy. In this episode, we discuss key concepts and management of electrophysiologic issues that we can encounter when caring for adults with congenital heart disease.  Arrythmias in adults with congenital heart disease can be intrinsic due to the defect itself or as a consequence of the interventions that they have undergone to palliate and/or repair these defects. The complex anatomy of these patients and the years of pressure and volume load make them not only exquisitely hemodynamically sensitive to arrhythmias (that may otherwise not be of much consequence to the general population) but they also make interventions (catheter ablation or device implant) complex. We therefore embark in a case-based discussion of patients with ACHD (Fontan circulation, Ebstein's anomaly and Tetralogy of Fallot) in an effort to highlight the presentation of arrythmias and the management strategy in this very important group of patients. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Electrophysiology in ACHD Patients with Fontan circulation have a high risk of developing atrial (and ventricular) arrhythmias and they are highly sensitive to the hemodynamic consequences that these arrythmias ensue.  The goal of therapy then should be to achieve sinus or atrial paced rhythm. Rate control should NOT the goal. Patients with Ebstein's anomaly have high arrhythmic potential. They can have multiple accessory pathways (especially right sided) which can in turn be associated with sudden cardiac death. We should have low threshold for EPS +/- catheter ablation in patients with WPW pattern. Patients with Tetralogy of Fallot have a unique risk for SCD that warrant ICD implant apart from the standard criteria (LVEF 180 ms) and surgical repair approach. Patient's anatomy is the major consideration when implanting devices (PPM/ICD). We ought to assess for residual intracardiac shunt at the atrial level and consider closing if feasible prior to placing a device. CRT has merit in systemic LV but less so in systemic RV. Notes- Electrophysiology in ACHD What should we know about atrial arrhythmias in a Fontan patient? Intraatrial re-entrant tachycardia (IART) is slower than typical atrial flutter with atrial rates generally

https://www.paypal.me/Truelifepodcast?locale.x=en_USEtienne is Vice President and Co-Owner of Berkeley Patients Group (BPG). BPG is the nation's oldest continuously operating medical cannabis dispensary, established in1999. For over two decades, Etienne has helped position BPG as a model medical cannabis dispensary, with a vision to lead the emerging industry as it expands, evolves, and becomes more professional. He has founded medical and recreational cannabis retail, cultivation, and processing facilities in Berkeley, Emeryville, Incline Village, Las Vegas, Los Angeles, Reno, Sparks, and West Hollywood.Mr. Fontan has an extensive background as an engaged activist and public speaker seeking to make cannabis legal and safe. Starting in 1993, he was a director of the Cannabis Action Network and traveled through 47 U.S. states speaking at rallies, teach-ins, and rock & roll tours and reaching out to the general public on all cannabis-related issues. Mr. Fontan lobbied local, state, federal, and international governments for cannabis rights. He is an Army combat veteran of Desert Storm and served in the WV Army National Guard. He now lobbies nationally and internationally on veterans' behalf for the use of cannabis and natural medicines.In 2011, Mr. Fontan was invited by top medical cannabis researchers in the Netherlands to undergo training and tour the Medical Cannabis program run by the Dutch Government. While there, Mr. Fontan learned how to perform laboratory tests on medical cannabis and studied the supply logistics of the Dutch regulatory system. Mr. Fontan is a founding board member who served on the National Cannabis Industry Association (NCIA) Board of Directors from 2010 to 2020, including as Board Chair from 2012 to 2013.He is also a founder of the Veterans Action Council and sits on the advisory board for Battle Brothers Foundation.http://www.mybpg.com/http://www.mybpg.com/https://www.veteransactioncouncil.com/ https://www.paypal.me/Truelifepodcast?locale.x=en_US

This podcast explains the pathophysiology of single ventricle cardiac lesions, and reviews the three-step surgical procedure used for palliation. 0:00 Introduction 1:55 Anatomy & Pathophysiology 3:56 Typical Palliation 8:50 Long Term Complications After Repair LEARNING OBJECTIVES After listening to this podcast, the learner should be able to: • Explain the pathophysiology of single ventricle heart disease • Discuss the different stages of palliation for single ventricle heart disease • Describe the physiological consequences of the Fontan circulation • Recognize long term problems associated with the Fontan circulation AUTHORS Madeleine Alvin, MD Pediatric Anesthesiology Fellow Boston Children's Hospital Annette Schure, MD Senior Associate in Cardiac Anesthesia Boston Children's Hospital DATES Initial publication: October 19, 2023 CITATION Alvin ML, Marcley S, Soohey R, McFee AM, Wolbrink TA, Schure AY. Surgical Palliation for Single Ventricle Lesions. 10/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5439/Surgical-Palliation-for-Single-Ventricle-Lesions. Video: https://youtu.be/zptfxT1pjxg. Podcast: https://soundcloud.com/openpediatrics/surgical-palliation-for-single-ventricle-lesions-by-madeleine-alvin-for-openpediatrics/s-j1wNCnQ9ZIX. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Today on Mushroom Hour we are blessed once more by the presence of Mycomaterial Specialist Ashley Granter. Along with Biofashion Designer Aurelie Fontan, Ashley is a founder of Osmose Studios - a multidisciplinary design studio dedicated to exploring how society should draw inspiration and processes from Mother nature. Working with mycelium as well as natural dyes and fabrics, they aim to bring forward beautiful design that doesn't cost the planet and actually fosters the regeneration of lost ecosystems.    TOPICS COVERED:   Birth of Osmose Studios    Working with Classic Biomaterials in New Ways    Fashion, Materials, Regenerative Design    Future of Biomaterials Rooted in Technologies of the Past?   Product Design Grounded in Consumer Experience    Dresses Made with Kombucha & Mycelium Leather   Interior Design made with Mycelium    Diverse Landscape of the Biomaterials Industry    Scaling Sustainably and Decentralized – like a Fungus   Integrating Waste Streams into New Materials    Genetic Modification vs Directed Evolution    Business' Role in Preserving Ecosystems and Biodiversity   Biomaterials as a Craft vs Mass Production   Working with Your Life Partner as a Business Partner    EPISODE RESOURCES:   Osmose Studio IG: https://www.instagram.com/osmose_labs/   Armillaria (fungal genus): https://en.wikipedia.org/wiki/Armillaria   Cantharellus (fungal genus): https://en.wikipedia.org/wiki/Cantharellus   Francis Crick's books: https://www.thriftbooks.com/a/francis-crick/219274/   "Synthetic Aesthetics" by Alexandra Daisy Ginsberg: https://www.daisyginsberg.com/work/synthetic-aesthetics-book    

As the London Design Festival kicks off, we take Create Tomorrow on the road for a series of mini-episodes reporting on the various events, installations and exhibitions that pop up across the capital every September. Tune in to hear our host Bethan Ryder, Editorial Director at WGSN, catch up with some of the curators, designers and studios contributing to this colourful and inspiring event. The series kicks off with a visit to Spirit of Place at Strand Aldwych as we speak with contemporary designer Simone Brewster⁠ about her vivid cork sculptures decorating this newly pedestrianised space. Next, we hop over to Shoreditch to look around Mycelium Unearthed, a compact exhibition of organic designs staged by Osmose Studio⁠, a UK-based regenerative and planet-centric design firm specialising in biodesign and mycelium materials. Aurélie Fontan, CEO & Creative Director of Osmose Studio, takes us on a tour of the various exhibits.  In our next episode, we head west to the Brompton Design District⁠ – keep your eyes peeled for the next drop.

Treating Heart Failure in Adults With Congenital Heart Disease: Heart Liver Transplant Guest: Julie K. Heimbach, M.D. Hosts: Luke J. Burchill, M.B.B.S., Ph.D. Liver transplant is sometimes needed at the same time as heart transplant. This is especially true for adults with heart failure due to Congenital Heart Disease (CHD) and those who have undergone the Fontan operation. Listen to Dr. Julie Heimbach, Director of Transplant, as she provides this update on combined heart-liver transplant at Mayo Clinic. Topics Discussed: Heart-Liver Transplant Identifying liver involvement in various patient groups The Relationship between the heart and liver Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

In and out of the club at unexpected moments on this week's Independent Music Podcast. Whilst Ecstatic-signed Cypriot producer Spivak brings stunning ambient sounds, Julek Ploski – a former signee to multiple ferocious Polish rave labels – brings us a cinematic masterpiece. What a time to be alive. Elsewhere, the first taste of Kazakh-British violinist Galya Bisengalieva is very, very exciting, there's a return of pod favourite Comité Hypnotisé, sludgy rock sounds from Vangas, acid house, trip hop, hip hop and more. You can listen to the first six tracks for free. To listen to the full episode, get a huge back catalogue of music, and access to our live shows and Discord group, please join our Patreon: patreon.com/independentmusicpodcast. The podcast only survives with Patron support TracklistingVangas – Every Day is the Same (Chunklet Industries, USA)Comité Hypnotisé – Blind Ear Boogie (Cortizona, Belgium)Julek Ploski – New York, Poland (Orange Milk Records, USA)Spivak – Mid Week Ritual (Ecstatic, UK)Neo Image – Fourth Finger (Mood Hut, Canada)Los Sara Fontan – Wall-E (Aloud Music, Spain)Montao – Costa Del Mersey (Def Pressé, UK)Slauson Malone 1 – Voyager (Warp, UK)Galya Bisengalieva – Balapan (One Little Independent, UK)Bonnacons of Doom – Facing (Rocket Recordings, UK) This week's episode is sponsored by the state51 Conspiracy, an independent music house. Go to state51.com to find out more about everything they do: state51 Factory sessions and events; hand-made Atelier products; a diverse roster of Label releases; Greedbag stores, pop-up and fanzine, and the Collective of distribution partner labels and artists Produced and edited by Nick McCorriston

This week we delve into the world of electrophysiology and also single ventricle physiology when we review a recent work from the Stanford group on outcomes after the development of ventricular arrhythmias in the single ventricle Fontan patient. Just how worried should the clinician be when these are recorded on ambulatory ECG monitors? What associations exist between these arrhythmias and the use of a Sano shunt? How should the clinician respond to a finding of non-sustained VT in the single ventricle patient? Who is a candidate for an ICD in this setting? These are amongst the questions posed to the first author of this week's work, Clinical Assistant Professor of Pediatrics and electrophysiologist at Stanford University, Dr. Heather Giacone. doi: 10.1161/CIRCEP.122.011143

Invitados: Josué Mitja, presidente de la UTIER; Mercedes Martínez, presidenta de la Federación de Maestros; Jaime Sanabria, abogado laboral; Antonio López Figueroa, comisionado del Negociado de la Policía de Puerto Rico (NPPR); Fermín Fontanés, director de la Autoridad para las Alianzas Público Privadas (AAPP); e Iván Báez, portavoz de Genera PR.   Para lo último en noticias, siguenos en Facebook, Instagram y Twitter @radioislatv    ¡Baja nuestra aplicación en el App Store o Google Play y sintoniza nuestra programación donde quieras!

Un grand merci à Elodie Fontan d'être venu nous voir. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Commentary by Dr. Valentin Fuster

Commentary by Dr. Valentin Fuster

CardioNerds (Amit Goyal and Daniel Ambinder), ACHD series co-chairs Dr. Dan Clark and Dr. Josh Saef, and ACHD FIT lead Dr. J.D. Serfas (Duke University) and Cardiology Fellow Dr. Victoria Thomas (Vanderbilt University) join ACHD experts Dr. Jamil Aboulhosn (Professor of Medicine at UCLA and the director of the Ahmanson/UCLA Adult Congenital Heart Disease Center) and Dr. Joanna Ghobrial, Medical and Interventional Director of the Adult Congenital Heart Disease Center at Cleveland Clinic. They discuss common ACHD pathologies that benefit from interventional cardiology procedures such as transcatheter pulmonic valve replacement (TPVR) and share new advancements in transcatheter approaches to correct sinus venosus defects. They end with a brief discussion on how to become an adult cardiology interventionalist that performs ACHD interventions. Episode notes were drafted by Dr. Victoria Thomas. Audio editing by CardioNerds Academy Intern, student doctor Akiva Rosenzveig.  The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more Disclosures: None CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - ACHD: Interventional Cardiology The ductus arteriosus, which is formed from the distal portion of the left sixth arch, is key to fetal circulation because it allows blood to bypass Transcatheter pulmonic valve replacement (TPVR) is a treatment for many ACHD patients that can spare them repeat sternotomies. This is important as many ACHD patients hava already undergone multiple surgeries in their childhood.   Before any ACHD cardiology intervention, appropriate imaging (TEE, TTE, Cardiac MRI, Cardiac CTA, and/or 3D printing) is imperative to understanding the relevant anatomy and hemodynamics to guide procedural indication and planning.    As with other structural interventions, consider a SENTINEL device (cerebral embolic protection system) to provide embolic protection in procedures that could lead to debris/embolic dislodgement when appropriate. Sinus venosus defects can be repaired via a transcatheter approach with a covered stent in the superior vena cava (SVC).   Consider using 3D printing or 3D digital imaging when preparing for complex ACHD interventions.    Notes- ACHD: Interventional Cardiology 1. When considering a patient for TPVR there are 3 types of landing zones for pulmonic valves in ACHD patients:    Pulmonary conduits or homografts. These are typically seen in patients with TOF or prior Ross or Rastelli procedure. These may be calcified and stenotic and so pre-dilatation is often needed before valve replacement.   Bioprosthetic Valves. (Valve in Valve TPVR) Native outflow tract 2. What are some of the more severe complications to consider when talking to an ACHD patient about a TPVR?   Coronary artery compression Conduit rupture Vessel injury (including the pulmonary bed) Valve embolization Endocarditis 3. What are some of the hemodynamic measurements one would want to pay attention to in a patient with a Fontan heart?    You will see higher CVPs in patients with a Fontan palliation.

CardioNerds (Amit Goyal and Daniel Ambinder), ACHD series co-chairs Dr. Dan Clark and Dr. Josh Saef, and ACHD FIT lead Dr. J.D. Serfas (Duke University) and Cardiology Fellow Dr. Victoria Thomas (Vanderbilt University) join ACHD experts Dr. Jamil Aboulhosn (Professor of Medicine at UCLA and the director of the Ahmanson/UCLA Adult Congenital Heart Disease Center) and Dr. Joanna Ghobrial, Medical and Interventional Director of the Adult Congenital Heart Disease Center at Cleveland Clinic. They discuss common ACHD pathologies that benefit from interventional procedures such as transcatheter pulmonic valve replacement (TPVR) and share new advancements in transcatheter approaches to correct sinus venosus defects. They end with a brief discussion on how to become an adult cardiology interventionalist that performs ACHD interventions. Episode notes were drafted by Dr. Victoria Thomas. Audio editing by CardioNerds Academy Intern, student doctor Akiva Rosenzveig.  The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more Disclosures: None CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - ACHD: Interventional Cardiology The ductus arteriosus, which is formed from the distal portion of the left sixth arch, is key to fetal circulation because it allows blood to bypass Transcatheter pulmonic valve replacement (TPVR) is a treatment for many ACHD patients that can spare them repeat sternotomies. This is important as many ACHD patients hava already undergone multiple surgeries in their childhood.   Before any ACHD cardiology intervention, appropriate imaging (TEE, TTE, Cardiac MRI, Cardiac CTA, and/or 3D printing) is imperative to understanding the relevant anatomy and hemodynamics to guide procedural indication and planning.    As with other structural interventions, consider a SENTINEL device (cerebral embolic protection system) to provide embolic protection in procedures that could lead to debris/embolic dislodgement when appropriate. Sinus venosus defects can be repaired via a transcatheter approach with a covered stent in the superior vena cava (SVC).   Consider using 3D printing or 3D digital imaging when preparing for complex ACHD interventions.    Notes- ACHD: Interventional Cardiology 1. When considering a patient for TPVR there are 3 types of landing zones for pulmonic valves in ACHD patients:    Pulmonary conduits or homografts. These are typically seen in patients with TOF or prior Ross or Rastelli procedure. These may be calcified and stenotic and so pre-dilatation is often needed before valve replacement.   Bioprosthetic Valves. (Valve in Valve TPVR) Native outflow tract 2. What are some of the more severe complications to consider when talking to an ACHD patient about a TPVR?   Coronary artery compression Conduit rupture Vessel injury (including the pulmonary bed) Valve embolization Endocarditis 3. What are some of the hemodynamic measurements one would want to pay attention to in a patient with a Fontan heart?    You will see higher CVPs in patients with a Fontan palliation.

This week we delve into the world of adult congenital heart disease when we review a recent work from the ACHD team at UCSF that assesses the impact of BMI on clinical outcomes in the single ventricle adult Fontan patient. What is the cause of elevation in BMI in some Fontan patients? Is obesity the only explanation? Is BMI a modifiable risk factor for our Fontan patients and should exercise be 'prescribed' for these patients? If so prescribed, what type of exercise is best for the Fontan patient? This week's work's senior author, Dr. Anushree Agarwal, Assistant Professor of Medicine at UCSF, shares her insights into this important topic. DOI: 10.1161/JAHA.122.026732Also mentioned in today's episode is episode #222 with Dr. Dan Halpern of NYU medical center (https://www.stitcher.com/show/pediheartpediatric-cardiology-today/episode/pediheart-podcast-222-impact-of-cardiac-rehab-on-exercise-tolerance-in-the-achd-patient-206781483)

In this episode Quique Fontan shares his journey as a crystal bearer for Matias De Stefano and his experience of the YO SOY path. These crystals where the ones planted all throughout the Earth's Nodes after the 11/11 Event in Argentina in 2022. I hope you enjoy this conversation. You can find Quique on Instagram and Spotify music @quienfuebuda --- Send in a voice message: https://podcasters.spotify.com/pod/show/channelforgraceuncut/message Support this podcast: https://podcasters.spotify.com/pod/show/channelforgraceuncut/support

This week we delve into the world of adult congenital heart disease when we review a recent research letter from the team at the Harvard Congenital Heart Program about venous insufficiency in the Fontan patient. Why do patients with Fontan circulation develop chronic venous insufficiency and what are the implications of this problem in the Fontan patient? What sort of evaluation should be performed on the Fontan patient presenting with lower extremity venous changes? How worried should the cardiologist be when presented with a Fontan patient with these changes? These are amongst the questions reviewed on this topic with this week's guest, Assistant Professor of Clinical Pediatrics (Cardiology) at Yale University, Dr. Tony Pastor. JACC Adv 2022 Mar, 1 (1) 100002