It is quite an exciting time in the world of pediatric cardiology. There are very few areas of medicine (or even science, for that matter) that are evolving and advancing as fast as that relating to congenital heart disease. There are many families that are dealing with a recent or upcoming cardiac surgery with their young child. But what does the future hold for these children? Current and future advancements now clearly show that this future is bright indeed!
Your baby came to the cardiologist for evaluation of a heart murmur and the doctor tells you that your newborn has mild PPS, peripheral pulmonary stenosis. Then they tell you that this is a common finding in newborn babies and that you shouldn't worry. But it sounds terrifying! So what is it?
Peripheral pulmonary stenosis, PPS, is the term used to describe narrowing of the arteries that take de-oxygenated (blue) blood from the right ventricle to the lungs. Some doctors may also call it branch pulmonary artery stenosis, because it occurs at the branch points of the main pulmonary artery.
As a parent, having your child complain of chest pain can be a scary concept.
It is natural to worry about the heart first. Fortunately, while chest pain
in adults can often be cardiac, most chest pain in children is not related to
the heart.
There are a number of non-cardiac factors that can lead to chest pain in
children. The most common cause of chest pain in children and teenagers is
chest wall pain. Typically a brief, sharp sensation, this pain is sometimes
worsened with deep breathing. This is a benign cause of pain, generally
thought to be secondary to muscle spasms within the chest or irritation of
the lung pleura (lining). While this pain is not caused by the heart,
it is real pain and can cause distress to the child.
Atrial fibrillation is the most common arrhythmia found in older adults. Most people have heard of it before. In fact, most people either have a relative, parent, or other friend that has experienced atrial fibrillation. It's just that common!
Influenza (“the flu”) is a contagious respiratory illness cause by influenza viruses. When a person contracts the flu virus, their Illness can vary from mild to severe and can lead to hospitalization and sometimes even death. There are some specific types of people that are at a higher risk for developing serious complications from the flu. Those include the elderly, young children and people with certain medical conditions.
The flu vaccine comes in various forms - either by a shot or a nasal spray. The vaccine causes antibodies to develop in the body about two weeks after it is administered. Every year the vaccine protects against the three viruses that research indicates will be the most common during the upcoming season. This year the vaccine includes influenza A (H1N1) virus, influenza A (H3N2) virus, and a type of influenza B virus. The flu vaccine should be administered every year because the vaccine is formulated on a yearly basis as the flu virus changes over time.
an inactivated vaccine containing a killed form of the virus that is given with a needle in the arm. The flu shot is approved for any person six months of age and older. There are three forms of the shot:
made with live, weakened flu viruses (live-attenuated influenza vaccine “LAIV”) given in the form of a spray in the nose. This form of the vaccine does not cause the flu. This form of the vaccine is approved for healthy people ages 2 to 49 years who are not pregnant.
Side effects of the nasal-spray:
Every person over the age of 6 months should receive the flu vaccine. It is especially important for people who are at a high risk of developing complications from the flu to receive the vaccine. People who live and care for individuals in this high risk population should be vaccinated as well.
All of our physicians are experts in the field of congenital heart disease diagnosis, evaluation, and management. Some of the more complex forms of heart disease that we treat include hypoplastic left heart syndrome, tetralogy of Fallot, transposition of the great arteries, pulmonary valve atresia, pulmonary valve stenosis, aortic valve stenosis, atrioventricular canal defect, ventricular septal defect, atrial septal defect, Ebstein’s anomaly, and coarctation of the aorta, as well as many other forms of heart disease. We are also experts in heart rhythm disorders such as supraventricular tachycardia (SVT).
We will provide informative and compassionate counseling to you and your family. When necessary, we will arrange for further consultation with a congenital heart surgeon should you desire.
All of our physicians are experts in fetal cardiac diagnosis and management. We work closely with your obstetrician and perinatologist to assist in the management of your child. We have extensive experience with all forms of complex congenital heart disease, including hypoplastic left heart syndrome, tetralogy of Fallot, pulmonary valve atresia, aortic stenosis, transposition of the great arteries, atrioventricular canal defect, ventricular septal defect, Ebstein’s anomaly of the tricuspid valve, and coarctation of the aorta, as well as many other forms of heart disease. We are also experts in heart rhythm disorders such as supraventricular tachycardia (SVT) and congenital complete atrioventricular block.
We provide informative and compassionate counseling to you and your family. When necessary, we can arrange for further consultation with a congenital heart surgeon.
A fetal echocardiogram is a detailed study of the heart of a developing fetus. Your doctor may request a fetal echocardiogram for a number of different reasons. These may include suspicion of a congenital heart defect, a family history of congenital heart disease, or certain conditions in the mother which may predispose to heart disease such as diabetes or phenylketonuria. A fetal echocardiogram can usually be performed successfully after 18 weeks gestation, occasionally sooner.
The physicians at Pediatric Heart Specialists are experts in fetal echocardiogram perfomance. All our locations throughout Dallas and East Texas have the capability to perform fetal echocardiograms.
Your fetal echocardiogram will be performed in a private room by one of our physicians. Once the study is complete, the doctor will spend as much time as is necessary reviewing the results with you and providing in-depth counseling. We understand that this can be an extremely stressful time for you. Our physicians and office staff will treat you with compassion and understanding and will work hard to make your visit as informative as possible.