773637?1327450515
Jeffrey R Boris, M.D.  
Male
Philadelphia, PA

Specialties: Ambulatory Cardiology, Pediatric cardiology

Interests: Ambulatory Cardiology

The Children’s Hospital of Philadelphia
Cardiology
877-77 HEART (877-774-3278)
Philadelphia, PA
My Posts
Jun 23, 2014 in the Pediatric Heart Expert Forum - 1
Dear H Kongar, This is a gross misunderstanding of the concept of a murmur. A murmur is is the term that is used when describing a sound created by turbulence of blood flow in the heart or related vessels. Thus, there is no such thing as a silent murmur; it is an impossible oxymoron. That said, the criteria for several of the innocent murmurs are such t...
Jun 23, 2014 in the Pediatric Heart Expert Forum - 1
Dear Three and a half, So a couple of things come up with this...first, there is no data that aortic root dilation IN PATIENTS WHO HAVE HAD CARDIAC SURGERY is at risk for later dissection. There has only been one study that I have seen from the Mayo Clinic that looks at this. We obviously need more data for this, though. The thought is that because ther...
Jun 13, 2014 in the Pediatric Heart Expert Forum - 1
Dear Chitravarshini, A 6 mm ventricular septal defect is typically considered moderate in size. I am not sure how the shunt you are quoting was calculated, unless she had a cardiac catheterization; echocardiographic estimates of shunting are notoriously unreliable. However, a moderate sized defect typically causes congestive heart failure symptoms, such ...
Jun 13, 2014 in the Pediatric Heart Expert Forum - 1
Dear Brinarose, Cardiac enlargement during pregnancy can be due to several things. It can be due to obstruction of the heart. It can also be due to an abnormal heart rhythm, anemia, or an infection of the fetus. It will be very important to know if the heart function is decreased, or not. There are a lot of unanswered questions here that can't be ...
Jun 13, 2014 in the Pediatric Heart Expert Forum - 1
Dear Ajaygp, A patent foramen ovale (PFO) is a flap valve that all babies have when they are in utero (in the uterus). After the baby is born, it typically closes on its own. However, 20-25% of all adults have it remain open. Without evaluating your daughter, I cannot say for exactly what needs to be done, I can say that rarely a septal aneurysm can be...
Jun 10, 2014 in the Pediatric Heart Expert Forum - 1
Dear Chitravarshini, A 6 mm ventricular septal defect is typically considered moderate in size. I am not sure how the shunt you are quoting was calculated, unless she had a cardiac catheterization; echocardiographic estimates of shunting are notoriously unreliable. However, a moderate sized defect typically causes congestive heart failure symptoms, such a...
May 22, 2014 in the Pediatric Heart Expert Forum - 2
Dear Shelley, Pulmonary atresia with VSD (also known as tetralogy of Fallot with VSD) is a very difficult diagnosis to deal with. In essence, the branch pulmonary arteries are often exceedingly small or even nonexistent, and the lungs are fed by multiple aorto-pulmonary collateral arteries (MAPCAs). Typically what is attempted is to "unifocalize&quo...
May 22, 2014 in the Pediatric Heart Expert Forum - 2
Dear Sanjay, Obviously, without seeing your son's studies and evaluating him, I cannot say what needs to happen here. Typically, we do not intervene here unless there is significant (moderate or severe aortic valve insufficiency) when there is a small VSD that is hemodynamically restrictive. The risks of heart surgery should be discussed with you by...
May 13, 2014 in the Pediatric Heart Expert Forum - 1
Dear Kittycat, I have to say that I am not actually a big fan of these free heart screening programs, honestly. They are sometimes run by pediatric cardiologists, but sometimes by adult cardiologists who don't always understand pediatric and adolescent cardiology needs. As well, these screenings don't truly cover the issues needed to ensure tha...
May 06, 2014 in the Pediatric Heart Expert Forum - 1
Dear Stephy, I don't know the exact nature of the arrhythmias that were noted, so I can't say for sure. However, during the second trimester, it is quite common for isolated or single early beats (premature atrial contractions and premature ventricular contractions) to occur. They typically resolve by third trimester, or by deliver; rarely they...