773655?1340656399
Marie M Gleason, M.D.  
Female


The Children’s Hospital of Philadelphia
Cardiology
877-77 HEART (877-774-3278)
Philadelphia, PA
My Posts
Apr 18, 2013 in the Pediatric Heart Expert Forum - 1
First, I hope things work out well for you and the pacemaker. Good luck. Second, ECG's in children can often have "false positive" readings like "possible LVH". Most often the cardiologist will check the child and there will be nothing wrong. So if your child has no clinical symptoms, and you have an appointment with the cardiologi...
Apr 18, 2013 in the Pediatric Heart Expert Forum - 2
Since your baby is only 20 days old, it is too soon to know if surgery will be required. A 6 mm posterior muscular VSD is moderate to large in size, so in the next month or so there could be signs of too much blood flow going across the VSD and out to the lungs: symptoms like breathing fast, not feeding well or not gaining weight well. If the VSDs are truly...
Mar 04, 2013 in the Pediatric Heart Expert Forum - 1
It is always best to speak directly with your child's cardiologist regarding the use of stimulant medication, because they understand what your child's particular risk might be, based on the underlying ECG and whether there are any prior arrhythmias. So therefore I cannot answer the question for your child. That being said, however, iIn many circums...
Mar 04, 2013 in the Pediatric Heart Expert Forum - 5
If a child is uncooperative for an echocardiogram, of course, all interpretation is subject to error. When we look at echocardiograms, the interpretation of whether or not the right ventricle is enlarged is not based on an absolute number, but rather, on how it looks compared to the other pumping chamber. So these numbers are not particularly helpful, except...
Feb 25, 2013 in the Pediatric Heart Expert Forum - 5
It sounds like either the pediatric cardiologist will need to repeat the echo and see if they can find a cause, or they will need alternative imaging, often a cardiac MRI. PAPVR can be missed by echo unless you are really looking for it. A Sinus venosus type ASD can be missed if the echocardiogram is not specifically looking for it. of course, I cannot sa...
Feb 23, 2013 in the Pediatric Heart Expert Forum - 5
From what you have posted about your child's echocardiogram report, the main finding is that the right sided pumping chamber (right ventricle) is enlarged, and it should not be. Common causes for this in childhood are a hole in the wall between the upper heart chambers (ASD), and partially anomalous drainage of the right pulmonary veins to the right sid...
Feb 21, 2013 in the Pediatric Heart Expert Forum - 5
You still have not given the child's age. But independent of that, if the child is cyanotic (blue) with symptoms of breathlessness and weakness, as weel as pulmonary hypertension, an ASD, VSD and PDA, that is a very, very, very serious situation and the options may be vrey limited. Surgery may not be an option if the lungs are too stiff. That child id...
Feb 18, 2013 in the Pediatric Heart Expert Forum - 1
I am assuming that your son's TGA (transposition of the great arteries) was treated with an arterial switch operation (ASO). If that is correct, then I assume that the leaky valve you are referring to is the "aortic" valve (former pulmonary valve) if that is correct, and the aortic valve regurgitant fraction is 23%, that falls in the mild range...
Feb 18, 2013 in the Pediatric Heart Expert Forum - 5
Primary pulmonary hypertension is high blood pressure in the lungs without other causes (lung disease or heart disease for example) and usually occurs in older children/teens. It is a very serious medical condition. It requires aggressive medical management to avoid failure of the right side of the heart. On the other jand if an infant has congenital heart...
Feb 15, 2013 in the Pediatric Heart Expert Forum - 4
I see no question here.