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For an appointment with our clinic physicians, please have your physician use this form. CardiologyThe Section of Pediatric Cardiology at Yale has entered an exciting stage of growth and expansion. We are a busy section that provides the complete spectrum of cardiovascular care to patients from our community, state and Northeast region. We have recently recruited two pediatric cardiothroacic surgeons to join our faculty. Services of ExcellenceCardiac CatheterizationThe Pediatric Cardiac Catheterization Laboratory at Yale New Haven Hospital is staffed by Drs. John Fahey and Jeremy Asnes. The laboratory routinely performs diagnostic and interventional catheterization procedures in children and adults with congenital heart disease. Procedures commonly performed include closure of atrial septal defect (ASD) and patent foramen ovale (PFO) and patent ductus arteriosus (PDA). In addition to transcatheter device placement, Drs. Fahey and Asnes have expertise in non-surgical transcatheter treatment of aortic and pulmonary valve stenosis, coarctation of the aorta, intravascular stent placement for narrowed arteries and vessels and blood vessel coil occlusion.
The Laboratory is a participant in many pioneering clinical trials and as a result, is expert with a variety of intracardiac devices including the Amplatzer Septal Occluder™ device, the Amplatzer PFO Occluder™ device, the Amplatzer Ductal Occluder™ device, and the CardioSEAL™ device. Intracardiac echocardiography is frequently used to provide visual guidance during invasive procedures. This technology allows procedures to be performed without the need for general anesthesia.
Future expectations for the catheterization laboratory include transcatheter ventricular septal defect (VSD) closure in selected patients. This procedure has not yet gained FDA approval for routine use in the United States. However, it may be used in very select patients who cannot undergo open heart surgery. The Pediatric Cardiac Catheterization Laboratory will soon be participating in two pediatric interventional catheterization consortiums. These groups will bring together interventional cardiologists and resources from multiple centers across the country. The combined experience of these groups will allow participating institutions including The Children's Hospital at Yale New Haven Hospital to advance the understanding of congenital heart disease and provide the best possible care for their patients. 
EchocardiographyThe Pediatric Echocardiography Laboratory at the Yale New Haven Children's Hospital provides state of the art non-invasive assessment of cardiac anatomy and physiology in an environment that is designed for the comfort and ease of children and their families. The Pediatric Echo Lab underwent a major renovation in the winter of 2005 which created a second imaging suite, redesigned echo reading area and improved access and space for our patients and their families. The Lab is now completely digital in its image acquisition and each imaging suite is equipped with Television, VCR and DVD players to make children more comfortable during their evaluation. The Pediatric Echo Service performs approximately 3,500 studies per year, which encompass the transthoracic, transesophageal and intracardiac approaches. The Pediatric Echo Service plays an important role in pre- and intraoperative surgical assessment and planning as well as in the interventional cardiac catheterization laboratory. The Yale Fetal Cardiovascular Center was one of the first Centers of its kind. Each year, nearly 700 fetal echocardiograms are performed in women whose pregnancy may be affected by congenital heart disease or arrhythmia. The Center provides a multidisciplinary approach to comprehensive care with physicians from Maternal - Fetal Medicine, Pediatric Cardiology and Perinatal Medicine as well as Genetic Counselors. If you have any questions about the Pediatric Echocardiographic Services at Yale New Haven Children's Hospital, please do not hesitate to contact Dr. Alan Friedman or Dr. Bevin Weeks.
 Figure to the left: A 3-D CARTO™ map of atrial ectopic tachycardia in a cardiac transplant patient. Catheter ablation was performed of the AET, as well as a bridge of tissue that had developed between the recipient and donor atrium, resulting in rapid ventricular rates. ElectrophysiologyThe Yale Pediatric Electrophysiology and Pacing Service is the busiest in the state and growing. Pediatric and adult congenital heart patients with arrhythmias are cared for at Yale. Patients with congenital arrhythmia syndromes such as Wolff-Parkinson-White, long QT syndrome, Brugada, arrhythmogenic right ventricular dysplasia and other rare "channelopathies" receive care by the team, in addition to those with supraventricular tachycardia and ventricular arrhythmias. The group provides state-of-the-art care including outpatient transcatheter ablation techniques, 3-dimensional arrhythmia mapping and ablation using the Biosense Webster CARTO™ mapping system and pacemaker and defibrillator (ICD) device implantation. Arrhythmia and Pacemaker outpatient clinic sessions are provided and staffed by Dr. Ramesh Iyer and Nancy Rollinson, PNP. Outpatient arrhythmia monitoring is provided at Yale.
Clinical ProgramsOn July 31, 2004, the Yale-New Haven Adult Congenital Heart Program was initiated. The first dedicated outpatient clinic for adults with complex congenital heart disease was held in the Pediatric Specialty Clinic. Since then, the clinic has moved to the adult setting of the Yale Physician Building where a weekly ACH clinic takes place. The mission of the Yale-New Haven Adult Congenital Heart Program is to provide comprehensive care of the adolescent and adult patient with congenital heart disease in the context of a multidisciplinary environment that blends state of the art pediatric and adult cardiac expertise across inpatient and outpatient settings. This is first integrated program in the state of Connecticut dedicated to the care of adult patients with complex congenital heart disease. As participants in the Adult Congenital Heart Program, adolescents and adults can expect to have detailed education about their underlying congenital heart defect, its management, and the implications on future functioning. Participation in this program ensures that their pediatric congenital heart disease will be managed in the context of adult medicine with a multidisciplinary team that includes pediatric and adult cardiologists, adult pulmonologists, high-risk obstetrics and perinatology, genetic counselors, and social work. This center will have state of the art diagnostic imaging, to include echocardiography and MRI. The multidisciplinary team includes interventional experts in congenital cardiac catheterization and electrophysiology who have a combined experience of over forty years in the field. Our cardiothoracic surgical team has extensive expertise in congenital heart disease and adult cardiac surgery with an experience that spans three decades. Other members of the team include experts from the Yale Congestive Heart Failure and Transplant programs in addition to the Yale High Risk Obstetric and Maternal-Fetal Medicine Programs. The Yale Section of Pediatric Cardiology has had a longstanding interest in International Pediatric Health and improving the cardiac condition of children throughout the world. Members of the Section have been regular participants in Cardiovascular Missions in St. Petersburg, Russia and Egypt and the Section and Department have provided their volunteer services to children from Trinidad, Iraq, the Palestinian Authority and the West Indies. The efforts of the Section in the areas of International health have been supported by the extremely generous efforts of the Yale New Haven Heart Center, the Gift of Life Program of the Rotary Club of Hamden, Connecticut and Healing the Children - Northeast. The Kawasaki Disease Clinic manages acquired forms of congenital heart disease in children. This newly coordinated effort is lead by Dr. George Porter. The Cardiogenetics Clinic brings together a number of subspecialists in one clinic setting and is staffed by Dr. Martina Brueckner. How to contact us:
Yale Pediatric Cardiology NursingThe section has a proactive and dynamic approach to cardiovascular nursing that spans our diagnostic and interventional programs. Our clinics, our inpatient service, our fetal cardiovascular consultation services and our catheterization laboratory all utilize a multidisciplinary and family-centered approach to patient care and central to this process, is our dynamic nursing staff.
The History of Pediatric Cardiology at Yale University and Yale-New Haven Hospital1947 Dr. Ruth Whittemore sets up the first pediatric cardiology referral center in New England at Yale-New Haven Hospital. |
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