Please join us for our next free educational webinar titled, “Prenatal Evaluation and Management of Isomerism” on Thursday, June 8, 2023 at 8:30 pm EST.
Dr. David Schidlow, Director of Heterotaxy Program at Boston Children’s Hospital, will speak on “Fetal Heterotaxy: Creating a Diagnostic Checklist” reviewing cardiac segmental analysis in heterotaxy. Next, Dr. Shi-Joon Shi-Joon Yoo, Director of 3D Printing Program at Hospital for Sick Children, will speak on “Advanced Prenatal Imaging Evaluation of Isomerism” reviewing the extracardiac disease with isomerism. And lastly, Dr. Lindsay Edwards, from Seattle Children’s Hospital and active member of the FHS Education Committee, will present on “Prognosis, Prenatal Counseling and Delivery Planning for Heterotaxy”.
Dr. Chris Lindblade, Director of Fetal Cardiology Program at Phoenix Children’s Hospital and FHS Secretary, will moderate the session. Following the talks, a panel discussion including Dr. Norman Silverman, Professor of Pediatrics at University of California, San Francisco, and Dr. Nancy Ayers, Associate Professor of Pediatrics at Baylor College of Medicine, will review clinical pearls for diagnosis and management of this challenging subset of patients in addition to other related topics. This webinar will be of great interest to cardiac and MFM sonographers, nurse coordinators, pediatric cardiologists, neonatologists, MFM specialist, radiologists, and trainees.
Register for the webinar at the link below and be sure to attend the live webinar on Thursday, June 8th at 8:30 PM EST. As always, the FHS will record and post the recorded webinar on the Fetal Heart Society website after the livestreamed webinar. We look forward to you joining us!
Register at https://tinyurl.com/4hvs2a9c
Marybeth Tomory, BS, RDMS, Advanced Practice Sonographer from Access TeleCare, will speak on “Fetal Cardiac Screening Views,” based on the current guidelines. Next, Dr. Mark S. Sklansky, Fetal Cardiology Director from the University of California Los Angeles, will discuss “How to improve CHD Detection,” focusing on practical imaging tips for effective screening. And lastly, Amy Porter, CHD Advocate and Educator for Tiny HeartsCan Foundation, will speak about “CHD Diagnosis: A Patient Perspective,” sharing her story and experience.
Mishella Perez, RDMS, RDCS from Scripps Health, Sonographer Committee Co-Chair for the Fetal Heart Society, will moderate the session. Following the talks, we will have a collaborative discussion featuring Maternal-Fetal Medicine and Pediatric Cardiology experts, including Dr. Anita Moon-Grady from the University of California San Francisco, Dr. Celeste Sheppard from UT Health Austin, and Dr. Gihad Chalouhi from Paris, France. This discussion is sure to be of broad interest to Radiologists, Maternal-Fetal Medicine specialists, Obstetricians, imaging specialists and Sonographers with a special interest in improving the detection of fetal CHD.
Getting Better Together: Practical Approaches to Quality Improvement in Fetal Cardiology
Dr. Rick Michelfelder from Emory University/Children’s Healthcare of Atlanta, Dr. Ann Kavanaugh-McHugh from Vanderbilt University, and Dr. Stefani Samples from Lurie Children’s Hospital, share their respective experience with leading Fetal Cardiology QI programs. In addition, they share examples of QI projects that can improve imaging diagnostic accuracy, parental counseling, post-natal planning, efficacy, and productivity to provide a QI framework specific to fetal cardiology programs. We also review the QI-specific preliminary data learned from the ongoing “Fetal Cardiology Benchmarking Survey.” The session is moderated by Dr. Sheetal Patel from Lurie Children’s, who serves as the Program Leaders Committee Chair for the Fetal Heart Society. Following the talks, we have a panel discussion led by Dr. Patel, including the three speakers as well as Drs. Betul Yilmaz from Texas Children’s and Suma Goudar from Children’s National Hospital.
Grappling with Disparities in Fetal Cardiology: What we know, don’t know, and what we can do
We start with 3 brief presentations from Dr. Flora Nuñez Gallegos from Stanford, Dr. Michelle Debbink, MFM from the University of Utah, and Dr. Benton Ng from Johns Hopkins All Children’s, co-leader of the NPC-QIC’s Health Equity Project, who introduces this work to address disparities in prenatal care of patients at our heart centers. The majority of the webinar focuses on a panel discussion led by Dr. Keila Lopez from Texas Children’s Hospital. Panel members including Mary Bales, parent and co-lead of the NPC Health Equity Project, Dr. Brittney Hills from Cincinnati Children’s Hospital and Education and Outreach Committee Co-Chair for PAC3, and Dr. Anita Krishnan from Children’s National, the lead author of the FHS study on the Impact of SES, Race/Ethnicity and Geography on Prenatal Detection of HLHS and TGA, share their thoughts and insights on this important and timely topic.
Creating an Effective Mentor-Mentee Relationship
Dr. Rob Akin presents on “Key Facets of the Mentor-Mentee Relationship”. Dr. Lisa Hornberger speaks about “Mentorship in Academic Medicine” and Dr. Angela McBrien discusses her experience of “Celebrating Successes and Overcoming Pitfalls in Mentorship”. Following the presentations, there is an interactive panel discussion with our faculty and physician, sonographer, and nursing panel.
Social Media and Medicine: Positives and Pitfalls
We discuss how you can interact with others on Social Media in ways that can enhance your knowledge and your career. Learn from those who have used Social Media in creative and beneficial ways, and how the FHS will be growing its Social Media presence and activity in the following year to support our goals of supporting Research and Education in Fetal Cardiology.
Mishella Perez, RDMS, RDCS, from Scripps Health, and Katie Jo Stauffer, RDCS, from Lucile Packard Children’s Hospital at Stanford present the different approaches to sonographer training and assessment in Maternal-Fetal Medicine (MFM) practice vs. Pediatric Cardiology environments for Fetal Echocardiography. We follow with a panel discussion featuring multiple experts in Maternal-Fetal Medicine and Pediatric Cardiology including Dr. Lynn Simpson from Columbia University Irving Medical Center, Dr. Alfred Abuhamad from Eastern Virginia Medical School, Dr. Angira Patel from Lurie Children’s Hospital, and Dr. Gary Satou from David Geffen School of Medicine a UCLA. This discussion is sure to be of broad interest to pediatric cardiologists, MFMs, obstetricians, and sonographers with special interest in fetal echocardiography.
Stronger together: Paving paths to success in fetal research through mentorship and collaboration
Dr. Jack Rychik from Children’s Hospital of Philadelphia presents on “Advancing the field of fetal cardiology” giving his perspective on paths to contributing to fetal cardiac science. Next, Dr. Shaine Morris from Texas Children’s Hospital discusses “Keys to Successful Collaborations” based on her insights from her own research career as well as her experience as the FHS Research Committee Chair. Dr. Kanwal Farooqi from Columbia University Irving Medical Center presents on “The Pediatric Cardiology Research Initiative in Imaging to Support Mentoring” to introduce PRIISM and its goals. Drs. Lisa Hornberger, Shabnam Peyvandi, Wayne Tworetzky, and Anita Moon-Grady share their thoughts and personal experience during the panel discussion.
Maternal Hyperoxygenation: Diagnostic Tool and Therapeutic Agent in CHD
Dr. Anita Szwast from Children’s Hospital of Philadelphia presents on “Application of Maternal Hyperoxygenation in Provocative Diagnostic Testing”, discussing the effect of acute MH on fetal physiology, evaluation by fetal echo, and lesions that can be helpful for prognosis and delivery planning. Next, Dr. Jennifer Co-Vu from University of Florida Health Congenital Heart Center discusses “Efficacy of Chronic Maternal Hyperoxygenation Therapy”, reviewing protocols for chronic MH, barriers to this type of therapy, and its efficacy. Dr. Whitnee Hogan from University of Utah presents on “Impact of Maternal Hyperoxygenation on Cerebral Blood Flow in the Context of CHD”, focusing on cerebral blood flow evaluation and potential impact on neurodevelopmental outcomes. Drs. Mary Donofrio, Mike Seed, and Anita Moon-Grady from Children’s National, The Hospital for Sick Children, and UCSF Benioff Children’s Hospital join for a panel discussion.
My BIG, Beautiful Teaching Case
The goal of this webinar is to focus not so much on rare disease, but instead to highlight cases that demonstrate fetal cardiac disease and physiology spectacularly well. Several cases are presented followed by a panel discussion with Ann Kavanaugh McHugh, MD, Renee A. Bornemeier, MD, Dor Markush, MD, and Katie Jo Stauffer, BS, RDCS.
Diagnostic and Management Challenges of Fetal Complete Heart Block
Lynn Simpson, MD, Division Director of Maternal-Fetal Medicine at Columbia University Irving Medical Center discusses screening indications for Congenital Heart Block and Obstetrician overview if Congenital Heart Block is suspected during a routine fetal screening. Lisa Howley, MD, Fetal Cardiology Program Director at The Children’s Heart Clinic/Children’s Minnesota, discusses cardiac findings of SSA disease beyond AV block, and Bettina Cuneo, MD, Director of Perinatal Cardiology at Children’s Hospital Colorado, speaks about the current research on “Stop BLOQ- surveillance, and treatment to stop fetal AV Block.” Edgar Jaeggi, MD, and Jill Buyon, MD, join for a panel discussion focusing on the challenges of diagnosis and providing a collaborative approach to the management of Congenital Heart Block.
Advanced Fetal Cardiac Imaging Using MRI (endorsed by the Congenital Heart Academy)
Fabian Kording, PhD, Managing Director of Northh Medical, presents on “Breaking Down Barriers to Fetal Cardiac MRI in Clinical Practice”, focusing on technology, types of centers using MRI, FDA approval and the path to success. Erik Hedström, MD, Clinical Physiology Consultant at Lund University, presents on “Clinical Impact of Fetal Cardiac MR Imaging”. Mike Seed, MD, Cardiology Division Head at The Hospital for Sick Children, speaks about “Understanding Fetal Cardiovascular Physiology Using MRI in Clinical Practice” focusing on how cardiovascular physiology and interventions impact clinical practice. Alexander Barker, PhD, Advanced Imaging Lab Director at Children’s Hospital Colorado and Luis Goncalves, MD, Director of Fetal Imaging at Phoenix Children’s, presents fetal cardiac MRI cases on 4-D flow and 3-D reconstruction and a panel discussion follows.
Always Striving to Better: Implementing Quality Improvement in Your Fetal Echo Lab
Mira Trivedi, MD, 4th year Fellow at Texas Children’s Hospital, presents on “Applying Quality Improvement Principles to Cardiac Imaging”, focusing on the fundamental principles of quality improvement. Luciana Young, MD, Professor of Pediatrics from University of Washington, discusses the development and current status of the American College of Cardiology Quality Network Fetal Metrics. Lacey Schoppe, fetal cardiac sonographer from Texas Children’s Hospital, and William Evans, MD, Founder and Co-Director of the Congenital Heart Center Nevada, speak about the quality improvement programs at their respective practices. Theresa Tacy, MD and Kenan Stern, MD join for a panel discussion about QI focusing on barriers, challenges and how to bring about meaningful change to the fetal echo lab.
Noninvasive Pregnancy Testing: Screening ≠ Diagnostic
Recently the New York Times focused on some negative aspects about Noninvasive Pregnancy Testing (NIPT). We present 2 contrasting cases where NIPT played a major role in care and counseling. Allison Schartman, MS, CGC from Riley Children’s Hospital MFM and Fetal Center discusses the strengths and limitations of NIPT and how results are assessed. Mary Norton, MD, Professor and Division Chief Obstetrics, Gynecology & Reproductive Sciences at UCSF, Kristyne Stone MS, CGC from Riley Children’s Hospital MFM and Fetal Center, and Sheetal Patel, MD, MSCI Assistant Professor from Lurie Children’s Hospital join the panel. Discussions range from counseling for possible genetic abnormalities in general and with respect to NIPT results, challenges with broad and unsupported screening, the role on early NIPT in a challenging landscape of pregnancy laws, to how MFM and Fetal cardiologists can counsel in ways that are helpful to our Genetic Counseling colleagues.
The Trouble with Twins: Cardiovascular Considerations and CHD Risk in Monochorionic Twin Pregnancies
Our discussion centers on various cardiac considerations in monochorionic twin pregnancies. Stephanie Loew presents imaging tips and tricks for twins. Dr. Lynn Simpson discusses cardiovascular physiology and concerns. Dr. Shaine Morris presents on risk of CHD in twin pregnancies. Dr. Lisa Hornberger, Dr. Anita Moon-Grady and Dr. Jack Rychik join for a panel discussion.
The webinar begins with a case presentation of fetal and neonatal COA with borderline small left heart, after which there are three presentations: “Challenges in Predicting Postnatal Outcomes of Fetal Coarctation of Aorta”, “Role of Hyperoxia Testing in the Evaluation of Arch Obstruction and the Borderline Left Heart”, and “Postnatal Imaging of the Hypoplastic Aortic Arch to Guide Surgical Intervention”, followed by a panel discussion.
Crack this Conundrum! Part II: Challenging Cases in Fetal Echocardiography
We present several challenging fetal echo cases and their outcomes. Each case is followed by a brief panel discussion by experts in the field of Fetal Echocardiography, providing perspective and teaching pearls on how to optimize our approach in all aspects with challenging cases.
Improving Family Communication and Support – Approaches to Fetal Counseling and Trauma Informed Care in CHD (endorsed by the Congenital Heart Academy)
Our discussion centers on improving interpersonal communication and support for families given a prenatal diagnosis of CHD. Dr. Theresa Tacy from Stanford Children’s Health speaks on the “Approaches to Prenatal Counseling in Congenital Heart Disease”. Dr. Erica Sood from Nemours Children’s Health presents on “Trauma Informed Care for Families Prenatally Diagnosed with CHD.” Dr. Nadine Kasparian from Lucile Cincinnati Children’s Center for Heart Disease, Lisa Vargas, RDCS, FASE from Rady Children’s Hospital, and Dr. Rebecca Delaney from University of Utah join for a panel discussion.
The Future is Now: Improving Prenatal CHD Detection with Artificial Intelligence (endorsed by the Congenital Heart Academy)
We hold an enlightening discussion on applying innovative technology to overcome barriers of prenatal detection. Dr. Alfred Abuhamad from Eastern Virginia Medical School speaks on the “Challenges of Prenatal Detection of Congenital Heart Disease”. Heralding from University of California San Francisco, Dr. Anita Moon-Grady presents “Fundamentals of Artificial Intelligence” and Dr. Rima Arnaout concludes presentation of her work on “How Can Artificial Intelligence Improve Prenatal Detection of CHD”. Dr. Charitha Doodipala Reddy from Lucile Packard Children’s Hospital joins us for a panel discussion.
Crack this conundrum! Challenging Cases in Fetal Echocardiography
We present several challenging fetal echo cases and their outcomes. Each case is followed by a brief panel discussion by experts in the field of Fetal Echocardiography, providing perspective and teaching pearls on how to optimize our approach in all aspects with challenging cases.
An Integrative Review of Tetralogy of Fallot with Absent Pulmonary Valve (endorsed by the Congenital Heart Academy)
Erika Santiago, a pediatric cardiac sonographer from UCSF Benioff, gives a brief overview of fetal echo findings and reviews fetal images typical of TOF/APV (for learners unfamiliar with this diagnosis). Anjali Chelliah, a pediatric cardiologist at Columbia University Medical Center and Morristown Medical Center, presents prenatal findings and outcomes reported in a multicenter study titled “Contemporary Outcomes in Tetralogy of Fallot with Absent Pulmonary Valve after Fetal Diagnosis”. Bettsy Leech, genetic counselor and previous coordinator of The 22Q Center at Cincinnati Children’s, discusses the impact 22q11.2 deletion syndrome has on patients and their families throughout the lifespan. Julie Déry, a radiologist from Sainte-Justine’s Hospital Montreal, shares insights from her experience and findings from a 2017 paper titled “Significance of lung anomalies in fetuses affected by tetralogy of Fallot with absent pulmonary valve syndrome”. They are joined by doctors Mary Donofrio from Children’s National Medical Center, Shiraz Maskatia from Lucile Packard Children’s Hospital Stanford and Jay Pruetz from Children’s Hospital Los Angeles for a panel discussion.
Advanced Modalities for Assessing Fetal Arrhythmias (endorsed by the Congenital Heart Academy)
Dr. Bettina Cuneo from Children’s Hospital Colorado speaks on Home Heart Rate Monitoring for Early Intervention in Evolving Fetal Heart Block. Dr. Anita Krishnan from Children’s National presents on Fetal ECG and Dr. Janette Strasburger discusses Fetal Magnetocardiography. They are joined by Dr. Joshua Copel from Yale Medicine, Dr. Lisa Hornberger from Stollery Children’s, and Dr. Jay Pruetz from CHLA for a panel discussion that includes perspectives from leaders in the fields of MFM and fetal cardiology. You won’t want to miss this exciting webinar showcasing their cutting edge work on assessing fetal rhythm!
Click HERE for the post-webinar Q&A
Fetal D-TGA: In Utero Physiology, Postnatal Compromise, and Neurodevelopmental Outcomes (endorsed by the Congenital Heart Academy)
David Schidlow from Boston Children’s Hospital speaks about Fetal D-TGA Physiology and Distribution of Blood Flow. Shabnam Peyvandi from UCSF Benioff Children’s Hospital presents on D-TGA Impact on Neurodevelopmental Outcomes. They are joined by Mary Donofrio from Children’s National Medical Center, Bradley Marino from Cleveland Clinic, and Jacqueline Sanz from Children’s National Medical Center for a panel discussion bringing perspectives from leaders in the fields of fetal cardiology, cardiac intensive care, and neuropsychology. You won’t want to miss the dynamic interactive discussion on this important topic relevant to the care of our patients!
Click HERE for the post-webinar Q&A
Don’t Waste a Good Mistake: Learning from Cases of Errors in Fetal Echocardiography
We present several cases of a missed diagnosis and lessons learned. Each case is followed by a brief panel discussion by experts in the field of Fetal Echocardiography, providing perspective and teaching pearls. This promises to be an important discussion of ways to improve our imaging approach and avoid potential pitfalls.
Prenatal Counseling for Cardiac Interventions in Trisomy 13 & 18: Ethical Dilemmas
Dr. Angira Patel, a pediatric cardiologist from Lurie Children’s and Director of the McGaw Bioethics Clinical Scholars Program, presents on the changing landscape in Trisomy 13 and 18 regarding interventions offered, approaches and ethical consideration of treatment decisions. We follow with a panel discussion featuring multiple experts including Dr. Roosevelt Bryant, cardiothoracic surgeon, Dr. John Carey, pediatric geneticist and medical advisor for SOFT (Support Organization for Trisomy 18, 13, and Related Disorders), Dr. Rupali Gandhi, Director of Ethics at Advocate Kids, and Dr. Roxanne Kirsch, cardiac intensivist and bioethicist. This discussion is sure to be of broad interest to pediatric cardiologists, MFMs, neonatologists, nurses and nurse coordinators, palliative care providers, social work and genetic counselors.
Click HERE for the post-webinar Q&A
Dr. Kevin Friedman from Boston Children’s Hospital presents on the Evaluation of High Output Heart Failure in the Fetus. Dr. Darren Orbach, also from Boston Children’s Hospital, discusses Fetal Intervention for Vein of Galen Malformation. Dr. James Huhta and Dr. Anita Moon-Grady join the speakers and our panelists for a panel discussion on fetal heart failure and the impact of fetal intervention.
Click HERE for the post-webinar Q&A
Dr. Reem Abu-Rustum and Mishella Perez, RDMS, RDCS present on Early Fetal Echocardiography. Their initial presentations highlight the impact of care, indications, accuracy, and technical considerations. Drs. Lisa Howley and Alfred Abuhamad give case presentations providing educational pearls for all, including sonographers, MFMs, obstetricians, and cardiologists alike. Early Fetal Echocardiography is an increasing interest in the widespread implementation of early obstetric anomaly screening of the fetal heart in the 1st and early 2nd trimester.
Severe Ebstein Anomaly: Perinatal Management Dilemmas
Drs. Lindsay Freud and Rajesh Punn’s initial presentations highlight case-based management dilemmas and novel interventions. Along with Drs. Lisa Hornberger, Jay Pruetz, and Wayne Tworetzky, they lead a lively discussion of strategies to manage these challenging patients in-utero and immediately post-delivery. This promises to be an important discussion of ways to improve our perinatal management of a highly complex defect.
Click HERE for the post-webinar Q&A
Navigating the Challenges of Prenatal Palliative Care
Darcie Logsdon, RN, BSN, CPN from the Children’s Hospital Colorado presents on Navigating the Challenges of Prenatal Palliative Care. We discuss principles of palliative care and their application to prenatal programmatic development by hearing from Dr. Billie Winegard from Phoenix Children’s Hospital and Dr. Laila Mahmood from Children’s National Medical Center.
Interesting Case Presentations
We host a return of “Interesting Case Presentations.” Our panel leading the case discussions includes Josh Copel, Anita Moon-Grady, Shabnam Peyvandi, Jack Rychik, and Theresa Tacy.
Cases presented by:
Review of Fetal Echocardiography Guidelines
Mishella Perez BS, RDMS, RDCS from University of California, San Diego presents a review of Fetal Echocardiography Guidelines.
Genetic Testing after Fetal Diagnosis of CHD – Journal Club
Drs. Moon-Grady and Hornberger lead a discussion of two articles on Genetic Testing after Fetal Diagnosis of CHD. The articles discussed are available by clicking here and here. An expert panel representing the fields of maternal fetal medicine, genetic counseling, and ethics join our fetal cardiologists. This is a very thought-provoking discussion on cutting edge testing and its appropriate use in prenatal diagnosis.
Please click the link below to view the webinar. (When you click the link, you’ll be asked to register with your name and email address, and then the presentation will open):
Fetal Tachyarrhythmias: Diagnosis and Management
Dr. Edgar Jaeggi from University of Toronto’s Hospital for Sick Children is joined by Drs. Bettina Cuneo, Alfred Abuhamad, and Anita Moon-Grady to lead a panel discussion on tachyarrhythmia. Please click here for a supplemental document in which Dr. Jaeggi addresses specific questions raised during the webinar.
Fetal Cardiac Care Presentations
On May 28, 2020, the Fetal Heart Society hosted its first Webinar via Zoom. It was well-attended with over 150 participants. The Webinar featured three case presentations from FHS members: