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AchvmtTh Hat Ct, a cmhv aach t xcc.
Theres a family behind every number, percentage and statistic. We never lose sight of that fact.
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On the day this photo was taken, Catherine was on her way home ollowing a successul heart procedure. As a result orecent advancements, her procedure no longer requires an overnight stay.
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leAding thh ca
Dear Colleagues,
The Heart Centers mission is to ocus on providing the highest quality, amily centered,
most cost eective and comprehensive care to all patients, regardless o age, with
congenital heart disease. In doing so, the Heart Center at Columbus Childrens Hospital
is one o the leading congenital heart disease centers in the world or inants, children
and adults.
And we are accomplishing that mission without losing site o an important act: At
the Heart Center, we treat patients and amilies, not customers. We provide expertise
and diagnostic and therapeutic technology that is second to none. At the same time,
we believe that the patient deserves an ongoing relationship that is built not only on
technical competence, but also on communication and trust. The patient, the amily andthe reerring physician are at the center o the circle, not o to the side. Thus, our motto:
Out in ront. Byyourside.
In the pages that ollow, we will provide inormation about all aspects o our Center.
In each o the sections o the Center we will present data about our outcomes as they
compare to the rest o the state, country or world. We will also display our complication
rates, volumes, inormation about access to services and stories about individual patients
and amilies who have used the Center.
Mark Galantowicz, MD, FACS,Co-Director of the Heart
Center, Chief of Cardiothoracic Surgery, and AssociateProfessor of Surgery, The Ohio State University College
of Medicine
Timothy Feltes, MD, FACC,Co-Director of the
Heart Center, Chief of Pediatric Cardiology, CardiacIntensivist, and Associate Professor of Pediatrics,
The Ohio State University College of Medicine
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Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
2
ta ConTenTs
Outpatient Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Diagnostic Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Cardiothoracic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Cardiac Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Hybrid Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ISHAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Electrophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Transplantation Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Adult Congenital Heart Disease . . . . . . . . . . . . . . . . . . . . . . . . 27
Research Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
International Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
The Heart Center Team . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Welcome Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Physician Liaison Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Reerral Inormation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Out in ront.By yourside.
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a
A great Heart Center such as
ours begins with making sure
that access is easy. Through
the eorts o the cardiology
aculty and outpatient nursing
sta, signicant growth has
occurred in the total number
o patients seen on an annual
basis.
Part o making access easy has to do with geography: how ar does a parent have to travel to be
seen by one o the Heart Center cardiologists? Not only are there a number o convenient locations
in the Columbus area, but we have outreach clinics located throughout Ohio and one in Kentucky.
With this extensive network o clinics, patients can be seen and evaluated by one o our cardiologists.
I urther workup or diagnostic studies are indicated, virtually every modality is available at the
Heart Center. Also, long-term ollow up ater surgery or transcatheter therapy can be conveniently
scheduled without having to return to the main campus.
ouTpATienT vc
Clinics in the Greater Columbus area Clinics across the region
All o these clinicshave diagnosticservices on site.
3
Growth in Outpatient Volume
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diAgnosTiC ma (cont inued)
5
Intracardiac Echocardiography (ICE) is most commonly used to assist in the placement o devices
or dilating balloons inside the heart. It can document the internal anatomy and dene areas or
intervention. Intravascular ultrasound (IVUS) can provide details o the anatomy o vessel wall
and/or dene an area o disruption such as a pseudoaneurysm.
The volume o all types o
Echo studies has increased
dramatically since 2001,
which is a testimony to the
useulness o the modality. It
can be perormed sequentially
to assess changes over time
in unction, fow or pressure.
In 2005, more than 8,200
studies were perormed.
Transesophageal echo (TEE) is used to image a 16 mmASD with decient retroaortic rim. The TEE will guidetranscatheter device closure o the deect.
Intravascular ultrasound (IVUS) is used during cardiaccatheterization to image abnormalities o the bloodvessel. In this example, an aneurysm has developedater surgical repair o coarctation o the aorta. In theadjacent angiogram the posterior aneurysm and residualcoarctation are seen.
Growth in Echo Studies n Tee/iCen Fta
n Tathacc
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diAgnosTiC ma (cont inued)
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
6
Echo services are available not only on Childrens Hospitals
main campus, but at all Childrens Hospital operated Neonatal
Intensive Care Units around Columbus as well as most o our
outreach clinics.
Anatomy o cardiac and vascular structures can also be evaluated
by High Denition stop ventilation Computed Tomography
(HDCT) with three dimensional reconstruction. The quality o
these images is quite remarkable and can be viewed rom many
dierent angles. They can be useul or understanding individual
pathology as well as planning a surgical or transcatheter approach.
A volume rendered, 3D multi-slice CT (MSCT) scanbeautiully demonstrates severe transverse aortic archhypoplasia ater complex congenital heart disease
repair in a 7 month old inant.
This 3D MSCT scan was perormed ater serial stentshad been placed in the descending aorta in a 5 year oldwith middle aortic syndrome. A 19 mm long aneurysm
is demonstrated on the scan. Subsequent transcathetertherapy was successully perormed.
With all o the diagnostic imaging available, most patients go to surgery without a cardiac
catheterization or diagnosis, and there are rarely any surprises in the operating room. As discussed
in the next section, all inormation is reviewed on each patient by the entire Heart Center team to
make sure that, when patients are reerred to surgery, all appropriate inormation is available andcurrent.
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CArdioTHorACiC
7
Virtually every type o Cardiothoracic Surgery is perormed at the Heart Center with results that
are outstanding at a national level. All congenital cardiac deormities can be repaired or palliated,
many with techniques that were developed here in Columbus. Working hand-in-hand with the
interventional cardiologists and electrophysiologists, the optimal therapy is individualized or eachpatient, no matter what the complexity o their situation. I no urther options are workable or
practical or selected patients, transplantation o the heart, lungs or both are available, and their
long-term care coordinated by experts in the management o heart and lung transplants.
Our surgical team includes the perusionists, who run the heart lung machine, which keeps the
patients body supplied with blood while the heart is rested during repair. Our team o our
perusionists has a combined total o 57 years o service at Columbus Childrens and is also active
on the national and international scene. Fity-three abstracts and presentations as well as 11scientic papers have been authored by our perusion team. Along with the surgeons, they have
developed techniques using very small components and tubing that allows or open heart surgery on
inants and even newborns without using blood. Thus the basis or our blood conservation program.
The perusion team has miniaturizedthe cardiopulmonary bypass circuitto allow ease o operation during an
open heart procedure perormed inthe Hybrid Suite.
Total Cardiothoracic Surgical Procedures
1.02Wh mtat at 5% hat a c accta, th Hat Ct at Cm Ch at
1.02% cat w tha th 2005 tatw at 3.4%
a th ct.
%
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When looking or meaningul outcomes
results in pediatric cardiac surgery, mortality
rate or the Arterial Switch Procedure is
requently viewed as a good barometer. Thiscomplex operation is typically perormed
in the rst ew weeks o lie. All parts o the
system must perorm very well to obtain good
outcomes: rom preoperative evaluation and
management, to excellence in the operative
suite o anesthesia, perusion and surgeons, and
meticulous attention to detail in the Cardiac
ICU aterward. The creation o our Heart Center,related recruitment activities, and consolidation
o all aspects o the clinical services occurred in
late 2002 and early 2003 with a corresponding
and marked decrease in operative mortality.
CArdioTHorACiC (cont inued)
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
8
Mortality Rate of Arterial Switch Operation for
Transposition of the Great Arteriesn statw Avan Cm Ch
70Th m t--tat a at th Hat Ct th at a. Th
m a a ha ca ta.
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CArdioTHorACiC (cont inued)
9
A great deal o attention is
paid to saety and prevention
o complications. One o
the most common andworrisome complications
is inection. The Heart
Center is represented on a
national panel o experts or
the prevention o surgical
wound inections. Recently,
even more progress has been
made toward minimizingthis complication using
innovations in and out o the
operating room.
Results like these require
more than great surgery,they require great teamwork
at every stage o the
process. That starts with
a collaborative approach
to planning the therapy,
where all members o the
multidisciplinary team have
input to planning the care.With the large amount o
expertise available at the
Heart Center there may well
be several dierent ways
to potentially solve the
patients problem. These
options are discussed at our
bi-weekly case managementconerences.Team members consider treatment o a patient during our bi-weekly casemanagement conerence.
Cardiac Surgical Infection Rate
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CArdioTHorACiC (cont inued)
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
10
One indication o how well we are doing treating our patients and amilies is the growth in reerrals
to the Center, which have more than doubled and widened regionally, nationally, and now include
reerrals rom other countries. Our surgical and interventional cardiology programs are now
internationally renowned.
Referred patients in 2000 Referred patients in 2005
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CArdioTHorACiC (cont inued)
11
And through all o this, we remain centered on the patient and the amily. Our brand new operating
suites not only include spacious rooms with the nest o equipment, but also are designed or parental
presence. A parent can accompany their child, in their street clothes, to the induction room and
be with him or her until they all asleep a great comort or both child and parent. Ater cardiac
surgery, the patient goes directly to the CICU where the parent can be with them as soon as they
are checked in and connected to monitors. The new CICU has 24-hour parental presence as part o
the way we do business. And we just moved into our newly remodeled step down unit, which has
all private rooms with showers. This is what our parents think o us:
New Cardiac Step Down unit with
Private Rooms
Questions on Parent Satisfaction Survey (2005) % Positive
Aw t qt w taa 98%
rk a t w c t 98%
dct a wk w tth 97%
rat c vt/ta wth ch 97%
It also takes considerable
expertise to make sure the
patient is tuned up prior to
and ater surgery and managedwith exquisite attention to
detail in the dedicated Cardiac
ICU. Staed by Cardiac
Intensivists, Critical Care
Physicians and advanced level
Nurse Practioners, dedicated
rooms staed by dedicated
nurses provide comprehensiveand proessional care. All
types o mechanical heart
and lung support devices and
technicians are also available
i necessary. Nurse practitioners working in the CICU during rounds.
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The cardiac catheterization suite serves three dierent unctions that are becoming increasingly
separate and distinct: diagnosis, intervention, and electrophysiology study and treatment.
Diagnostic catheterization is the traditional study o the gathering o pressure and oxygensaturations in all chambers and vessels, as well as visualization o anatomy and fow by introducing
contrast agent and obtaining digital angiography. Calculations based on these measurements can
requently be used to calculate fow, shunts, and resistance. This inormation allows the planning o
medical, interventional or surgical options or patient treatment.
Interventional catheterization employs the use o specially designed catheters and devices
(balloons, stents, occlusion devices, etc.) to actually treat an intracardiac or vascular problem, as
opposed to just diagnosing it. Most o the time, the interventional procedure is accomplishing atask that would otherwise require a heart operation.
Electrophysiology studies use
specialized catheters guided
to the inner surace o the
heart to analyze the electrical
characteristics and pathways
that are creating rhythm
disturbances in patients.
I an abnormal pathway
is detected and causing
arrhythmias, it can be ablated
with radiorequency energy.
In addition, pacemakers and
debrillators are implanted in
patients with lie threatening
rhythm distrubances.
CArdiAC CATHeTerizATion
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12
Catheterizations by type
.39A tta 339atc cathtat w
m th cath a th
at th a wth th mtat
a cmcat at 0.39%.
n itvtan datcn ecthca
%
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Since the creation o the
Heart Center, the use o the
cardiac catheterization suite
has changed considerably.The number o diagnostic
catheterizations has decreased
because ECHO and other
imaging modalities have
provided the relevant
inormation without the
risk o catheterization. This
means that patients who docome to the cath lab will be
more complex, requently
more compromised patients.
A dedicated interventional
cardiology team was recruited
in 2002 to oer cutting edge,
transcatheter therapies to all
children and adults with complex congenital heart disease. As a result,the number and complexityo interventions has increased dramaticallymany times avoiding an operative procedure.
CArdiAC CATHeTerizATion (cont inued)
13
895 d th atth a Ch cmt
895 tvta c
wth a 0.02% cmcat at
a a mtat at 0.48%.
The Amplatzer Occlusion Devices are shown and are used to non-surgicallyclose intracardiac deects associated with congenital heart disease.
A right upper pulmonaryvein angiogram nicelydemonstrates a largesecundum ASD in a 2 yearold. Ater balloon sizing othe deect, an AmplatzerSeptal Occluder is success-ully implanted. Nearly 100patients each year undergosuccessul non-surgical
device closure o ASD inour catheterization suite.
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CArdiAC CATHeTerizATion (cont inued)
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14
The past 15 years have seen an explosion
o non-surgical, transcatheter options to
close intracardiac deects, such as atrial
and ventricular septal deect, as well aspatent ductus arteriosus. Percutaneous valve
implantation is being developed and will
become available in selected centers in the
uture, including our own. Adult patients
with neurologic events or migraine headaches
associated with patent oramen ovale requiring
transcatheter closure are being reerred to our
Center during clinical trials. As a matter oact, adult patients with complex congenital
heart disease comprise over 25% o the
interventional procedures perormed in our
Hybrid Cardiac Catheterization Suites. All
transcatheter therapeutic options are available
in our Center, regardless o size, complexity,
or age o the patient. Like the Cardiothoracic
Surgical Service, patients rom across the USAand abroad are reerred here or transcatheter
therapy.
Since The Heart Center was established in 2002, we have been involved as a Principal Investigator
in over eight FDA sponsored clinical trials, three interventional cardiac registries, and over 50 IRB
approved studies. In addition, our Center is one o eight sites that are involved with establishing
Congenital Cardiac Catheterization Outcomes, which will provide important data to dene
expected outcomes or all diagnostic and interventional procedures. Finally, our InterventionalTeam has been responsible or 23 manuscripts in scientic journals, nine book chapters, 47
published abstracts, 132 oral and poster presentations given nationally and internationally, and has
been invited to perorm live case broadcasts to teach other interventionalists attending scientic
symposia worldwide.
Color fow Doppler TEE demonstrates a multi-enes-trated ASD. Under an FDA approved clinical trial, aCribriorm Septal Occluder was successully implantedand is shown in the adjacent TEE image.
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CArdiAC CATHeTerizATion (cont inued)
15
The interventional cardiology teamworks closely during advancedtranscatheter therapies. In these pho-tographs, IVUS is being perormedto help guide balloon angioplastyand stent implantation ater surgicalrepair o tetralogy o Fallot.
An aortic angiogram demonstrates near completeinterruption o the aorta in a teenager with CoA. Atercompassionate use approval, a covered stent is implantedand there is complete relie o obstruction.
Volume rendered, 3D MSCT scan is very important atertranscatheter interventions. The above images nicelydemonstrate in-stent stenosis ater pulmonary arteryrehabilitation in an inant ater tetralogy o Fallot repair.Additional interventional therapy was required.
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16
Hybrid c
At the Columbus Childrens
Heart Center, we have
pioneered the concept o
the Hybrid approach tocomplex congenital heart
disease. A Hybrid case is one
that combines the talents
o a cardiac surgeon and an
interventional cardiologist.
An example is our new Hybrid
approach or the initialpalliation or Hypoplastic
Let Heart Syndrome. The
traditional approach (The
Norwood Procedure) involves
an extensive open heart
procedure which creates a neoaorta, disconnects the pulmonary arteries and provides pulmonary
blood fow by a Gore-Tex shunt which provides adequate pulmonary fow while protecting against
overcirculation. Cardiopulmonary bypass and circulatory arrest are typically required. In contrast,our Hybrid approach protects against pulmonary overcirculation by banding the pulmonary arteries
individually through a limited incision in the chest without cardiopulmonary bypass. The cardiac
surgeon then provides access to the patent ductus through the proximal pulmonary artery, allowing
the interventional cardiologist to place a stent in the ductus arteriosus, thus keeping it open,
serving as the conduit to the aorta. Just prior to discharge, a transcatheter balloon atrial septostomy
is perormed, allowing unobstructed fow or the let side to the right side o the heart. The same
objectives are obtained as the Norwood Procedure, but with the Hybrid approach there is no bypass
involved, and no circulatory arrest. Thereore, the procedure can be perormed without blood,which in part explains our international reputation among parents o the Jehovahs Witness aith.
Avoiding open heart surgery and circulatory arrest in the newborn period has several theoretical
long-term advantages, both in terms o mortality and morbidity as well as long-term neurologic
outcome. The eect on overall outcomes or Stage I palliation at the Heart Center has been
remarkable. In the most recent year, 13 Stage I palliations were carried out, 11 by Hybrid approach
and two with a traditional Norwood Procedure without a mortality. These results are excellent by
both national and regional standards.
Mortality Rate for First Stage Palliation of HypoplasticLeft Heart Syndrome
n statw Avan Cm Ch
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
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Hybrid c (cont inued)
17
This type o innovative approach requires a new
look at space and equipment. Traditional cardiac
catheterization laboratories are not designed to
be operating rooms. The cath tables provide bestaccess to the patient rom the groin area and
have maximum fexibility or the table and
biplane imaging equipment. Access to the chest
is limited and there is not space and support or
cardiopulmonary bypass equipment. Operating rooms, on the other hand, are set up or bypass,
maximum access to the chest, and plenty o room or anesthesia and diagnostic equipment, but
have only rudimentary imaging equipment. The two Hybrid Suites in The Heart Center have been
specically designed with both needs in mind. Built to Operating Room standards, all necessaryspace and access exist or an open heart surgical team. At the same time, state-o-the-art imaging
and physiologic equipment gives the interventional cardiologist the necessary tools to perorm the
intervention. Our two Hybrid Cardiac Catheterization Suites opened in 2004 and were the rst in
the world specically designed or Hybrid procedures.
First-o-a-kind Hybrid Suite and Table
b a Vca s mv hawa a th w mAtaa t Cm, oh t av th aht . phct wa a- t wth hatc t hat m. Th s w tth wa h th ch. bt th am ach a d. Mak gaatwc, C-dct Cm Ch Hta HatCt, a h ca, Jh p. Chatham, Md, dct Cathtata itvta Tha, wh ha achv xct t wth a wH tchq t tat hatc t hat m wtht th
.
Th s t htat; th th hm a a th 9,000-mj t Cm. phct bk-l s wa Cm J 18 a jt 12 a at, d. gaatwc a d. Chatham, a wthth tam, m th t tw c that aw h t ath wtht a at. phct, th 12th ch t th w tatmt, cam thh wth f c. phct ha w cmt ath c a t a Fta ccat wtht th !
Th s hav t t Ataa t th v at hm, wh d. gaatwc a h tam xct
phct t ct t chat thm wth h ht qtv wa a .
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18
Hybrid c (cont inued)
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
Interventional and surgical
teams rom all over the
country visit our Hybrid
Suites to learn more aboutHybrid therapies and room
design. In addition, we have
had visitors rom Europe,
South America, and Asia visit
our team o specialists.
It is common or visitors rom other countries to visit our Hybrid CardiacCatheterization Suites. Guests rom FuWai Cardiovascular Hospital in Beijing,China observe a Hybrid Stage I palliation or HLHS by our team.
During a Hybridprocedure or intra-operative deliveryo an LPA stent on
cardio-pulmonarybypass, endoscopicimaging conrmsappropriate placemento the stent proximalto the upper andlower lobe branches.
Hybrid
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Hybrid c (cont inued)
19
Ater pulmonary artery bands have been placed, a sel-expandable PDA stent is implanted o cardio-pulmonary bypass. Anangiogram conrms excellent placement o the stent and PA bands. A ollow up 3D MSCT scan is perormed prior to Compre-hensive Stage II repair and nicely demonstrates the PA bands, PDA stent, and atretic ascending aorta.
Hybrid Stage 1 palliation has
been perormed successully
by our team in babies as small
as 1.1 kg... not much largerthan your hand.
isHAC
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20
isHAC
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
5Th itata smm th H Aach tCta Hat da attact tvta cat a
cathacc m 5 ctt.
Interventional cardiologists and cardiothoracic surgeons rom throughout the United States, North
and South America, Europe, Australia and Asia gathered at Columbus Childrens Hospital rom June
28-30, 2006, or the inaugural International Symposium on the Hybrid Approach to Congenital
Heart Disease (ISHAC). This conerence was the rst o its kind dedicated to exploring advance-ments in Hybrid management strategies which combines surgical and transcatheter therapies in
order to minimize the cumulative impact o treatment or complex congenital heart disease (CHD).
Columbus Childrens Hospital is considered a benchmark institution in this area where two
uniquely designed Hybrid Cardiac Catheterization Suites opened in June, 2004the rst in the
world dedicated to this new therapy.
isHAC (cont inued)
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isHAC (cont inued)
21
The two-day Symposium eatured lectures and panel discussions
rom international pioneers in the eld, as well as live case
demonstrations broadcast rom Miami Childrens Hospital,
University o Chicago Comer Childrens Hospital, and theHybrid Suites at Columbus Childrens Heart Center. A special
one day hands on Workshop was attended by selected participants and the aculty.
Symposium directors were John P. Cheatham, MD, Director o Cardiac Catheterization and Inter-
ventional Therapy at Columbus Childrens Heart Center, and Mark Galantowicz, MD, Co-Director
o The Heart Center and Chie o Cardiothoracic Surgery at Childrens. Both are aculty members
o The Ohio State University College o Medicine. Drs. Cheatham and Galantowicz have organized
this world-class event to encourage international discussion or potential Hybrid cardiac proceduresthat will result in improved outcomes while decreasing risks.
During the ISHAC hands-on Workshop, cardiothoracic surgeons, interventional cardiologists, and nurse practitioners receivetraining by our team or Hybrid Stage I palliation or HLHS.
eleCTropHysiology
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eleCTropHysiology
Th Hat Ct at Cm Ch Hta www.cmch.cm/hatct
22
The Electrophysiology service is devoted to caring or patients
with heart rhythm abnormalities. The abnormal rhythms can
be divided into two broad groups, those with heart rates that
are too slow and those that have ast heart rhythm problems.The key to caring or this group o patients is to oer state-o-
the-art acilities and equipment in order to adequately diagnose
the abnormal rhythm and provide eective intervention to
treat the abnormalities. To provide this level o care, oten or
complicated patients, the Electrophysiology team provides
a wide range o services. They include diagnostic tests and
interventional procedures. Diagnostic services include
telemetry review o cardiac patients admitted to the hospital,transesophogeal and intracardiac electrophysiology testing, and
tilt table tests. Other diagnostic tests include EKGs, Holters and
Event monitors.
Fluoroscopy Image
200 na 200att wth acmak a
mt th ep svc.
eleCTropHysiology (cont inued)
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eleCTropHysiology(cont inued)
23
The Heart Center at the Columbus Childrens Hospital has a
ull complement o diagnostic capabilities. Invasive diagnostic
electrophysiology testing is perormed in a state-o-the-art
catheterization laboratory. The acilities oer both a conventionalmapping system, as well as three-dimensional electroanatomic
reconstruction o the abnormal substrate that is the cause o
abnormally ast heart rhythm. Because we have these tools
available, we can ablate the abnormal electrical impulse that is
the cause o the palpitations. One o the two tools with their
unique advantages is chosen based on individual patient needs.
This approach aords maximal eectiveness in success and, justas importantly, minimizes the potential or serious complications.
To date we have had no patients require pacemaker implantation
as a result o ablative therapy. The Heart Center achieves an
80% to 95% success rate on routine SVT ablation interventional
procedures depending on the area to be ablated: a rate that is
comparable or better than the national average.
Electrophysiology Service
0Th m attwh hav q acmak
tha at aatv tha.
n itvta epn epsn dvc imatat
The high level o activity indicated below demonstrates the need,
as well as the eectiveness, o Electrophysiology Services.
Electrical Map created by computer
eleCTropHysiology(cont inued)
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24
For patients with slow heart rates that are potentially harmul, a
pacemaker may be needed. The pacemakers o the present era are
sophisticated devices that allow tailoring o the settings to the
needs o each patient. Due to the changing needs o our patients,settings are directly related to their age and associated cardiac
problems, and our sta are experienced in adjusting the settings
o these devices accordingly. We implant cutting-edge devices
and leads or our patients. There are patients who require devices
that have the capabilities
to detect abnormally ast
rhythm and deliver the
appropriate therapy. Asour survivors o congenital
heart surgery age into young
adulthood, there is clearly a
growing need or these lie
saving devices. Determination
or the patient who needs
such a device is perormed
systemically and througha team approach involving
almost all the services o the
Heart Center. Follow-up is
perormed by a very capable
and highly trained sta to
ensure the device is operating
properly.
( )
Dr. Pamela Ro with a amily.
Medical illustration o apacemaker device
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When no other options are available with
conventional medical or surgical therapy,
transplantation o a heart, a lung, or heart and
lungs is a lie saving option. Transplantationservices began at the Heart Center in 2002,
and the program has grown rapidly. We began
the services only ater assembling all necessary
experts.
In addition to surgeons and transplant
cardiologists and pulmonologists, intensivists
and anesthesiologists, the team includestransplant coordinators, a child psychologist,
and the entire array o other supporting
services such as pathology, pharmacy, nutrition, rehabilitation service, and occupational and
physical therapy. Once in place, program approval was gained rom the United Network or
Organ Sharing (UNOS) at the national level and The Ohio Solid Organ Transplant Consortium
at the state level.
Volume of Transplant Procedures
The volume o transplantation has grown dramatically.
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26
O course, the nature o the patients awaiting transplantation is such that the ull array o support
must be available including mechanical support. It is o note, that even though wait times in
general were relatively low, there were 3 patients who required Extra Corporeal Membrane
Oxygenator (ECMO) support while waiting or an organ, including one who was on ECMO or10 days.
Supporting the service is a whole network o clinics and clinicians that screen and evaluate
patients pre-transplant, and who keep track o the all-important ollow-up that is so crucial in
transplantation.
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Patients with repaired congenital heart disease are continuing
to live longer, and as they do, the proportion o adults with
congenital heart disease continues to rise and exceeds the number
o pediatric patients with congenital heart disease.
Many patients who have undergone total corrective surgery
will have ew, i any, hemodynamic residual lesions requiring
inrequent evaluation and treatment (atrial septal deect,
ventricular septal deect and patent ductus arteriosus). However,
patients with more complex lesions may have residual shunts,
valvular disease, ventricular dysunction and arrhythmias, and require more requent evaluation,
medical treatment and consideration or urther surgical or catheter based interventions. As weollow patients or decades, some patients that were previously considered as routine may
develop unorseen problems. Our programs ocus resources on these patients.
The mission and goals of The Adolescentand Adult Congenital Heart Disease
Program at Columbus Childrens Hospitaland The Ohio State University is to:
1. Comprehensively evaluate and treat,
both medically and surgically, adolescent
and adult patients with congenital heart
disease.
2. Maintain a detailed patient database to
support clinical and basic research in the
eld o adolescent and adult congenital
heart disease.
3. Provide education to medical students,
residents, nurses and physicians at
Columbus Childrens and The Ohio State
University in the subspecialty area o adult
congenital heart disease.
4. Expand the eld o experts in adultcongenital heart disease by acilitating a
Combined Internal Medicine and Pediatric
Cardiology Fellowship Program.
Rachel Adult congenital heart patient
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To accomplish the goals
set orth requires a team
o experts rom several
disciplines including nurseclinicians, cardiologists
in many subspecialty
areas (electrophysiology,
heart ailure/transplant,
interventional cardiac
catheterization), and
cardiothoracic surgery.
In July 2000, an adult
congenital heart clinic was
established at Columbus
Childrens Hospital with a
parallel clinic at OSUs Heart Center Mill Run. Initially, the clinics were scheduled once a month,
but by the years end, the clinics had expanded to twice a month. Currently, the Adolescent and
Adult Congenital Heart Disease Clinics evaluate patients in 10 separate clinics per month.
In order to accommodate this
growth, Columbus Childrens
has expanded our clinical
sta. Starting with one
Certied Nurse Practitioner,
and adding a second, as well
as a new RN to act as clinicalcoordinator.
Adult Congenital Heart Disease Clinic Patients
Adult Congenital Heart Disease Cardiac MRIs and CTs
Increasing number o studies by year.
2005 total patients = 1,116 (OSU 521, CCH 595)
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The number o diagnostic
studies has increased with
the number o patients. In
addition to traditional cardiaccatheterization, MRIs and
Cardiac CTs have increasingly
yielded useul inormation or
the team.
Also, as shown to the right,
not only are a greater number
o catheterizations being
perormed each year on adults
or congenital heart problems,
but they represent a growing
percentage o the total number o catheterizations.
Adult Congenital Heart Disease Cardiac Catheterizations
Increasing number o cardiac catheterizations on adults or congenital heartdisease, and increasing % o total catheterizations.
The Electrophysiology (EP) service has also become an integral part o the adult congenital
heart disease program. By ar the most common problem acing our population is arrhythmias.Research has shown that the risk o sudden cardiac death is 25 to 100 times greater than
expected in an adult with congenital heart disease compared to a normal adult. Thereore, an
aggressive approach to evaluation and treatment is necessary. We have learned that a combined
cath/EP evaluation can provide valuable inormation and has lead to many patients receiving
pacemakers, intracardiac debrillators, and intraoperative ablation. The adult congenital service
has maintained a airly steady presence in the EP lab running between 30 to 35% o all cases
coming to the EP lab at Columbus Childrens Hospital, with 2005 once again having a growth
rate greater than 50%.
Cardiac Surgery on the adult with congenital heart disease is a growing segment o our
population at the Heart Center. Initially, 5% o cases seen by the Adult Congenital Heart
Disease program were reerred or surgery. In the most recent year, 11% were reerred. These
patients can be treated either at the Ross Heart Hospital o The Ohio State University or at
Columbus Childrens Heart Center. At the Heart Center, our Cardiac Intensive Care Unit is
designed to accommodate all patients rom inants to adults.
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As patients with previously repaired congenital heart deects
mature, we are now nding and developing new techniques and
procedures to care or this group. As an example, many patients
who have undergone single ventricle surgery with a Fontanoperation may require additional surgery or heart ailure
and arrhythmias. We are one o only a ew institutions that
perorm Fontan revision on adult patients. Additionally, we are
developing new open heart procedures that combine complete
repair with arrhythmia surgery. Previously there were no other
options with congenital cardiopulmonary ailure, and now Childrens Heart Center has transplant
options or these patients.
In the uture, we will be looking at starting a transition program which essentially invites all CHD
patients rom Childrens Hospital to join the ACHD program at the age o 18 which would double
or quadruple our current volume.
The ACHD team remains active in clinical research and has accomplished many academic
achievements or 2005. With the addition o ull-time aculty members and ACHD ellows,
the research program will continue to expand. Our plan is to add a research coordinator to the
ACHD program to acilitate our research projects and support the sta o the ACHD program. In
2005, ve grants were being run by the program. In addition, two papers, eight abstracts, and 15
presentations and lectures were produced. The nurses in the center produced six publications,
two abstracts and three
presentations.
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Volume of Adult Congenital Heart Procedures
Je Adult congenital heart patient
reseArCH am
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Cardiovascular Research at Columbus Childrens involves
investigators rom The Heart Center and the Center or
Cardiovascular Medicine (within Columbus Childrens Research
Institute), where basic scientists and clinical investigators workclosely on multiple research projects. Since 2003 this active group o researchers have published
more than 150 manuscripts or book chapters in leading journals and given more than 250
presentations o their research ndings at national meetings. In addition, more than 30 research
proposals have been submitted to national unding agencies, including the National Institutes
o Health and the American Heart Association, and approximately 20 research projects have
been unded rom various sources totaling nearly $2 million. Investigators also have contributed
to several multi-center trials or pharmaceutical development. These activities have helped to
oster collaborative relationships with other specialties within our hospital and Research Institute(neonatology, pulmonary, general pediatrics, pharmacology, genetics) and involved the training o
research ellows rom diverse elds in translational research projects.
Areas of research emphasis:
In-hospital patient outcomes
Innovations in surgical palliation for
congenital heart deects
Prevention, prediction and treatment of poor
outcomes post-surgery
Biomarkers and predispositions
Outpatient and preventive medicine
Oxidant and inammatory mechanisms in
cardiac and vascular disease Childhood antecedents of adult
cardiovascular disease
Endothelial dysfunction and controllers of
new blood vessel ormation
Novel therapeutic strategies
Basic research
Cell and tissue engineering, blood vessel andcardiac
Models of disease occurring in children and
neonates
Inammation and stress signaling pathways
Clinical research
Establish animal model for the approach
to hypoplastic let heart syndrome withpulmonary artery bands
Establishment of a new animal model for
ventricular septal deects to acilitate testing
o perventricular treatment options.
eduCATion
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As part o one o the nations
largest and busiest pediatric
hospitals, The Heart Center
at Columbus Childrens isengaged in a wide variety
o graduate medical and
continuing education activities.
In collaboration with The
Ohio State University College
o Medicine, aculty teaches
residents and ellows in the
ollowing programs: Cardiothoracic Surgery
Congenital Cardiac Surgery
General Pediatrics
Internal Medicine-Pediatrics
Neonatal-Perinatal Medicine
Pediatric Cardiology
Pediatric Critical Care
Medicine
The Heart Center sta also serves as mentors and role models or physicians, advanced practice
nurses, perusionists, and other clinicians and scientists. They give lectures, proctor clinical
procedures, present live case demonstrations at national and international programs, and
teleconerence case conerences. Indeed, in 2005 aculty and sta gave over 100 presentations
in 19 dierent countries outside the United States. Presentations include such diverse topics as
hybrid approaches to complex congenital heart disease, new comprehensive Stage II procedure
or hypoplastic let heart syndrome, and RSV prophylaxis in inants and children with
hemodynamically signicant CHD.
inTernATionAl am
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International involvement to enhance pediatric cardiac
care in developing countries is a long standing tradition in
The Heart Center. For more than a decade, cardiac surgeons
have led teams o clinicians to oer humanitarian care inthe Dominican Republic, El Salvador, Guatemala, and Peru.
Typically a multidisciplinary team rom Childrens Hospital
assists the clinicians rom these countries
while they diagnose, plan treatments, operate,
and coordinate postoperative care and long
term ollow-up. These supervised clinical
teaching experiences, coupled with donations
o equipment and supplies, has acceleratedthe adoption o new techniques and improved
care to the neediest children. For example,
the team rom Lima, Peru has perormed over
1,200 operations on indigent patients with a
98% success rate and a 1.5% inection rate,
signicant accomplishments or such an
at-risk population. Notably these outcomes
were achieved with a cash outlay o less than$70 per patient.
The Columbus Childrens Hospital China Program ocially began in 2005 with written aliations
in three hospitals: Cardiovascular Institute and Fuwai Hospital, Beijing, Shanghai Childrens
Medical Center Pudong District, Shanghai and Wuhan Childrens Hospital. To date more than
20 physicians teach and learn in the ollowing areas o The Heart Center:
Interventional cardiology Cardiac intensive care Echocardiology
Cardiothoracic surgery Anesthesiology Cardiopulmonary perfusion
The Heart Center aculty and sta actively teach in China as well, serving as Course Directors
o international scientic programs and proctoring physicians rom many institutions in new
techniques.
In addition to China, aculty and sta rom The Heart Center have also trained physicians rom
Bulgaria, Chile, Ecuador, El Salvador, Ghana, Guatemala, Hungary, India, Mexico, and Peru throughthe Stecker International Scholars Program at Columbus Childrens Hospital.
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Timothy F. Feltes, MD, FACC, Chie o Pediatric Cardiology, CardiacIntensivist and Co-Director o the Columbus Childrens Heart Center.Chie o Pediatric Cardiology at The Ohio State University College oMedicine. Associate Proessor o Pediatrics. Recipient o the Andy PaxtonEndowed Chair in Cardiology.Dr. Feltes received his medical degree rom Medical College oOhio, Toledo. He completed a pediatric residency at EmoryUniversity o Atlanta and ellowship at Texas Childrens Hospital,Houston. He is board certied in Pediatric Cardiology and Pediatrics.
Mark E. Galantowicz, MD, FACS, Chie, Department o Cardiotho-racic Surgery and Co-Director o the Columbus Childrens Heart Center.Associate Proessor o Surgery at The Ohio State University Collegeo Medicine.Dr. Galantowicz received his medical degree rom CornellUniversity. He completed his residency at Columbia-PresbyterianMedical Center, New York. He is certied in both ThoracicSurgery and Surgery.
Hugh D. Allen, MD, FAHA, FACC, Physician-In-Chie o ColumbusChildrens Hospital. Clinical Cardiologist and Proessor o Pediatrics o
the Heart at The Ohio State University College o Medicine.Dr. Allen received his medical degree rom the University oCincinnati. Ater completing his residency, he received ellowshiptraining at the University o Minnesota. He is certied in bothPediatric Cardiology and Pediatrics.
Todd L. Astor, MD, Director o the Lund and Lung/Heart Transplantprograms at Columbus Childrens Hospital. Assistant Proessor oClinical Pediatrics at The Ohio State University College o Medicine.Dr. Astor received his medical degree rom George WashingtonUniversity. Ater completing his residency at Loyola UniversityMedical Center, he received ellowship training at Universityo Colorado Health Sciences Center. He is certied in InternalMedicine, Pulmonary Medicine and Critical Care Medicine.
The specialists, nurses, technologists and other members o our sta work together to deliver thenest care to critically ill inants and children, as well as adults with congenital heart disease.
Leading this eort are the members o a remarkable medical team, who are comprehensive in their
scope and compassionate in their approach to care.
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John Anthony Bauer, PhD, Director o the Center or CardiovascularMedicine, Columbus Childrens Research InstituteDr. Bauer received his PhD in Pharmacy rom State University oNew York at Bualo. His central research interest is to conductbasic science with an opportunity to impact therapy. Dr. Baueris also an Associate Proessor in the Division o Pharmacy at TheOhio State University.
Steven C. Cassidy, MD, FACC, Director o Research in the Section o
Pediatric Cardiology and Medical Director o Inpatient Cardiology atColumbus Childrens Hospital. Associate Proessor o Pediatrics at TheOhio State University College o Medicine.Dr. Cassidy received his medical degree rom State University oNew York, Brooklyn. Ater completing his pediatric residencyat Brown University in Providence, Rhode Island, he receivedellowship training in Pediatric Cardiology at the Universityo Caliornia San Francisco. He is certied in both PediatricCardiology and Pediatrics.
David Chan, MD, Director o Electrophysiology. Director o Fellow-ship Training. Clinical Associate Proessor o Pediatrics o the ColumbusChildrens Heart Center and at The Ohio State University College oMedicine.Dr. Chan received his medical degree rom Wayne State University.Ater completing his residency at Wayne State University, hereceived ellowship training rom both The Ohio State UniversityMedical Center and the Mayo Clinic. He is certied in both
Pediatric Cardiology and Pediatrics.
John P. Cheatham, MD, FAAP, FACC, FSCAI, Director o CardiacCatheterization and Interventional Therapy at the Columbus ChildrensHeart Center. Clinical Proessor o Pediatrics and Internal Medicine atThe Ohio State University College o Medicine.Dr. Cheatham received his medical degree rom the University oOklahoma. Ater completing his residency at Childrens HospitalMedical Center, Boston, he received ellowship training at Texas
Childrens Hospital, Houston. He is certied in both PediatricCardiology and Pediatrics. Dr. Cheatham has pioneered anddeveloped new transcatheter devices and techniques, as well ashelped design new imaging equipment.
Stephen C. Cook, MD, Combined Fellow in Cardiovascular Medicineand Pediatric Cardiology at The Ohio State University College o Medicine.Dr. Cook received his medical degree rom Boston University.He completed his residency at Albert Einstein Medical Center
(Temple University) and received ellowship training rom bothColumbus Childrens Hospital and The Ohio State UniversityMedical Center. He is certied in both Internal Medicine andPediatrics.
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Clifford L. Cua, MD, Clinical Cardiologist and Cardiac Intensivist atthe Columbus Childrens Heart Center. Assistant Proessor o Pediatrics atThe Ohio State University College o Medicine.Dr. Cua received his medical degree rom Indiana UniversitySchool o Medicine. Ater completing his residency, he receivedellowship training at Columbus Childrens Hospital and ChildrensHospital Medical Center in Boston. Dr. Cua is certied in Pediatrics.
Curt Daniels, MD, Director o the Adolescent and Adult Congenital
Heart Disease Program at the Columbus Childrens Heart Center.Assistant Proessor o Clinical Cardiology at The Ohio State UniversityCollege o Medicine.Dr. Daniels received his medical degree rom The Ohio StateUniversity. He completed his residency and received ellowshiptraining rom Childrens Hospital in Columbus. He is certiedin Pediatrics, Internal Medicine and Cardiology, and is thereoreuniquely qualied to diagnose, treat and provide long-term careor the growing number o adolescents and adults who are
diagnosed with congenital heart disease.
J. Terrance Davis, MD, FACS, Member o the Division o CardithoracicSurgery at Columbus Childrens Hospital. Proessor o Clinical Surgery atThe Ohio State University College o Medicine.Dr. Davis received his medical degree rom University oPennsylvania. He completed his residency at Hospital o theUniversity o Pennsylvania. He is certied in Thoracic Surgery.Dr. Davis originated and developed the worlds most successul
surgical treatment or Jeunes Syndrome.
David Fisher, MD, Medical Director o Columbus Childrens Hospital.Proessor o Pediatrics and Academic Vice Chairman o the Departmento Pediatrics at The Ohio State University College o Medicine.Dr. Fisher received his medical degree rom Tuts UniversitySchool o Medicine. He completed his residency and receivedellowship training at University o Caliornia. He is certied inboth Pediatrics and Pediatric Cardiology.
Timothy Hoffman,MD, FACC, Medical Director o the Heart Trans-plant and Heart Failure Program at Columbus Childrens Hospital.Assistant Proessor o Clinical Pediatrics, Division o Cardiology, at TheOhio State University College o Medicine.Dr. Homan received his medical degree rom West VirginiaUniversity. He completed his residency at West Virginia UniversityMedical Center and received ellowship training at ChildrensHospital o Philadelphia. He is certied in Pediatric Cardiology
and Pediatrics.
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Ralf J. Holzer, MD, Assistant Director o Cardiac Catheterization andInterventional Therapy at Columbus Childrens Hospital. Clinical AssistantProessor o Pediatrics at The Ohio State University College o Medicine.Dr. Holzer received his medical degree rom Johannes GutenbergUniversitat Mainz in Germany. Ater completing his residency, hereceived ellowship training at Royal Liverpool Childrens NHSTrust in England and University o Chicago Childrens Hospital.
Katherine Mizelle, MD, FAAP, Director o Outpatient Services Colum-
bus Childrens Heart Center. Clinical Assistant Proessor o Pediatrics atThe Ohio State University College o Medicine.Dr. Mizelle received her medical degree rom University o Virginia.She completed her residency at Madigan Army Medical Center,Washington. Ater her residency she received ellowship trainingat Oregon Health Sciences University. She is certied in bothPediatric Cardiology and Pediatrics.
Aymen N. Naguib, MD, Director o Heart Center Anesthesiology at
Columbus Childrens Hospital and Clinical Assistant Proessor at The OhioState University College o Medicine.Dr. Naguib received a medical degree rom Cairo UniversitySchool o Medicine, Cairo, Egypt, ollowed by residency insurgery at the College o Physicians and Surgeons o ColumbiaUniversity at Harlem Hospital, and a residency in anesthesiologyat Illinois Masonic Medical Center. He did his ellowship train-ing at Childrens Memorial Hospital, Northwestern University,Chicago, Illinois, in pediatric anesthesiology. He is certied by the
American Board o Anesthesiology.
Alistair Phillips, MD, Attending Surgeon, Department o PediatricCardiothoracic Surgery at Columbus Childrens Hospital. AssistantProessor o Surgery at The Ohio State University College o Medicine.Dr. Phillips received his medical degree rom Columbia Collegeo Physicians and Surgeons in New York. Ater completinghis residency, he received ellowship training at New YorkPresbyterian/Weill Cornell, Memorial Sloan Kettering Cancer
Center, and Childrens Hospital o New York. He is certied inboth Surgery and Thoracic Surgery.
Pamela Ro, MD, Clinical Assistant Proessor o Pediatrics o theColumbus Childrens Heart Center and The Ohio State University Collegeo Medicine.Dr. Ro received her medical degree rom Northwestern University.Ater completing her residency at Childrens Hospital o Pittsburgh,she received ellowship training rom Childrens Hospital o
Philadelphia. She is certied in both Pediatric Cardiology andPediatrics.
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Daniel Rowland,MD, FAAP, FACC, Director o Echocardiographyat the Columbus Childrens Heart Center. Associate Proessor oClinical Pediatrics at The Ohio State University College o Medicine.Dr. Rowland received his medical degree rom University oRochester. Ater completing his residency at Medical Universityo South Carolina, he received ellowship training rom Universityo Virginia, Charlottesville. He is certied in both PediatricCardiology and Pediatrics.
Lawrence I. Schwartz, MD, Director o the Cardiac Intensive CareUnit and Assistant Proessor o Pediatric Anesthesiology and Critical CareMedicine at Columbus Childrens Hospital and The Ohio State UniversityCollege o Medicine.Dr. Schwartz received his medical degree rom University oPittsburgh School o Medicine. He completed his residencyand received ellowship training at Johns Hopkins Hospital inBaltimore, Maryland. He is certied in Anesthesiology, Pediatricsand Pediatric Critical Care.
Randy Schwartz, MD, Cardiac Intensivist at Columbus Childrens HeartCenterDr. Schwartz received his medical degree rom Jeerson MedicalCollege at Thomas Jeerson University in Philadelphia. Ater com-pleting his residency at Cincinnati Childrens Hospital MedicalCenter, he received ellowship training at Childrens MedicalCenter in Dallas. Dr. Schwartz is certied in Critical Care Pediatrics
Christopher J. Sutton, MD, Pediatric Anesthesiologist at ColumbusChildrens Hospital and Cardiovascular Anesthesiologist at ColumbusChildrens Hospital Heart Center. Clinical Assistant Proessor at The OhioState University College o Medicine.He completed his medical degree, residency and a ellowship incritical care medicine at The Ohio State University College oMedicine. He then completed a ellowship in pediatric anesthe-siology at Columbus Childrens Hospital. He is certied by theAmerican Board o Anesthesiology.
Douglas W. Teske, MD, FACC, Director o Preventive Cardiology,Quality Control and Outcome or the Columbus Childrens Heart Center.Assistant Proessor o Pediatrics at The Ohio State University College oMedicine.Dr. Teske received his medical degree rom University o Iowa. Hecompleted residency training at Columbus Childrens Hospital. Hereceived ellowship training rom Childrens Hospital o Bualo.He is certied in both Pediatric Cardiology and Pediatrics.
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D. Alan Tingley, MD, MBA, Medical Director and Administrator,Childrens Surgery Center, and Chie o the Department oAnesthesiology at Columbus Childrens Hospital. Clinical AssistantProessor at The Ohio State University College o Medicine.Dr. Tingley received his MD rom Southwestern Medical Schooland his MBA rom Capital University. He is certied by theAmerican Board o Anesthesiology.
John J. Wheller, MD, Faculty Member at the Columbus Childrens
Heart Center. Assistant Proessor o Pediatrics and Obstetrics at TheOhio State University College o Medicine.Dr. Wheller received his medical degree rom The Ohio StateUniversity. Ater completing his residency at David Grant USAFMedical Center, he received ellowship training rom Universityo Caliornia. He is certied in both Pediatric Cardiology andPediatrics.
Peter Winch, MD, MBA, Pediatric Anesthesiologist
Dr. Winch received his medical degree rom the University oCincinnati College o Medicine. He completed a Residency inPediatrics at Pittsburgh Mercy Childrens Hospital, Pittsburgh,Pennsylvania, and became certied in Pediatrics. Dr. Winchreceived his MBA rom the University o Pittsburgh, KatzGraduate School o Business. He then went on to completean Anesthesiology Residency with specialization in Pediatricsat Strong Memorial Hospital beore coming to ColumbusChildrens Hospital.
CAring th wh am.
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We welcome the opportunity to discuss
the needs o your patients in greater
detail, including the many ways the
Columbus Childrens Heart Center may
be o assistance.
To arrange a consult or to refera patient, please email us [email protected] or1-800-792-8401.
Here, care is delivered with
compassion and understand-
ing. We know the diagnosis
o a heart condition aects
not only the patient, but
also the entire amily. Our
amily-centered approach to
care involves and includes
every member o the patients
amily. We also oer the
support o social workers as part o each childs interdisciplinary health care team.
Our Welcome Center is one o the only patient programs o its kind to oer the Sleep Well, Get
Well program, which is specially designed or international and out-o-town guests. Through the
program, amilies rom outside the central Ohio area receive a ree hotel stay the night beore any
inpatient or outpatient procedure. In addition, the Welcome Center sta can assist amilies with
everything rom making clinical arrangements to helping nd answers to insurance questions.
We believe the well being o the entire amily is critical to the success o our patients and yours.
Physician Liaison Program
The Childrens Hospital Physician Liaison
Program is a two-way communication channel,
and one additional way Childrens is working
better to serve physicians, their oce sta and
the community. Through personal oce visits,
written correspondence, telephone calls, axes
and e-mail, they provide a critical connection to
Childrens Hospital. To speak with a physician
liaison, call (614) 722-4585.
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Out in ront.By yourside.
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8/14/2019 Heart Center Outcomes
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700 Childrens Drive Columbus, Ohio 43205 (614) 722-2530 1-800-792-8401 www.columbuschildrens.com/heartcenter