In 2004, the Yale-New Haven Adult Congenital Heart Program was initiated as the first integrated program in the state of Connecticut dedicated to the care of adult patients with complex congenital heart disease. This truly multidisciplinary program encompasses the full spectrum of care. The program provides regular inpatient and outpatient services to the most complex adult congenital heart patients, offering a full spectrum of imaging, exercise testing, and surgical as well as less-invasive catheterization therapies. The program is staffed by Dr. John Fahey from Pediatric Cardiology and Dr. Robert Elder, who holds joint appointments in Pediatric Cardiology and Adult Cardiology. The team also includes Dr. Daniel Jacoby from Adult Cardiology, who has expertise in advanced heart failure therapy, as well as Nancy Rollinson, APRN.
As participants in the Yale 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, genetic counselors, and social work. This center provides state of the art diagnostic imaging, including echocardiography and MRI. The program works closely with Yale High Risk Obstetric and Maternal-Fetal Medicine Programs to provide obstetrics and perinatology service to women with congenital heart disease, and referral for fetal echocardiography as indicated.
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 as well as a wide array of sub-specialists in related areas including liver and kidney disease.
The Pediatric Cardiac Catheterization Laboratory at Yale New Haven Hospital is directed by Drs. John Fahey and Jeremy Asnes. The laboratory routinely performs diagnostic and interventional catheterization procedures in children and adults with congenital heart disease. Yale New Haven Children’s Hospital recently opened its new digital pediatric catheterization suite with state of the art equipment occupying space that allows for ample multidisciplinary approach to patient care. 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. Our interventional team also works collaboratively with our pediatric cardiothoracic surgeons to deliver the most innovative hybrid procedures that are intended to minimize operative time and difficulty while improving patient safety.
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.
The Pediatric Cardiac Catheterization Laboratory participates in 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 Yale New Haven Children’s Hospital to advance the understanding of congenital heart disease and provide the best possible care for their patients.
For more than 3 decades, our physician and nursing staff have provided comprehensive pediatric cardiology outreach clinics throughout the state of Connecticut. In an effort to provide convenient cardiac evaluation in the friendly confines of local medical offices, we operate clinics in the following communities:
- New London - Lawrence and Memorial Hospital
- Norwich - William W. Backus Hospital
- Waterbury - St. Mary’s Hospital
We provide complete non-invasive diagnostic services including electrocardiography, echocardiography, Holter and event monitoring in each of these sites.
The 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 recently underwent a major renovation that created additional imaging suites, a redesigned digital echo reading area and improved access and space for our patients and their families. Each imaging suite is equipped with Television, VCR and DVD players to make children more comfortable during their evaluation. The Pediatric Echo Service performs more than 3,500 studies per year, which encompass the transthoracic, transesophageal, 3-dimensional 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, more than 1,000 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.