Fetal Cardiology - Cardiologie foetale
Montreal Children's Hospital - Hôpital de Montréal pour enfants
Le rôle de la clinique - Role of the clinic
La clinique de cardiologie fœtale de l'Hôpital de Montréal pour enfants offre des services d'évaluations diagnostiques et des services thérapeutiques en cardiologie fœtale. Ils ont une expertise en échocardiographie fœtale pour le dépistage et l'évaluation des malformations cardiaques congénitales, des arythmies fœtales, du retard de croissance et pour les évaluations lorsque d'autres anomalies sont détectées. Ils travaillent en étroite collaboration avec le Centre intégré de diagnostic et de traitement fœtal (CIDP) du Centre universitaire de santé McGill. Ils travaillent également en étroite collaboration avec la néonatologie, afin d'offrir une prise en charge globale durant la vie pré et post-natale. Une fois qu'une patiente est suivi à la clinique, un(e) cardiologue fœtal principal(e) lui est assignée. Les patients ont également un néonatologiste principal et un spécialiste en médecine foeto-maternelle qui suivra la famille tout au long de la grossesse. L'équipe d'infirmières, à la clinique de cardiologie fœtale de l'HME, sera également un soutien important tout au long de la grossesse et après l'accouchement.
The Fetal Cardiology clinic at the Montreal Children's Hospital offers comprehensive diagnostic and therapeutic fetal cardiology evaluations. They have expertise in fetal echocardiography for screening and evaluation of congenital heart defect, fetal arrhythmias, growth restriction and for comprehensive evaluations when other anomalies are detected. They work in close collaboration with the Fetal Diagnostic and Treatment Group (FDTG) of the McGill University Health Centre. They also work in close collaboration with neonatology, in order to provide comprehensive care during the pre and post-natal life. Once a patient is followed at the clinic, they are assigned a primary fetal cardiologist. They will also have a primary neonatologist and maternal fetal medicine specialist that will be following the family all throughout the pregnancy. The nursing team, at the fetal cardiology clinic of the MCH, will also be an important support all throughout the pregnancy and after birth.
Référer une patiente - Refer a patient
L'équipe - The team
Cardiologues spécialisés en fœtal - Fetal Cardiologists
Infirmières - Nurses
Michele Zegray & Marie-Josee Guy
Technologues - Imaging technologists
Isabelle R Dubé
Chirurgiens cardiaques - Cardiac Surgeons
Clinique de Perinatalité (Néonatalogie) - Perinatal Medicine Clinic (Neonatology)
Pediatric Cardiology Training
Learn more on the Pediatric Cardiology training program at McGill University - Here.
Residency Program Director: Dr. Tiscar Cavallé-Garrido
Advanced Training in Pediatric Cardiac Non-Invasive Imaging Fellowship Program:
The fellowship program trains pediatric cardiologists in non-invasive cardiac imaging to be able to function independently in high volume echocardiography laboratories and cardiac MRI programs, while being comfortable with the non-invasive diagnosis of the whole breadth of fetal and pediatric cardiac pathology. The wide variety of cardiac pathology encountered at the Montreal Children’s Hospital provides fellows in our program with unparalleled exposure to the state of the art of pediatric echocardiography, fetal cardiology and cardiac magnetic resonance imaging (MRI). Our fellows are already graduated pediatric cardiologists with a core knowledge of transthoracic echocardiography (TTE). During the fellowship they refine their TTE skills including functional tissue Doppler assessment and strain imaging; develop expertise in transesophageal echocardiography (TEE) both in the operating room and during interventional procedures in the catheterization laboratory; acquire expertise in fetal cardiology; and, acquire expertise in cardiac magnetic resonance imaging (MRI). Cardiac Magnetic Resonance has become part of the common armamentarium available to the cardiologist for investigation in congenital heart disease. The cardiac MRI aspect of our one-year imaging fellowship naturally evolves from the basic requirements of core pediatric cardiology training with the goal of achieving level II training where at the end, the trainee will be able to work independently in the field of congenital cardiac magnetic resonance. The training both for echocardiography and MRI is longitudinal and under one-to-one supervision. There are four cardiologists with formal advanced training in pediatric echocardiography and fetal cardiology: Dr. Tíscar Cavallé-Garrido, Dr. Claudia Renaud, Dr. Luc Jutras and Dr. Wadi Mawad, the last two with also formal level III training in pediatric cardiac MRI. In addition, there are four senior echocardiography technologists in the laboratory with an important role in teaching image acquisition, particularly in fetal echocardiography. The emphasis of the fellowship is to provide high-level personalized training. All imaging techniques performed by the fellow are directed / assessed one by one by staff and are tailored to their starting skill level and progression in training. Fellows are given full flexibility and priority in choosing to image certain cases to ensure proper exposure to all pathology. Fellows are encouraged to work with all attending imaging cardiologists to maximize the exposure to different approaches. In order to allow fellows to reach adequate volumes, they are always given priority to choose cases. There are no scheduling conflicts with core cardiology trainees in our program. Maternal Fetal Medicine fellows rotate in fetal cardiology during the last months of the academic year when the emphasis of our program has shifted towards a more intensive MRI exposure. Since some of our fellows are international graduates with no previous experience in our hospital, the first month of fellowship is spent on cardiology in-patient and consultation service under the supervision of the staff cardiologist on call. This allows the trainee to become familiar with the hospital structure and functioning as well as the modus operandi of the Division of Cardiology. The remaining months in the fellowship are spent as detailed below. The proposed schedule is flexible to adapt to the educational needs of individual trainees. In addition, there is home call duty throughout the year, in accordance with the residents’ union agreement.