Pediatric Heart Center | UC Davis Children's Hospital
UC Davis Pediatric Pediatric Heart Center

The UC Davis Pediatric Heart Center is inland Northern California's only full-service pediatric heart center, offering the latest tests and treatments for a range of congenital heart conditions. Our integrated multidisciplinary team of surgeons, specialists, physicians, nurses and researchers provide some of Northern California's most sophisticated specialty and surgical expertise in:

  • Pediatric cardiology
  • Pediatric cardiothoracic surgery
  • Cardiac catheterization and electrophysiology
  • Neonatal and pediatric intensive care
  • Pediatric critical care nursing
  • Fetal diagnosis of heart defects

Our pediatric heart specialists treat patients both in Sacramento and throughout Northern California at our outreach clinics, which allow children in outlying areas to receive a consultation and evaluation without having to travel to Sacramento.

To schedule an appointment at any of our clinic locations, please call 916-734-3456.

The Pediatric Heart Center sees patients in the Sacramento area at the Glassrock Building on the campus of the UC Davis Medical Center and at the UC Davis Medical Group clinics in Roseville and Auburn. We also schedule and hold monthly outreach clinics in Redding, Chico, Stockton, and Marysville. To schedule an appointment at any of our clinics, please call 916-734-3456.

Surgical intervention for infants diagnosed with congenital heart disease addresses a variety of defects, including:

Some conditions may be treated using catheters - thin, flexible, narrow tubes threaded through blood vessels to the heart - rather than traditional, invasive cardiothoracic surgery. Cardiac catheterization can be used to make repairs, like closing holes in the heart muscle or removing obstructions from the blood vessels, or to place stents in narrowed or blocked blood vessels to keep them open.

Pediatric cardiac electrophysiology uses radiofrequency catheter ablation to treat cardiac arrhythmias, disrupting areas of the heart that are the source of the electrical irregularities.

Patient story, cardiothoracic surgery

Gary Raff, pediatric heart surgeon talks about what we do at UC Davis in the cardiac operating room. Patient story of Elijah Rangel who underwent surgery for congenital heart disease.

Pediatric heart patients recover in UC Davis' state-of-the-art Pediatric Intensive Care Unit/Pediatric Cardiac Intensive Care Unit (PICU/PCICU). The unit has a 2-to-1 patient-to-nurse ratio, and critical care medicine physicians are on site 24 hours a day, seven days a week.

Larger, single-patient rooms enhance family-centered care - a sleeping sofa and a chair in each room enable family members to remain at their child's bedside around the clock. Each room has its own bathroom.

Children who are well enough have access to an activity room with music, art and play therapy provided by the hospital's Child Life and Creative Arts Therapy Department. The program helps relieve the stress and anxiety of hospitalization.

The Pediatric Heart Center is part of the National Pediatric Cardiology Quality Improvement Collaborative, a group of 58 medical institutions that collaborates on quality improvement tools and methods to improve the health outcomes of care for children with cardiovascular disease and enhance communication between clinicians and parents. More information about the NPCQI's programs and outcomes is available from their website.

Pediatric Heart Center | UC Davis Children's Hospital
UC Davis Pediatric Pediatric Heart Center

The UC Davis Pediatric Heart Center is inland Northern California's only full-service pediatric heart center, offering the latest tests and treatments for a range of congenital heart conditions. Our integrated multidisciplinary team of surgeons, specialists, physicians, nurses and researchers provide some of Northern California's most sophisticated specialty and surgical expertise in:

  • Pediatric cardiology
  • Pediatric cardiothoracic surgery
  • Cardiac catheterization and electrophysiology
  • Neonatal and pediatric intensive care
  • Pediatric critical care nursing
  • Fetal diagnosis of heart defects

Our pediatric heart specialists treat patients both in Sacramento and throughout Northern California at our outreach clinics, which allow children in outlying areas to receive a consultation and evaluation without having to travel to Sacramento.

To schedule an appointment at any of our clinic locations, please call 916-734-3456.

The Pediatric Heart Center sees patients in the Sacramento area at the Glassrock Building on the campus of the UC Davis Medical Center and at the UC Davis Medical Group clinics in Roseville and Auburn. We also schedule and hold monthly outreach clinics in Redding, Chico, Stockton, and Marysville. To schedule an appointment at any of our clinics, please call 916-734-3456.

Surgical intervention for infants diagnosed with congenital heart disease addresses a variety of defects, including:

Some conditions may be treated using catheters - thin, flexible, narrow tubes threaded through blood vessels to the heart - rather than traditional, invasive cardiothoracic surgery. Cardiac catheterization can be used to make repairs, like closing holes in the heart muscle or removing obstructions from the blood vessels, or to place stents in narrowed or blocked blood vessels to keep them open.

Pediatric cardiac electrophysiology uses radiofrequency catheter ablation to treat cardiac arrhythmias, disrupting areas of the heart that are the source of the electrical irregularities.

Patient story, cardiothoracic surgery

Gary Raff, pediatric heart surgeon talks about what we do at UC Davis in the cardiac operating room. Patient story of Elijah Rangel who underwent surgery for congenital heart disease.

Pediatric heart patients recover in UC Davis' state-of-the-art Pediatric Intensive Care Unit/Pediatric Cardiac Intensive Care Unit (PICU/PCICU). The unit has a 2-to-1 patient-to-nurse ratio, and critical care medicine physicians are on site 24 hours a day, seven days a week.

Larger, single-patient rooms enhance family-centered care - a sleeping sofa and a chair in each room enable family members to remain at their child's bedside around the clock. Each room has its own bathroom.

Children who are well enough have access to an activity room with music, art and play therapy provided by the hospital's Child Life and Creative Arts Therapy Department. The program helps relieve the stress and anxiety of hospitalization.

The Pediatric Heart Center is part of the National Pediatric Cardiology Quality Improvement Collaborative, a group of 58 medical institutions that collaborates on quality improvement tools and methods to improve the health outcomes of care for children with cardiovascular disease and enhance communication between clinicians and parents. More information about the NPCQI's programs and outcomes is available from their website.

"Incidental findings" rare but significant events in pediatric ...
Pediatric Heart Center | UC Davis Children's Hospital
UC Davis Pediatric Pediatric Heart Center

The UC Davis Pediatric Heart Center is inland Northern California's only full-service pediatric heart center, offering the latest tests and treatments for a range of congenital heart conditions. Our integrated multidisciplinary team of surgeons, specialists, physicians, nurses and researchers provide some of Northern California's most sophisticated specialty and surgical expertise in:

  • Pediatric cardiology
  • Pediatric cardiothoracic surgery
  • Cardiac catheterization and electrophysiology
  • Neonatal and pediatric intensive care
  • Pediatric critical care nursing
  • Fetal diagnosis of heart defects

Our pediatric heart specialists treat patients both in Sacramento and throughout Northern California at our outreach clinics, which allow children in outlying areas to receive a consultation and evaluation without having to travel to Sacramento.

To schedule an appointment at any of our clinic locations, please call 916-734-3456.

The Pediatric Heart Center sees patients in the Sacramento area at the Glassrock Building on the campus of the UC Davis Medical Center and at the UC Davis Medical Group clinics in Roseville and Auburn. We also schedule and hold monthly outreach clinics in Redding, Chico, Stockton, and Marysville. To schedule an appointment at any of our clinics, please call 916-734-3456.

Surgical intervention for infants diagnosed with congenital heart disease addresses a variety of defects, including:

Some conditions may be treated using catheters - thin, flexible, narrow tubes threaded through blood vessels to the heart - rather than traditional, invasive cardiothoracic surgery. Cardiac catheterization can be used to make repairs, like closing holes in the heart muscle or removing obstructions from the blood vessels, or to place stents in narrowed or blocked blood vessels to keep them open.

Pediatric cardiac electrophysiology uses radiofrequency catheter ablation to treat cardiac arrhythmias, disrupting areas of the heart that are the source of the electrical irregularities.

Patient story, cardiothoracic surgery

Gary Raff, pediatric heart surgeon talks about what we do at UC Davis in the cardiac operating room. Patient story of Elijah Rangel who underwent surgery for congenital heart disease.

Pediatric heart patients recover in UC Davis' state-of-the-art Pediatric Intensive Care Unit/Pediatric Cardiac Intensive Care Unit (PICU/PCICU). The unit has a 2-to-1 patient-to-nurse ratio, and critical care medicine physicians are on site 24 hours a day, seven days a week.

Larger, single-patient rooms enhance family-centered care - a sleeping sofa and a chair in each room enable family members to remain at their child's bedside around the clock. Each room has its own bathroom.

Children who are well enough have access to an activity room with music, art and play therapy provided by the hospital's Child Life and Creative Arts Therapy Department. The program helps relieve the stress and anxiety of hospitalization.

The Pediatric Heart Center is part of the National Pediatric Cardiology Quality Improvement Collaborative, a group of 58 medical institutions that collaborates on quality improvement tools and methods to improve the health outcomes of care for children with cardiovascular disease and enhance communication between clinicians and parents. More information about the NPCQI's programs and outcomes is available from their website.

Pediatric Heart Center | UC Davis Children's Hospital
UC Davis Pediatric Pediatric Heart Center

The UC Davis Pediatric Heart Center is inland Northern California's only full-service pediatric heart center, offering the latest tests and treatments for a range of congenital heart conditions. Our integrated multidisciplinary team of surgeons, specialists, physicians, nurses and researchers provide some of Northern California's most sophisticated specialty and surgical expertise in:

  • Pediatric cardiology
  • Pediatric cardiothoracic surgery
  • Cardiac catheterization and electrophysiology
  • Neonatal and pediatric intensive care
  • Pediatric critical care nursing
  • Fetal diagnosis of heart defects

Our pediatric heart specialists treat patients both in Sacramento and throughout Northern California at our outreach clinics, which allow children in outlying areas to receive a consultation and evaluation without having to travel to Sacramento.

To schedule an appointment at any of our clinic locations, please call 916-734-3456.

The Pediatric Heart Center sees patients in the Sacramento area at the Glassrock Building on the campus of the UC Davis Medical Center and at the UC Davis Medical Group clinics in Roseville and Auburn. We also schedule and hold monthly outreach clinics in Redding, Chico, Stockton, and Marysville. To schedule an appointment at any of our clinics, please call 916-734-3456.

Surgical intervention for infants diagnosed with congenital heart disease addresses a variety of defects, including:

Some conditions may be treated using catheters - thin, flexible, narrow tubes threaded through blood vessels to the heart - rather than traditional, invasive cardiothoracic surgery. Cardiac catheterization can be used to make repairs, like closing holes in the heart muscle or removing obstructions from the blood vessels, or to place stents in narrowed or blocked blood vessels to keep them open.

Pediatric cardiac electrophysiology uses radiofrequency catheter ablation to treat cardiac arrhythmias, disrupting areas of the heart that are the source of the electrical irregularities.

Patient story, cardiothoracic surgery

Gary Raff, pediatric heart surgeon talks about what we do at UC Davis in the cardiac operating room. Patient story of Elijah Rangel who underwent surgery for congenital heart disease.

Pediatric heart patients recover in UC Davis' state-of-the-art Pediatric Intensive Care Unit/Pediatric Cardiac Intensive Care Unit (PICU/PCICU). The unit has a 2-to-1 patient-to-nurse ratio, and critical care medicine physicians are on site 24 hours a day, seven days a week.

Larger, single-patient rooms enhance family-centered care - a sleeping sofa and a chair in each room enable family members to remain at their child's bedside around the clock. Each room has its own bathroom.

Children who are well enough have access to an activity room with music, art and play therapy provided by the hospital's Child Life and Creative Arts Therapy Department. The program helps relieve the stress and anxiety of hospitalization.

The Pediatric Heart Center is part of the National Pediatric Cardiology Quality Improvement Collaborative, a group of 58 medical institutions that collaborates on quality improvement tools and methods to improve the health outcomes of care for children with cardiovascular disease and enhance communication between clinicians and parents. More information about the NPCQI's programs and outcomes is available from their website.

NEWS | September 11, 2013

"Incidental findings" rare but significant events in pediatric CT scans

Four percent of head-trauma scans have unexpected results that may need follow up

(SACRAMENTO, Calif.)

The largest study of computed tomographic (CT) scans taken in emergency departments across the country for children with head injuries describes the prevalence of “incidental findings” —  results that were not expected from the injury — and categorizes them by urgency. 

Nathan Kuppermann © UC Regents Nathan Kuppermann © UC Regents

The article, titled “Incidental findings in children with blunt head trauma evaluated with cranial CT scans,” was published in the August issue of Pediatrics, and provides a context for doctors in emergency departments who encounter these situations.

“Incidental findings are a rare but significant event,” said Nathan Kuppermann, professor and chair of emergency medicine at the UC Davis Medical Center and principal investigator of the study. “It is important for doctors to look for abnormalities other than what they expect to find and to be prepared to interpret and communicate these findings to families.” 

The study involved nearly 44,000 children seen for a head injury in 25 hospital emergency departments nationwide. Nearly 16,000 had CT scans to evaluate an injury, and about 4 percent of the scans revealed incidental findings ranging from enlarged tonsils to life-threatening cancers. Children with a known pre-existing brain abnormality were excluded from the analysis.

The researchers also stratified the incidental findings into three categories: those that needed immediate evaluation or treatment, those that needed appropriate timely outpatient follow up, and those that merited further investigation only if the problems were causing symptoms. Only 0.1 percent of the overall sample of CTs fell into the most serious category.

"Incidental findings" rare but significant events in pediatric CT scans

Due to the small percentage of patients with the most urgent incidental findings, the study authors do not recommend any changes to current CT scan guidelines. They believe emergency medicine physicians should continue to perform CT scans in children as is medically justified for their injury because a CT scan entails a small but known long-term risk of cancer from radiation exposure.

Genetic analysis, sophisticated imaging studies and other high-technology tests have made it possible to gain information that neither the doctor nor patient expects.  Knowing what to do with these findings, especially if they are likely to be inconsequential to a patient’s health, can be a dilemma for physicians. The authors believe physicians should weigh the patient’s right to know against financial costs and potential negative health effects from anxiety, additional testing and possibly even unnecessary treatment brought on by learning of the findings.

“Because the practice of medicine has embraced technologies that provide information beyond the actual clinical question, a need to develop strategies to handle unexpected information now exists,” said Alexander Rogers, assistant professor of pediatric emergency medicine at the University of Michigan Health System and lead author of the study. “Particularly in the emergency room, doctors must decide quickly whether and how to disclose information to a family with whom they have no prior relationship and do not know what their response is likely to be.”

The study is by far the largest pediatric multicenter description of the prevalence of incidental findings on head CT scans. It also is a secondary analysis of a study that was designed to establish a decision rule for determining which children who present to the emergency room with a head injury should have a CT scan to evaluate it. The resulting Pediatric Head Injury/Trauma Algorithm has become standard in emergency departments worldwide and has helped reduce the number of unnecessary CT scans in children. Both studies were part of the Pediatric Emergency Care Applied Research Network (PECARN), the only federally-funded pediatric emergency medicine research network. With participating academic and urban hospitals across the country, the network has access to a large number of demographically diverse populations of children being seen in emergency departments.

“The large size of this study enhances the value and generalizability of our findings,” said Kuppermann, who is the founding chair of PECARN and served as its chair until 2008. “Without the large, multicenter network provided by PECARN, we would be unable to have undertaken such a definitive study.”

Other study authors are James Holmes of the UC Davis School of Medicine; Cormac Maher of the University of Michigan in Ann Arbor; Jeff Schunk and Michelle Miskin of the University of Utah School of Medicine in Salt Lake City; Kimberly Quayle of Washington University School of Medicine in St. Louis, Mo.; Elizabeth Jacobs of Brown University in Providence, R.I.; Richard Lichenstein of the University of Maryland School of Medicine in Baltimore; Elizabeth Powell of Northwestern University in Chicago, Ill.; and Peter Dayan of Columbia University Medical Center in New York, N.Y.

The study was supported by a grant from the Health Resources and Services Administration/Maternal and Child Health Bureau (HRSA/MCHB) Division of Research, Education, and Training and the Emergency Medical Services for Children Program. PECARN is supported by the HRSA/MCHB Emergency Medical Services for Children Program.

UC Davis Health System is improving lives and transforming health care by providing excellent patient care, conducting groundbreaking research, fostering innovative, interprofessional education, and creating dynamic, productive partnerships with the community. The academic health system includes one of the country's best medical schools, a 619-bed acute-care teaching hospital, a 1,000-member physician's practice group and the new Betty Irene Moore School of Nursing. It is home to a National Cancer Institute-designated comprehensive cancer center, an international neurodevelopmental institute, a stem cell institute and a comprehensive children's hospital. Other nationally prominent centers focus on advancing telemedicine, improving vascular care, eliminating health disparities and translating research findings into new treatments for patients. Together, they make UC Davis a hub of innovation that is transforming health for all. For more information, visit healthsystem.ucdavis.edu.

Pediatric Heart Center | UC Davis Children's Hospital
UC Davis Pediatric Pediatric Heart Center

The UC Davis Pediatric Heart Center is inland Northern California's only full-service pediatric heart center, offering the latest tests and treatments for a range of congenital heart conditions. Our integrated multidisciplinary team of surgeons, specialists, physicians, nurses and researchers provide some of Northern California's most sophisticated specialty and surgical expertise in:

  • Pediatric cardiology
  • Pediatric cardiothoracic surgery
  • Cardiac catheterization and electrophysiology
  • Neonatal and pediatric intensive care
  • Pediatric critical care nursing
  • Fetal diagnosis of heart defects

Our pediatric heart specialists treat patients both in Sacramento and throughout Northern California at our outreach clinics, which allow children in outlying areas to receive a consultation and evaluation without having to travel to Sacramento.

To schedule an appointment at any of our clinic locations, please call 916-734-3456.

The Pediatric Heart Center sees patients in the Sacramento area at the Glassrock Building on the campus of the UC Davis Medical Center and at the UC Davis Medical Group clinics in Roseville and Auburn. We also schedule and hold monthly outreach clinics in Redding, Chico, Stockton, and Marysville. To schedule an appointment at any of our clinics, please call 916-734-3456.

Surgical intervention for infants diagnosed with congenital heart disease addresses a variety of defects, including:

Some conditions may be treated using catheters - thin, flexible, narrow tubes threaded through blood vessels to the heart - rather than traditional, invasive cardiothoracic surgery. Cardiac catheterization can be used to make repairs, like closing holes in the heart muscle or removing obstructions from the blood vessels, or to place stents in narrowed or blocked blood vessels to keep them open.

Pediatric cardiac electrophysiology uses radiofrequency catheter ablation to treat cardiac arrhythmias, disrupting areas of the heart that are the source of the electrical irregularities.

Patient story, cardiothoracic surgery

Gary Raff, pediatric heart surgeon talks about what we do at UC Davis in the cardiac operating room. Patient story of Elijah Rangel who underwent surgery for congenital heart disease.

Pediatric heart patients recover in UC Davis' state-of-the-art Pediatric Intensive Care Unit/Pediatric Cardiac Intensive Care Unit (PICU/PCICU). The unit has a 2-to-1 patient-to-nurse ratio, and critical care medicine physicians are on site 24 hours a day, seven days a week.

Larger, single-patient rooms enhance family-centered care - a sleeping sofa and a chair in each room enable family members to remain at their child's bedside around the clock. Each room has its own bathroom.

Children who are well enough have access to an activity room with music, art and play therapy provided by the hospital's Child Life and Creative Arts Therapy Department. The program helps relieve the stress and anxiety of hospitalization.

The Pediatric Heart Center is part of the National Pediatric Cardiology Quality Improvement Collaborative, a group of 58 medical institutions that collaborates on quality improvement tools and methods to improve the health outcomes of care for children with cardiovascular disease and enhance communication between clinicians and parents. More information about the NPCQI's programs and outcomes is available from their website.