Alfonso Casta, MD
Senior Associate in Cardiac Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine
Associate Professor of Anaesthesia, Harvard Medical School
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Alfonso Casta, MD
Senior Associate in Cardiac Anesthesia, Department of Anesthesiology, Critical Care and Pain Medicine
Associate Professor of Anaesthesia, Harvard Medical School
Medical Services
Languages
English
Spanish
Education
Undergraduate School
University of Puerto Rico
1971
San Juan
PR
Medical School
University of Puerto Rico School of Medicine
1975
San Juan
PR
Fellowship
Pediatric Cardiology; Clinical Intracardiac Electrophysiology
University of Miami School of Medicine
1980
Miami
FL
Residency
Anesthesia
University of Texas Medical Branch
1993
Galveston
TX
Fellowship
Pediatric Anesthesia
Boston Children's Hospital
1995
Boton
MA
Certifications
American Board of Anesthesiology (General)
American Board of Anesthesiology (Pediatric Anesthesiology)
American Board of Pediatrics (General)
American Board of Pediatrics (Cardiology)
Publications
Pulmonary hypertension manifesting as atrial arrhythmia in an anesthetized child; Diagnosis using focused cardiac ultrasound. View Abstract
Pausing With the Gauze: Inhibition of Temporary Pacemakers by Radiofrequency Scan During Cardiac Surgery. View Abstract
Institutional Policy Changes to Prevent Cardiac Toxicity Associated With Bupivacaine Penile Blockade in Infants. View Abstract
Anesthetic management of noncardiac surgery for patients with single ventricle physiology. View Abstract
The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant. View Abstract
Management of difficult airway in pediatric patients with right ventricular outflow tract obstruction. View Abstract
Management of difficult airway in pediatric patients with right ventricular outflow tract obstruction View Abstract
The needle and the damage done: pericardial effusion with tamponade after needle ingestion in an infant View Abstract
Anesthesia for Heart and Lung Transplantation View Abstract
Anesthesia for heart, lung, and heart-lung transplantation View Abstract
Migration of an ingested foreign body to the mediastinum complicated by a pericardial effusion View Abstract
Intraoperative alertness of a rise in serum potassium by double counting of the heart rate during blood transfusion in an infant View Abstract
The cone procedure for severe Ebstein's anomaly in an infant: periopertative management View Abstract
Cardiac arrest after neuromuscular blockade reversal in a heart transplant infant. View Abstract
The frequency of anesthesia-related cardiac arrests in patients with congenital heart disease undergoing cardiac surgery. View Abstract
Induction of supraventricular tachycardia during transesophageal echocardiography: an unusual complication. View Abstract
Perioperative myocardial ischemia in pediatric cardiac patients undergoing non-cardiac surgery View Abstract
Management of right ventricular outflow tract reactivity following pulmonary valve dilatation under general anesthesia: experience of a medical mission. View Abstract
Use of nitric oxide for treatment of pulmonary hypertensive crisis in a child after protamine administration. View Abstract
Use of dexmedetomidine in children after cardiac and thoracic surgery. View Abstract
Anesthesia for Heart, Lung and Heart-lung Transplantation View Abstract
Problems in Pediatric Anesthesia View Abstract
Use of nitric oxide for treatment of pulmonary hypertensive crisis in a child after protamine administration View Abstract
Use of dexmedetomidine after congenital cardiac surgery View Abstract
Closed correction of systemic semilunar valve insufficiency in the neonate. View Abstract
Stress response in infants undergoing cardiac surgery: a randomized study of fentanyl bolus, fentanyl infusion, and fentanyl-midazolam infusion. View Abstract
Parameters associated with perioperative baffle fenestration closure in the Fontan operation. View Abstract
Intraoperative recurrent laryngeal nerve monitoring during video-assisted throracoscopic surgery for patent ductus arteriosus. View Abstract
Use of plastic-coated stylets for endotracheal intubation. View Abstract
Attempted placement of a thoracic epidural catheter via the caudal route in a newborn. View Abstract
Cardiovascular evaluation in thoracopagus twins. View Abstract
Electrocardiographic inscription of diaphragmatic contractions during anaesthesia. View Abstract
Rick for cerebral emboli and ECG changes following minimal access surgery for closure of atrial septal defect in children View Abstract
A randomized study of fentanyl bolus, fentanyl infusion and fentanyl-midazolam infusion for infant cardiac surgery- clinical outcome View Abstract
Stress response in infants undergoing cardiac surgery: A randomized study of fentanyl bolus, fentanyl infusion and fentanyl-medazolam infusion View Abstract
Factors associated with baffle fenestration closure in Fontan operation View Abstract
Perioperative white matter degeneration and death in a patient with a defect in mitochondrial oxidative phosphorylation. View Abstract
Acute intraoperative endotracheal tube obstruction associated with a heat and moisture exchanger in an infant. View Abstract
Electrocardiographic demonstration of dual atrioventricular nodal pathways in children. View Abstract
Induction of wide QRS tachycardia during transthoracic echocardiography. View Abstract
Mitral valve prolapse in juvenile thyrotoxicosis. View Abstract
Echocardiographic assessment of the right atrioventricular junction in Ebstein's malformation. View Abstract
Late arrhythmias and outcome in patients after the Mustard operation for transportation of the great arteries: Update of 1981 pediatric electrophysiology group collaborative study
View Abstract
Cor triatriatum sinister: echocardiographic assessment. View Abstract
Ventricular septal defect closure in infancy: results from a smaller tertiary referral center View Abstract
Effective use of urokinase for central venous catheter thrombosis in premature infants. Guided by Dopplar ultrasound View Abstract
Successful urokinase therapy for superior vena cava syndrome in a premature infant. View Abstract
Echo Doppler detection of external compression of the vertical vein causing obstruction in total anomalous pulmonary venous connection. View Abstract
Atrial septal aneurysm herniation across the mitral valve orifice in pulmonary atresia. View Abstract
Ectopic automatic atrial tachycardia in children: clinical characteristics, management and follow-up. View Abstract
Atrial septal aneurysms and tachycardia in fetuses and newborn infants View Abstract
Evaluating Pediatric Arrhythmias. Family Practice Recertification View Abstract
Hypoplasia of the left coronary artery complicated by reversible myocardial ischemia in a newborn. View Abstract
Pulmonary atresia with intact ventricular septum. View Abstract
The interpretation and medical management of complex arrhythmias in the newborn infant. View Abstract
Gift to a litigious society. View Abstract
Atrial septal aneurysms in infants and children. View Abstract
Acquired pulmonary atresia following placement of modified Blalock-Taussig shunt in tetralogy of Fallot. View Abstract
False division of the left atrium by a redundant, mobile flap valve of the foramen ovale: echocardiographic and anatomic assessment in a neonate with critical pulmonic stenosis. View Abstract
Hypoplasia of the left coronary artery complicated by reversible myocardial ischemia in a newborn: differentiation from other coronary artery anomalies View Abstract
Tuberous sclerosis and Wolff-Parkinson-White syndrome. View Abstract
Left ventricular bands (false tendons): echocardiographic and angiocardiographic delineation in children. View Abstract
Effects of right and left atrial stimulation on atrioventricular conduction in children. View Abstract
Anomalous origin and malposition of the pulmonary arteries (crisscross pulmonary arteries) associated with complex congenital heart disease. View Abstract
Atrial septal aneurysms in infants View Abstract
Vagatonia as a cause of syncope View Abstract
Cardiomyopathy associated with severe thermal burns in children and adolescents View Abstract
Fast-slow atrioventicular nodal tachycardia in children View Abstract
Propranolol serum pharmacokinetics in infants under one year of age: inadequate assessment without tracer isotope methodology or prolonged terminal elimination phase sampling View Abstract
Pericarditis due to drug allergy View Abstract
Pulmonary and subclavian steal following Blalock-Taussig shunt. View Abstract
Successful management of atrial flutter in a newborn with verapamil. View Abstract
Vagotonia in infants, children, adolescents and young adults. View Abstract
Aneurysm of the interatrial septum. View Abstract
Is there a thyrotoxic cardiomyopathy in children? View Abstract
Nonsustained atrial flutter in a child without congenital heart disease. View Abstract
Aberrant systemic artery-pulmonary vein fistula: detection of an occult lesion by contrast echocardiography. View Abstract
Absent right atrioventricular connexion with the left atrium connected to the morphologically right ventricle, a right-sided rudimentary left ventricle, and right juxtaposition of the atrial appendages: documentation by angiography and cross-sectional echocardiography. View Abstract
Left ventricular false tendons (bands): echocardiographic and angiocardiographic delineation View Abstract
Functional thyrotoxic cardiomyopathy in children View Abstract
Calcification of the ascending aorta and aortic and mitral valves in Gaucher's disease. View Abstract
Hemoptysis following Mustard repair: a late complication. View Abstract
Diastolic atrial compression in a premature infant. View Abstract
Cardiac rhythm after the Mustard operation for complete transposition of the great arteries. View Abstract
Cardiac complications in juvenile hyperthyroidism. View Abstract
Induction of nonsustained atrial flutter by programmed atrial stimulation in children: incidence, mechanisms, and clinical implications. View Abstract
Hemodynamic and cardiovascular effect of halothane and isoflurane anesthesia in children View Abstract
Electrophysiological studies before and after cardia angiography in children: A comparative evaluation View Abstract
Bilateral ocular compression during EKG monitoring: A prospective study to evaluate vagal tone in children View Abstract
Echocardiographic and angiocardiographic demonstration of redundant mitral valve tissue in Teschler/Nicola-Kilian syndrome View Abstract
Responses of hyperthyroid children to exercise View Abstract
His-Purkinje electrophysiological characteristics in children with heart defects View Abstract
Electrophysiological evaluation in patients with coarctation of the aorta View Abstract
Vasovagal syncope in children requiring pacemaker implantation. View Abstract
Multiple atrioventricular nodal pathways--a new electrophysiological phenomenon in children. View Abstract
Prolongation of Q-T interval and increased amplitude of the T wave after termination of ventricular tachycardia. View Abstract
True congenital aneurysm of the septum primum not associated with obstructive right- or left-sided lesions: identified by two-dimensional echocardiography and angiography in a newborn. View Abstract
Subclavian-artery-to-innominate-vein fistula presenting with congestive failure in a newborn infant. View Abstract
Delineation of tunnel-like-ventricular septal defects in young children by axial cineangiography. View Abstract
Hemodynamics and intracardiac conduction after operative repair of tetralogy of Fallot. View Abstract
Massive dilatation of the atria and coronary sinus in a child with restrictive cardiomyopathy and persistence of the left superior vena cava. View Abstract
Assessment of vagal tone in children by bilateral ocular compression during EKG monitoring: A prospective evaluation View Abstract
Cardiac complications of juvenile hyperthyroidism relationship with duration and treatment View Abstract
Natural history of supraventricular rhythms in 192 children following the Mustard operation: a collaborative multi-center study View Abstract
Enhanced detection of cardiac disease in mucopolysaccharidosis by combined M-mode and two-dimensional echocardiographic examination View Abstract
Right ventricular apical activation time in children, reference standard for clinical use View Abstract
Captropril for management of paradoxical hypertension after coarctation repair View Abstract
Left ventricular function and reserve in childhood Grave's disease View Abstract
Supraventricular Tachycardia in Children. Roberts N. Gelband H, eds. <i>Cardiac Arrhythmias in the Neonate, Infant and Child.</i> View Abstract
Atrial flutter in the young: a collaborative study of 380 cases View Abstract
Determination of His-Purkinje electrophysiological characteristics in children with heart defects View Abstract
Procainamide elimination kinetics in pediatric patients. View Abstract
Effective use of captopril in postoperative paradoxical hypertension of coarctation of the aorta. View Abstract
Capsular stroke in congenital complete heart block. View Abstract
Echocardiography and congenital arteriovenous malformations. View Abstract
Decorticate posture following 'cardiac cocktail': a transient complication of sedation for catheterization. View Abstract
Bacterial endocarditis and renal failure in a 10-year-old boy. View Abstract
Sinus and atrioventricular nodal function: Preoperative and early postoperative assessment in children. View Abstract
Right ventricular apical activation time in children. Reference standards for clinical use. View Abstract
Effects of right and left atrial stimulation on atrial refractory periods and A-V nodal conduction View Abstract
Effects of right and left atrial stimulation on atrial refractory periods and atrioventricular node conduction View Abstract
Atrial flutter inducec by programmed stimulation in dysrhythmia- free children: incidence, mechanism and significance View Abstract
Verapamil for PSVT in patients with WPW. View Abstract
Determinants of ventricular refractory periods in children with congenital heart disease: effects of cycle length and age. View Abstract
His-Purkinje responses and refractory periods during atrial extrastimulation in children with heart defects. View Abstract
Echocardiographic assessment of right bundle branch injury after repair of tetralogy of Fallot. View Abstract
Comparison of right and left atrial refractory periods in dysrhythmia-free children View Abstract
Multiple atrioventicular nodal pathways: a new electrophysiological phenomenon in children View Abstract
Dual atrioventricular nodal pathways: a benign finding in arrhythmia-free children with heart disease. View Abstract
Prostaglandin E1 in the neonate with heart disease. View Abstract
Dual atrioventicular nodal pathway conduction- a common electrophysiological phenomenon in children without arrhythmias View Abstract
Intracardiac conduction and hemodynamis studies in children with arrhythmias after surgery for tetralogy of Fallot View Abstract
Changes in cycle length, conduction times and refractory periods induced by sedation with meperidine, promethazine and chlorpromazine View Abstract
Changes in the atrial component of atrioventricular conduction induced by sedation with meperidine, promethazine, and chlorpromazine View Abstract
Ventricular refractory periods in pre and postoperative cardiac patients View Abstract
Dilatation of the descending aorta: a radiologic and echocardiographic diagnostic sign in arteriovenous malformations in neonates and young infants. View Abstract
Dual atrioventicular nodal pathways in children without arrhythmias View Abstract
Changes in cycle length, conduction times, and refractor periods induced by sedation with meperidine, promethazine and chlorpromazine View Abstract