David Balzer, M.D.  balzer@kids.wustl.edu

Professor of Pediatrics, Cardiology
Researcher, Patient Oriented Research Unit
Patient Oriented Research UnitCardiology

phone: (314) 454-6095

Education

  • M.D., Saint Louis University School of Medicine1985

Training

  • Resident, Cardinal Glennon Children's Hospital1985 - 1988
  • Fellowship, Washington University School of Medicine St. Louis Children's Hospital1991 - 1994

Licensure and Board Certification

  • MO, Medical License1986
  • American Board of Pediatrics 1989
  • ABP, Sub-Board of Pediatric Cardiology1996
  • AGA Medical Corporation. Proctor for ASD, VSD, PDA, PFO device placement2001
  • AGA Medical Corporation. Muscular VSD advisory board2005
  • WL Gore. Consultant for ASD device2007
  • 2012 - Pres Medtronic. Proctor for Melody valve2012

Honors

  • Benjamin H. Cohen Memorial Award in Pediatrics1988
  • Ross Laboratory Award for Neonatology1988
  • St. Louis Best Doctors, St. Louis Magazine2006
  • St. Louis Best Doctors, St. Louis Magazine2007
  • St. Louis Best Doctors, St. Louis Magazine2008
  • St. Louis Best Doctors, St. Louis Magazine2009
  • St. Louis Best Doctors, St. Louis Magazine2010
  • St. Louis Best Doctors, St. Louis Magazine2011
  • St. Louis Best Doctors, St. Louis Magazine2012
  • St. Louis Best Doctors, St. Louis Magazine2013
  • Distinguished Clinician Award Washington University School of Medicine2014
  • St Louis Best Doctors, St. Louis Magazine2014
  • St. Louis Best Doctors, St. Louis Magazine2015
  • St Louis Best Doctors, St. Louis Magazine2016

Recent Publications view all (67)


  1. Brian Morray, Vivian Dimas, D Scott Lim, David Balzer, Dhaval Parekh, Nicolas M Van Mieghem, Peter Ewert, Dennis Kim, Henri Justino, Doff McElhinney, Thomas K Jones. Circulatory Support Using the Impella Device in Fontan Patients with Systemic Ventricular Dysfunction: A Multicenter Experience Catheter Cardiovasc Interv. 2017. doi:10.1002/ccd.26885  
  2. Jones TK, Rome JJ, Armstrong AK, Berger F, Hellenbrand WE, Cabalka AK, Benson LN, Balzer DT, Cheatham JP, Eicken A, McElhinney DB. Impact of Transcatheter Pulmonary Valve Replacement on Tricuspid Regurgitation in Patients with Right Ventricular Pressure and/or Volume Overload JACC. 2016;68(14):1525-1535. PMID:27687194  
  3. Nguyen HH, Shahanavaz S, Van Hare GF, Balzer DT, Nicolas R, Avari Silva JN. Percutaneous Pulmonary Valve Implantation Alters Electrophysiologic Substrate. J Am Heart Assoc. 2016;5(10). PMID:27694326  
  4. Nguyen HH, Balzer DT, Murphy JJ, Nicolas R, Shahanavaz S. Radiation Exposure by Three-Dimensional Rotational Angiography (3DRA) During Trans-catheter Melody Pulmonary Valve Procedures (TMPV) in a Pediatric Cardiac Catheterization Laboratory. Pediatr Cardiol. 2016. PMID:27452802  
  5. Rockefeller T, Shahanavaz S, Zajarias A, Balzer D. Transcatheter implantation of SAPIEN 3 valve in native right ventricular outflow tract for severe pulmonary regurgitation following tetralogy of fallot repair. Catheter Cardiovasc Interv. 2016;88(1):E28-33. doi:10.1002/ccd.26480  PMCID:26945801  PMID:26945801  
  6. Miller JR, Simpson KE, Epstein DJ, Lancaster TS, Henn MC, Schuessler RB, Balzer DT, Shahanavaz S, Murphy JJ, Canter CE, Eghtesady P, Boston US. Improved survival after heart transplant for failed Fontan patients with preserved ventricular function. J Heart Lung Transplant. 2016. doi:10.1016/j.healun.2016.02.005  PMID:27068035  
  7. Choudhry S, Balzer D, Murphy J, Nicolas R, Shahanavaz S. Percutaneous carotid artery access in infants < 3 months of age. Catheter Cardiovasc Interv. 2015. doi:10.1002/ccd.26310  PMID:26697954  
  8. Lin CH, Desai S, Nicolas R, Gauvreau K, Foerster S, Sharma A, Armsby L, Marshall AC, Odegard K, DiNardo J, Vincent J, El-Said H, Spaeth J, Goldstein B, Holzer R, Kreutzer J, Balzer D, Bergersen L. Sedation and Anesthesia in Pediatric and Congenital Cardiac Catheterization: A Prospective Multicenter Experience. Pediatr Cardiol. 2015;36(7):1363-75. doi:10.1007/s00246-015-1167-8  PMID:25991570  
  9. Sloan P, Attarian S, Moore A, Balzer DT, Davis K. Case 2: Refractory Hypertension in a Neonate NeoReviews. 2015;16(8):e493-e496. doi:10.1542/neo.16-8-e497  
  10. Lin CH, Murphy J, Balzer DT. Case Report: Percutaneous Closure of an Ascending Aortic Pseudoaneurysm by 3D Angiography Guidance. Methodist Debakey Cardiovasc J. 2015;11(2):137-9. doi:10.14797/mdcj-11-2-137  PMCID:PMC4547670  PMID:26306133  
  11. Armstrong AK, Balzer DT, Cabalka AK, Gray RG, Javois AJ, Moore JW, Rome JJ, Turner DR, Zellers TM, Kreutzer J. One-year follow-up of the Melody transcatheter pulmonary valve multicenter post-approval study. JACC Cardiovasc Interv. 2014;7(11):1254-62. doi:10.1016/j.jcin.2014.08.002  PMID:25459038  
  12. Smithson S, Hall D, Trachtenberg B, Bhimaraj A, Estep JD, Balzer DT, Lin CH. Treatment of cardiovascular complications of Alagille syndrome in clinical optimization for liver transplantation. Int J Cardiol. 2014;176(2):e37-40. doi:10.1016/j.ijcard.2014.04.187  PMID:25091721  
  13. Balzer D. Intracardiac Echocardiographic Atrial Septal Defect Closure Methodist DeBakey Cardiovascular Journal. 2014;10(2):88-92. 
  14. Diaz-Miron JL, Dillon PA, Saini A, Balzer DT, Singh J, Kolovos NS, Duncan JG, Keller MS. Left main coronary artery dissection in pediatric sport-related chest trauma. J Emerg Med. 2014. doi:10.1016/j.jemermed.2014.04.034  PMID:24928544  
  15. Lin CH, Balzer DT. Contemporary transcatheter interventions in adult congenital heart disease. Methodist Debakey Cardiovasc J. 2014;10(2):62. PMCID:PMC4117321  PMID:25114755  
  16. Lin CH, Hegde S, Marshall AC, Porras D, Gauvreau K, Balzer DT, Beekman RH 3rd, Torres A, Vincent JA, Moore JW, Holzer R, Armsby L, Bergersen L. Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease. Pediatr Cardiol. 2014;35(1):140-8. doi:10.1007/s00246-013-0752-y  PMCID:PMC3882522  PMID:23900744  
  17. Carroll JD, Saver JL, Thaler DE, Smalling RW, Berry S, MacDonald LA, Marks DS, Tirschwell DL, RESPECT Investigators. Closure of patent foramen ovale versus medical therapy after cryptogenic stroke. N Engl J Med. 2013;368(12):1092-100. doi:10.1056/NEJMoa1301440  PMID:23514286  
  18. Lin CH, Huddleston C, Balzer DT. Transcatheter ventricular septal defect (VSD) creation for restrictive VSD in double-outlet right ventricle. Pediatr Cardiol. 2013;34(3):743-7. doi:10.1007/s00246-012-0337-1  PMCID:PMC3586406  PMID:22580772  
  19. Madani MH, Canter CE, Balzer DT, Watkins MP, Wickline SA. Noninvasive detection of transplant coronary artery disease with contrast-enhanced cardiac MRI in pediatric cardiac transplants. J Heart Lung Transplant. 2012;31(11):1234-5. doi:10.1016/j.healun.2012.06.001  PMID:22749830  
  20. . Transcatheter ventricular septal defect creation for restrictive VSD in double outlet right ventricle. Pediatric Card. 2012. PMCID: DOI10.1007/s00246-012-0337-1   
  21. Toib A, Goldstein SB, Khanna G, Canter CE, Lee CK, Balzer DT, Singh GK. Spontaneous echocardiographic contrast associated with portosystemic shunt due to persistent patent ductus venosus. Congenit Heart Dis. 2012;7(3):E18-21. doi:10.1111/j.1747-0803.2011.00587.x  PMID:22129147  
  22. Lin CH, Balzer DT, Lasala JM. Defect closure in the lipomatous hypertrophied atrial septum with the Amplatzer muscular ventricular septal defect closure device: a case series. Catheter Cardiovasc Interv. 2011;78(1):102-7. doi:10.1002/ccd.22858  PMID:21416575  
  23. Simpson KE, Huddleston CB, Foerster S, Nicholas R, Balzer D. Successful subxyphoid hybrid approach for placement of a Melody percutaneous pulmonary valve. Catheter Cardiovasc Interv. 2011;78(1):108-11. doi:10.1002/ccd.22930  PMID:21234917  
  24. Bergersen L, Gauvreau K, Foerster SR, Marshall AC, McElhinney DB, Beekman RH, Hirsch R, Kreutzer J, Balzer D, Vincent J, Hellenbrand WE, Holzer R, Cheatham JP, Moore JW, Burch G, Armsby L, Lock JE, Jenkins KJ. Catheterization for congenital heart disease adjustment for risk method (charm) J Am Coll Cardiol Intv. 2011;4(9):1037-46. doi:10.1016/j.jcin.2011.05.021  PMID:21939947  
  25. Bergersen L, Gauvreau K, Marshall A, Kreutzer J, Beekman R, Hirsch R, Foerster S, Balzer D, Vincent J, Hellenbrand W, Holzer R, Cheatham J, Moore J, Lock J, Jenkins K. Procedure-type risk categories for pediatric and congenital cardiac catheterization. Circ Cardiovasc Interv. 2011;4(2):188-94. doi:10.1161/CIRCINTERVENTIONS.110.959262  PMID:21386090  
  26. Lin CH, Balzer D, Lasala J. Transcatheter closures of a postinfarction ventricular septal defect and late ventricular pseudoaneurysm. J Invasive Cardiol. 2010;22(7):E132-7. PMID:20603516  
  27. Bayliss SJ, Berk DR, Van Hare GF, Balzer D, Yamada K, Lueder G, Lanoel A, de la Fuente V, Cordisco MR. Propranolol treatment for hemangioma of infancy: risks and recommendations. Pediatric Dermatology . 2010;3:319. 
  28. Bergersen L, Marshall A, Gauvreau K, Beekman R, Hirsch R, Foerster S, Balzer D, Vincent J, Hellenbrand W, Holzer R, Cheatham J, Moore J, Lock J, Jenkins K.. Adverse Event Rates in Congenital Cardiac Catheterization - A Multi-Center Experience. Catheter Cardiovasc Interv. 2010;3:389. 
  29. McBride ME, Huddleston CB, Balzer DT, Goel D, Gazit AZ. Hypoplastic left heart associated with scimitar syndrome. Pediatr Cardiol. 2009;30(7):1037-8. doi:10.1007/s00246-009-9479-1  PMID:19495846  
  30. Brown MA, BalzerD, Lasala J. Multiple coronary artery fistulae treated with a single amplatzer vascular plug: Check the back door when the front is locked. Cathet Cardiovasc Interv . 2009;73(3):390. 
  31. Gandhi SK, Huddleston CB, Balzer DT, Epstein DJ, Boschert TA, Canter CE. Biventricular assist devices as a bridge to heart transplantation in small children. Circulation. 2008;118(14 Suppl):S89-93. doi:10.1161/CIRCULATIONAHA.107.754002  PMID:18824776  
  32. Muyskens S, Lasala J, Balzer D. Percutaneous closure of a complex post-traumatic VSD Cath Cardiovasc Interv. 2008;72(1):408. 
  33. Gandhi SK, Grady RM, Huddleston CB, Balzer DT, Canter CE. Beyond Berlin: heart transplantation in the "untransplantable". J Thorac Cardiovasc Surg. 2008;136(2):529-31. doi:10.1016/j.jtcvs.2008.01.032  PMID:18692672  
  34. Muyskens S, Nicolas R, Foerster S, Balzer D. Endovascular stent placement for RV to PA conduit stenosis in the norwood with sano modification. Congenit Heart Dis. 2008;3:185. 
  35. Gazit AZ, Avari JN, Balzer DT, Rhee EK. Electrocardiographic diagnosis of myocardial ischemia in children: is a diagnostic electrocardiogram always diagnostic? Pediatrics. 2007;120(2):440-4. doi:10.1542/peds.2007-0170  PMID:17671071  
  36. Nicolas RT, Kort HW, Balzer DT, Trinkaus K, Dent CL, Hirsch R, Canter CE. Surveillance for transplant coronary artery disease in infant, child and adolescent heart transplant recipients: an intravascular ultrasound study. J Heart Lung Transplant. 2006;25(8):921-7. doi:10.1016/j.healun.2006.03.022  PMID:16890112  
  37. Fu Y-C, Bass J, Amin Z, et al. Transcatheter closure of perimembraneous ventricular septal defects using the new amplatzer membraneous VSD occluder: Results of the U.S. phase I trial. J Am Coll Cardiol. 2006;47:319. 
  38. Lopez K, Dalvi BV, Balzer D, et al. Transcatheter closure of large secundum atrial septal defects using the 40 mm Amplatzer septal occluder: results of an international registry. Catheter Cardiovasc Interv. 2005;66(4):580. 
  39. Shah NR, Goldstein JA, Balzer DT, Lasala JM, Moazami N. Transcatheter repair of recurrent postinfarct ventricular septal defects. Ann Thorac Surg. 2005;80(5):1907-9. doi:10.1016/j.athoracsur.2004.06.006  PMID:16242481  
  40. Lin NC, Landt ML, Trinkaus KM, Balzer DT, Kort HW, Canter CE. Relation of age, severity of illness, and hemodynamics with brain natriuretic peptide levels in patients <20 years of age with heart disease. Am J Cardiol. 2005;96(6):847-50. doi:10.1016/j.amjcard.2005.05.034  PMID:16169375  
  41. Chrysant GS, Balzer D, Taniuchi M. Left main stem coronary artery stenting in a 3-month-old child after anomalous left coronary artery from pulmonary artery repair. Ped Cardiol.. 2005;26(5):734. 
  42. Farra H, Balzer DT. Transcatheter occlusion of a large pulmonary avm using the amplatzer vascular plug. Pediatric Cardiology. 2004;26(5):683. 
  43. Holzer R, Balzer DT, Amin Z, et al. Transcatheter closure of post infarction ventricular septal defects using the new amplatzer muscular VSD occluder: results of a US registry. Catheter Cardiovasc Interv. 2004;61:196. 
  44. Holzer R, Balzer D, Cao Q-L, et al. Device closure of muscular ventricular septal defects using the amplatzer muscular VSD occluder: immediate and mid-term results of a US registry. J Am Coll Cardiol . 2004;43:1257. 
  45. Kort HW, Sharkey AM, Balzer DT. Novel use of the Amplatzer duct occluder to close perivalvar leak involving a prosthetic mitral valve. Catheter Cardiovasc Interv. 2004;61(4):548-51. doi:10.1002/ccd.10785  PMID:15065155  
  46. Balzer DT, Johnson M, Sharkey AM, Kort H. Transcatheter occlusion of baffle leaks following atrial switch procedures for transposition of the great vessels (d-TGV). Catheter Cardiovasc Interv. 2004;61(2):259-63. doi:10.1002/ccd.10740  PMID:14755824  
  47. Kort HW, Balzer DT. Radiofrequency perforation in the treatment of acquired left pulmonary artery atresia following repair of tetralogy of Fallot. Catheter Cardiovasc Interv. 2003;60(1):79-81. doi:10.1002/ccd.10605  PMID:12929107  
  48. Goldstein JA, Casserly IP, Balzer DT, Lee R, Lasala JM. Transcatheter closure of recurrent postmyocardial infarction ventricular septal defects utilizing the Amplatzer postinfarction VSD device: a case series. Catheter Cardiovasc Interv. 2003;59(2):238-43. doi:10.1002/ccd.10510  PMID:12772250  
  49. Balzer DT, Kort HW, Day RW, Corneli HM, Kovalchin JP, Cannon BC, Kaine SF, Ivy DD, Webber SA, Rothman A, Ross RD, Aggarwal S, Takahashi M, Waldman JD. Inhaled Nitric Oxide as a Preoperative Test (INOP Test I): the INOP Test Study Group. Circulation. 2002;106(12 Suppl 1):I76-81. PMID:12354713  
  50. Kimberling MT, Balzer DT, Hirsch R, Mendeloff E, Huddleston CB, Canter CE. Cardiac transplantation for pediatric restrictive cardiomyopathy: presentation, evaluation, and short-term outcome. J Heart Lung Transplant. 2002;21(4):455-9. PMID:11927222  
  51. Mendeloff EN, Meyers BF, Sundt TM, Guthrie TJ, Sweet SC, de la Morena M, Shapiro S, Balzer DT, Trulock EP, Lynch JP, Pasque MK, Cooper JD, Huddleston CB, Patterson GA. Lung transplantation for pulmonary vascular disease. Ann Thorac Surg. 2002;73(1):209-17; discussion 217-9. PMID:11834012  
  52. Hirsch R, Balzer DT, Dent CL, Huddleston CB, Mendeloff EN, Canter CE. Outcome after diagnosis of moderate-severe transplant coronary artery disease (TCAD) in pediatric heart transplant recipients. J Heart Lung Transplant. 2001;20(2):261. 
  53. Huddleston CB, Balzer DT, Mendeloff EN. Repair of anomalous left main coronary artery arising from the pulmonary artery in infants-long term impact on the mitral valve. Ann Thor Surg 2001;71:1985-1989 Ann Thor Surg. 2001;71:1985. 
  54. Kort HW, Balzer DT, Johnson MC. Resolution of right heart enlargement after closure of secundum ASD with transcatheter technique. J Am Coll Cardiol. 2001;38(5):1528. 
  55. Kao B, Balzer DT, Huddleston CB, Canter CE. Long-term prostacyclin infusion to reduce pulmonary hypertension in a pediatric cardiac transplant candidate prior to transplantation. J Heart Lung Transplant. 2001;20:785. 
  56. Canter CE, Flippin MS, Balzer DT. Increased morbidity and high variability of cyclosporine levels in pediatric heart transplant recipients. J Heart Lung Transplant. 2000;19:337. 
  57. Dent CL, Canter CE, Hirsch R, Murphy P, Ruble S, Sekarski T, Balzer DT. Transplant coronary disease in pediatric heart transplant recipients. J Heart Lung Transplant. 2000;19:240. 
  58. Vranicar M, Hirsch R, Canter CE, Balzer DT. Selective coronary angiography in pediatric patients Pediatr Cardiol. 2000;8(3):285. 
  59. Johnson MC, Sekarski TJ, Balzer DT. Echocardiographic predictors of left-to-right shunt in atrial septal defects. J Amer Soc Echo. 2000;13:1038. 
  60. Flippin MJ, Balzer DT, Murphy PR, Ruble SE, Mendeloff EN, Huddleston CB, Canter CE. Rejection with heart failure after pediatric cardiac transplantation. Ann Thor Surg . 1999;68:176. 
  61. Hirsch R, Dent CL, Wood MK, Huddleston CB, Mendeloff EN, Balzer DT, Landt Y, Parvin CA, Landt M, Ladenson J, Canter CE. Patterns and potential value of cardiac troponin I elevations after pediatric cardiac operations. Ann Thor Surg. 1998;65:1394. 
  62. Huddleston CB, Mendeloff EN, Cohen AH, Sweet SC, Balzer DT, Mallory GB. Lung retransplantation in children. Ann Thor Surg. 1998;66(1):199. 
  63. Sweet SC, Spray TL, Huddleston CB, Mendeloff E, Canter CE, Balzer DT, Bridges ND, Cohen AH, Mallory GB. Pediatric lung transplantation at St. Louis Children's Hospital Am J Resp Crit Care Med. 1997;155(3):1027. 
  64. Wallace MJ, Hovsepian DM, Balzer DT. Transhepatic venous access for diagnostic and interventional cardiovascular procedures. JVIR. 1996;7:579. 
  65. Balzer DT, Moorhead S, Saffitz JE, Huddleston CB, Spray TL, Canter CE. Utility of surveillance biopsies in infant heart transplant recipients. J Heart Lung Transplant. 1995;14:1095. 
  66. Balzer DT, Moorhead S, Saffitz JE, Sekarski DR, Canter CE. Pediatric endomyocardial biopsy performed solely with echocardiographic guidance. J Am Soc Echocardiog. 1993;6(5):510. 
  67. Balzer DT, Spray TL, McMullin D, Cottingham W, Canter CE. Endarteritis associated with a clinically silent patent ductus arteriosus. Am Heart J. 1993;125:1192. 
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