What is Paediatric cardiaothoracic surgery?
What is Paediatric cardiaothoracic surgery is surgery for congenital heart defects [defects at birth]. The incidence of congenital heart defects is 8 per 1000 live births. Paediatric cardiac surgery deals with closed and open heart surgeries. Closed heart surgery is a procedure without the heart lung machine.
Paediatric cardiac surgery is an unique specialty as it deals with very small children and newborns with major heart defects. The surgeries are very complex, demanding and needs great dexterity for good results. The other important factor is that children with heart defects are very fragile with a narrow margin of safety.
We at our multispecialty hospitals provide a comprehensive treatment for congenital heart defects. Our department has been named as paediatric cardiology and cardiac surgery [pccs] and has a cardiac surgeon, cardiologist, peadiatric anesthesiologist and a peadiatric intensisvist. This team provides a comprehensive management in all areas of the specialty. We perform cardiac cath preocedures which are diagnostic and therapeutic. The surgical side performs all cardiac proicedures on newborns; infants and children. The results of this department is definitely comparable to any other international organization of similar stance.
Services provided:Common closed heart surgeries are
PDA ligation, Repair of coarctation of aorta [blockage of major blood vessel of the body], Shunt operations [to improve blood flow to the lungs to enhance oxygenation, these are generally palliative procedures], Vascular rings.
Open heart surgeries involve the use of heart lung machine. The heart is temporarily stopped and procedures are performed on the heart or inside the heart.Common open heart surgeries are
Closure of defects in the heart [hole on the heart] such as atrial septal defect [asd], ventricular septal defect [vsd].
Other common open heart surgeries ate repair of tetralogy of fallot and More complex heart procedures such as arterial switch operation for transposition of great arteries, Repair of truncus arteriosusjotal anomalous pulmonary venous drainage.
Heart surgeries also involve multi staged operations for single ventricle phusiology. Finally, congenital heart surgery also involves surgey for heart failure which includes lv assist devices and heart, heart-lung transplantation.
This hospitals have a well equipped cath lab where all diagnostic and therapeutic procedures can be performed safely. There is dedicated operation theater where peadiatric cardiac surgery is performed exclusively. This operation theater is well equipped with all modern state-of-art gadgets, well trained nurses and other personnel. The pccs also has a dedicated ICU with all facilities. There is dedicated intensive that looks after these kids and well-trained nurses.
Some of the Pediatric Cardiac Surgeries have been listed below:
- Balloon Atrial Septostomy (BAS)
- Patent Ductus Arteriosus
- Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD)
- Tetralogy of Fallot (ToF)
- BT Shunt / PA plasty on bypass/Surgical atrial septectomy
- ASD / PAPVR/ GLENN/ VSD/ TOF/ PAVC/ DORV
- All Re-do cases/ CAVC/ FONTAN
- Systematic-Pulmonary Artery SHUNTS
- All cases(3 months old/Arteial Switch Operation/Truncus Arteriosis)
- CoA/Simple Vascular Ring/Pacemaker Insertion
- Cases(3 months old/Shunts/PAB/Unifocalization/CoA/Complex Rings)