Paediatric Cardiac Surgery

Dr.Muthus Hospitals is one of the best pediatric cardiology hospitals in Coimbatore for paediatric cardiovascular (heart) surgery.

Cardiac surgery in children is recommended when a child suffers from severe heart disease. It helps repair heart defects so the child can have a healthy life. Some heart diseases may require immediate surgery after birth. In severe cases, these surgeries are performed for even months or years after childbirth. The type of surgery required and its number depend on the severity of the condition. These surgeries are performed by experienced and well-trained paediatric heart surgeons to provide comprehensive care to your child.

At Dr.Muthus Hospitals, minimally invasive treatment procedures are taken into consideration at first. If they do not go well, our healthcare team is at the forefront to use more invasive methods to reduce the risks of infection. This is the most sensitive period for parents. We understand their situation and therefore offer them the best services for their child. We regularly communicate with them and provide their child’s treatment update.

Our expertise in paediatric cardiac surgery

Dr.Muthus Hospitals has been the best medical centres for parents who want the best treatment for their child. Our multidisciplinary surgical and medical team work together to review the cases. Our paediatric cardiac surgeons can treat various diseases. Here, we offer the following types of paediatric cardiac surgery.

Structural heart disease and valve repair- Dr.Muthus Hospital surgeons are experts in assessing and treating people diagnosed with heart diseases or valve conditions like aortic valve diseases, bicuspid and tricuspid regurgitation, and single-ventricle valve problems. Our surgeons also provide surgeries on the aorta, especially in children with Marfan syndrome, aortic valve disease and other connective tissue diseases.
Hypertrophic cardiomyopathy and septal myectomy- Surgeons at Dr.Muthus hospitals use the best surgical methods for obstructive and nonobstructive cardiomyopathy. Further, our surgeons and researchers are working on making advances in imaging, defibrillator strategies and arrhythmia treatment to prevent unexpected death.
Heart failure procedures and heart transplants- Dr.Muthus Hospital is one of the leading medical centres for treating patients with a single ventricle. We also provide the facility of heart transplants in newborns and adults to ensure their health.
Minimally invasive - These days, the technology for treating structural heart diseases is increasing rapidly. In some cases, minimally invasive techniques can be used. This results in less pain and decreases recovery time. Our multidisciplinary team ensures that all treatment options are considered so that every individual can get the correct treatment at the correct time.
Ventricular assist device insertion- We provide the facility of ventricular assist device (VAD) insertion. It is a mechanical pump that helps restore blood flow and heart function.
Foetal cardiac interventions- Dr.Muthus hospitals are at the forefront of foetal cardiac interventions to provide early treatment. Our maternal-foetal specialists work together to facilitate various complex interventions for cardiac diseases. This results in extensive care both for the mother and the developing child or foetus and ensures a smooth transition from foetal life to birth.

Risk factors of paediatric cardiac surgery

Associated risks with paediatric cardiac surgery include-

Renal complications
Anaemia
Respiratory issues
Gastrointestinal issues
Infection
Need for the incubation of the trachea
Vascular complications

At Dr.Muthus hospitals, these risks can be reduced with effective treatment options and proper medications.

Diagnosis of paediatric cardiac conditions

At Dr.Muthus Hospitals, various tests are performed to diagnose heart problems in children. At the appointment, our paediatric cardiologists take the medical history of the patient and perform a physical exam. An electrocardiogram (ECG), chest X-ray and echocardiogram (forms ultrasound images of the heart) are suggested for the diagnosis. Further, blood tests are also important for patients with cyanosis (bluish discoloration of the skin) and single ventricle hearts.

Our cardiology staff talks about every test with the child’s parents and explains the procedures. After the tests are done, our cardiologists elaborate on the results and whether the follow-up is required or not.

Sometimes, initial tests don’t provide much information about the condition, and more tests may be required. These include angiography and cardiac catheterization, CT Scanning and magnetic resonance imaging (MRI), Holter recording and stress testing.

The procedure of paediatric cardiac surgery

The procedure of paediatric cardiac surgery includes three phases.

Phase 1- Before the surgery

Initially, the idea of surgery is scary both for parents and a child. So helping a child to get prepared for the surgery is an important part of the process. A child initially asks questions about the process from his parents, so they should make sure that they answer them correctly to clear their child’s doubts. Parents can also seek help from the doctor or medical staff for the same. Also, parents should tell the child how the surgery will be performed, what will happen before, during and after the surgery. They must reassure them that their pain will be relieved with medications in the entire process.

Phase 2- During the surgery

The child is given general anaesthesia so he can fall asleep and be pain-free during the process. Then, the surgeon makes an incision in the chest. He cuts a part of the child’s breastbone to expose the heart. Once the heart is visible, the child is connected to a bypass machine. It moves blood away from the heart so the surgeon can perform the procedure. He cuts a healthy vein or artery to form a new pathway around the damaged artery. Then, he uses the wire to close the breastbone and leaves it (wire) in the body. Thereupon, the outer incision is stitched.

Phase 3- After the surgery

The child can feel some pain after the process, he is given medications to relieve pain. Parents can see some changes in their child’s behavior. At this time, they should support them and handle them with care.

How can Dr.Muthus hospitals help?

Dr.Muthus Hospitals meet international treatment standards. Our medical Centre is established to provide the best medical facilities in the field of cardiology to every patient. Our operating team consists of the best surgeons and cardiologists who are dedicated to their work and are supported by compassionate staff members to provide pre-operative and post-operative care.

Paediatric Cardiology

There are various congenital cyanotic heart diseases occurring in newborns. In these congenital heart diseases, the blood of the newborns fails to get oxygenated in a proper manner. This occurred due to some kind of heart defect. The several diseases are as follows- Tetralogy of Fallot, pulmonary atresia, double outlet right ventricle, transposition of the great arteries, persistent truncus arteriosus, and Ebstein’s anomaly.

Pediatric cardiology is that branch of cardiology that deals with the diagnosis and treatment of these specific heart diseases of newborns and children.

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Types of Pediatric Cardiology Surgeries

Pediatric cardiology can have various branches just as adult cardiology.

Complex Congenital Heart Diseases: When a baby is in the womb, he or she can be at risk of developing several heart conditions or cardiac abnormalities due to various causes. These wide ranges of cardiac abnormalities in a newborn are termed congenital heart diseases. The flow of blood can easily be affected by these abnormalities. This affects the development and the functioning of the heart as a result. There are several surgeries that can be performed to correct these conditions. The surgeries range from straightforward and simple to very complex. The severity of the surgery depends on the level and type of abnormality of the patient. Some surgeries are minor, minimally invasive, or complex open-heart surgeries that require several complex machines.
Valve Repair/Replacement: The heart can have several diseases related to its valves. Valve repair or replacement surgery is used for treating these valve-related heart diseases. The valves of the heart cease functioning most of the time if they are diseased or damaged. There are several conditions that might cause the dysfunction of the valves of the heart. Two of these conditions are valvular insufficiency and valvular stenosis. Open heart surgery is generally the traditional treatment for these diseases. Through this surgery, the valves are either repaired or replaced. There is a requirement of a bypass machine for this surgery. A bypass machine ensures that blood is pumped throughout the body when the heart is stopped for the surgery.
Neonatal Heart Surgery: Neonatal heart surgery is performed to repair the defects caused by congenital heart diseases. The categories of these defects could be serious, minor, or even rare. The procedure will vary depending on the type of defect of the heart. The defect might be either inside the heart or in the blood vessels which are present outside the heart. Neonatal surgeries are performed on newborns or infants to correct the defects of their hearts.
Single Ventricle Heart Surgery: Sometimes a child is born with just a single ventricle that is strong enough or large enough to pump blood. This is known as the single ventricle defect. This surgery is performed to cure or repair this defect. The defects include hypoplastic left heart syndrome (HLHS), tricuspid atresia, double outlet left ventricle (DOLV), heterotaxy defects, and other congenital heart defects. These surgeries are a series of open-heart surgeries that a child has to go through a span of several years. The defects are corrected in this way.
Interventional Cardiology: In this form of cardiology, catheter-based procedures and special imaging techniques are used to treat cardiac diseases. They are all ways to treat cardiac diseases without any surgeries. Several types of equipment are required to perform these interventional cardiology techniques. A full range of paediatric cardiology is carried out with the help of this equipment. Some of the interventional cardiology procedures include Transcatheter valve replacement, Pulmonary artery rehabilitation, PDA occlusion, Hybrid procedures, Fetal cardiac intervention, Endovascular stenting, Diagnostic cardiac catheterization, Device atrial septal defect closure, Coarctation angioplasty, and stenting, and Balloon angioplasty and valvuloplasty.

How can Dr.Muthus Hospitals Help?

Dr.Muthus Children Heart Institute (CCHI) is a specialized section under the Dr.Muthus Hospitals groups that deals with all the aspects of the heart diseases of children, newborns, infants, and adolescents. The Dr.Muthus Hospitals groups are so technologically advanced and evolved that they can even treat a few forms of rare heart diseases in children without any hassle. So if you are in doubt, just contact the Dr.Muthus Paediatric Heart Hospital to get the best service as a patient.

The best facilities of the Dr.Muthus hospital groups include the following:-
Cardiac Catheterization and Intervention for Congenital and Structural defects
Advanced Real-Time 3D Echocardiography & Transesophageal Echocardiography for children of all age groups
Fetal Echocardiography
24×7 Paediatric Cardiac Emergency
24×7 Ambulatory Blood Pressure Recording
Paediatric Cardiac Critical Care
Non-Invasive Assessment
Cardiopulmonary Assessment
Bicycle Ergometry
Head-up Tilt Test, 24-Hour Holter & Event Recorder