Paediatric Cardiology and Adult Congenital Heart Disease
Overview
Paediatric Cardiology & Cardiac Surgery services at Amrita Hospital, Faridabad provides a full spectrum of evaluation, diagnosis and management of congenital and acquired heart disease including cutting edge interventional therapy from newborn to adulthood. The care of infants, children, and young people who need cardiac care is handled by a team of pediatric cardiologists and pediatric cardiac surgeons. Services for pediatric cardiac surgery are offered by highly skilled and committed pediatric cardiac surgeons who have a focus on newborn and pediatric cardiac procedures. A dedicated Pediatric Cardiac Intensivist Service is available to take care of children in the post operation theatre. A pediatric cardiac anesthesiologist is also available to give expert support in the operation theatre.
Doctors
Facilities Available
- Facility for 2D/3d Echocardiography
- Paediatric Friendly Operation theatres and Cath Lab
- Dedicated Paediatric Echo Lab equipped to perform Neonatal, Paediatric & Fetal Echocardiogram
Services Offered
The mission of the pediatric and congenital heart surgery department is to continuously improve the outcomes and provide the best quality care to children born with heart defects.
Babies born with critical cardiac defects will need lifesaving surgeries either immediately after birth or within the first month of life. We at Amrita Hospital provides following surgeries for these critically sick neonates.
- Arterial switch operation
- Total anomalous pulmonary venous return (TAPVC) surgery
- Systemic-pulmonary artery shunt to increase pulmonary blood flow
- Pulmonary artery band to restrict pulmonary blood flow
- Neonatal arch repairs
- Truncus arteriosus repair
- Neonatal Coarctation repair
We at Amrita Hospital provide complex root translocation surgeries to patients. These procedures can convert single ventricle pathways to biventricular pathways with potentially superior long-term survival.
- Pulmonary root translocation
- Aortic root translocation
- Double root translocation
A sizable number of children born with congenital heart defects will reach adulthood even without surgery. An even larger group of children who underwent surgery/intervention for CHD in childhood will need re-operations in their adolescence or adulthood for recurrent, residual or acquired heart defects. Our team of adult and congenital heart defects is fully equipped to take care of this ever-growing group of patients.
We need two ventricles for a sustaining life and longevity. However, a large number of children are born with either anatomical or functional single ventricle. Most of these children will need surgery in three stages to improve the quality and quantum of their lives. At Amrita Hospital we provide the following operations for babies born with single ventricles
- Norwood operation
- BT shunt
- Pulmonary artery Banding (PA band)
- Bidirectional Glenn (BDG) operation
- Fontan operation
It is ideal to repair rather than replace valves in children due to lack of growth potential implanted valves. Our team specialises in the following valve repair surgeries
- Aortic valve repair for acquired or congenital stenosis and regurgitation
- Mitral valve repair for congenital stenosis and regurgitation
- Tricuspid valve repair
- Ozaki repairs
A normal rate and rhythm of the heart is essential to provide adequate cardiac output to sustain life. Ant disturbance in the rate and rhythm are called arrhythmia. The arrhythmia can either be congenital or acquired. At Amrita Hospital we provide the following services for arrhythmia
- Permanent Pacemaker implantation (PPI)
- Loop recorder implantation for diagnosis of arrhythmia
- Maze surgery
- Cervico-thoracic Symphectomy for refractory long QTc syndrome
Vascular rings are birth defects where the airways are abnormally surrounded and/or compressed by the blood vessels. The child may have symptoms of wheezing, noisy breathing (stridor), intractable coughing, breathlessness, difficulty in feeding or swallowing, and respiratory infections. We at Amrita hospital offer following services for the diagnosis and treatment of these lesions.
- Bronchoscopy
- Division of double aortic arch
- Relocation of pulmonary artery for pulmonary artery slings
- Relocation of Innominate artery
- Translocation of circumflex aortic arch
- Pulmonary arteriopexy
- Aortopexy
- Tracheo-bronchiopexy
- Resection of Kommeral diverticulum & relocation of aberrant subclavian artery
Persistent pulmonary hypertension is debilitating and life limiting disease with very little treatment options. We offer a palliative reverse Pott’s shunt to selective group of patients with PPHN. A communication is created between the pulmonary artery and aorta to decompress an eminently failing right ventricle. This procedure improves the quality of life and potentially increase the lifespan without lung transplant.
Dilated cardiomyopathy is a progressive and debilitating disease which either leads to early demise or cardiac transplant. A specific group of these children are offered Pulmonary artery band to remodel the heart. This procedure leads to improvement in cardiac function and avoid the need of heart transplant is a large group of these patients.
An abnormal tissue growth in the chambers of heart, over valve leaflets or within the blood vessels can not only compromise with the heart function but also can be life threatening. We at Amrita hospital, offer surgery for Fibroma, Myxoma, Hemangioma, Intra-pericardial teratoma, lipoma and metastatic tumors which have spread to heart from other parts of the body.
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