What is Pediatric Cardiac Surgery?
Cardiac surgery in children is performed to repair the congenital heart defects, the heart defects a child is born with and the heart diseases a child gets after birth which needs the surgery. A pediatric cardiac surgery in India is required for the child’s wellbeing.
There are many kinds of heart defects some are minor while others are more serious. These defects can occur inside the heart or in the large blood vessels outside the heart. Some heart defects need surgery right after the baby is born while for others the child may be able to safely wait for months or years to have surgery. Sometimes a series of procedures in needed instead of a single surgery as it may not be enough to repair the heart defect.
Three different techniques to fix the congenital defects of the heart in children includes the following:
Open heart surgery involves a surgeon using a heart-lung bypass machine. An incision is made through the sternum or breastbone while the child is under anesthesia hence he/she is asleep and pain free. The tubes are used to re-route the blood through a special pump or a heart-lung bypass machine that adds oxygen to the blood and keep it warm and moving through the rest of the body whilst the surgeon repairs the heart. Using this machine allos the heart to be stopped which makes it possible to repair the heart muscle itself, the heart valves or the blood vessels outside the heart. After completion of the repair, the heart is started again while the machine is removed. The breastbone and the skin incision are then closed.
In case of some heart defect repairs, the incision is made on the side of the chest, between the ribs and this is called a thoracotomy. Sometimes it is also called as a closed heart surgery which is done using special instruments and a camera.
Another way to fix the defects in the heart is inserting small tubes into an artery in the leg and passing them up to the heart. However, only some heart defects can be repaired this way. Contact us to request a free consultation with the best pediatric cardiac surgeons in India for affordable cost pediatric cardiac surgery in India.
Video – Pediatric Cardiac Surgery India
Why Pediatric Cardiac Surgery is Performed?
Few heart defects require to be repaired soon after the birth while for others it is better to wait months or years. While certain heart defects may not need to be repaired.
The general symptoms indicating pediatric cardiac surgery in India includes the following:
- Difficulty breathing as the lungs are congested, wet or filled with fluid (heart failure)
- Blue or gray skin, nails beds (cyanosis) and lips which indicate that there is not enough oxygen in the blood or hypoxia
- Poor feeding or sleeping, lack of growth and development of the child
- Problems with heart rate or arrhythmias (heart rhythm)
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Pediatric Heart Surgeons in India
Pediatric heart surgeons in India are heart surgeons having special traning, knowledge and experience in diagnosing, treating and managing the heart diseases and conditions in children. A pediatric cardiac surgeon treats the complex congenital (existing at birth) heart defects in newborns and acquired heart problems in children, adolescents and adults. The pediatric cardiac surgeons have special skills required to provide the best possible care to the children due to their small size. The congenital heart defects are quite different from the types of heart diseases which are common among the adults. An added challenge to this is repairing the heart in small bodies. So, the best pediatric heart surgeons in India have the special skills to provide the safest care for the youngest and smallest patients needing heart surgery. Contact us by sending us your query to request cost of pediatric heart surgery in India.
Training
Pediatric heart surgeons are medical doctors who completed minimum 4 years of medical school, 5 years of general surgical residency, 2-3 years of cardiothoracic residency including 6 months training in pediatric heart surgery, and an additional 2-4 year of training in pediatric cardiac surgery. Often after the training, the pediatric heart surgeons spend the first 1 to 2 years serving on the staff of a major pediatric heart center. Additionally, they gain the substantial experience by devoting a large part of their practice in caring for children.
The pediatric heart surgeons generally provide surgery for:
- Repairing injury to the heart
- Correcting the conditions such as holes between the chambers of the heart, valve problems and abnormal blood vessels
- Heart, lung and heart/lung transplants
- Correcting other congenital and acquired heart defects
Generally pediatric cardiac surgeons practice either in children’s hospitals or in larger medical centers with special facilities and equipments offering the heart care for both adults and children. The staff include other pediatric specialists and a pediatric cardiologist or heart specialist or pediatrician may recommend a heart surgeon who cares for children. Children aren’t just small adults they cannot be always patient and cooperative during a medical exam, or say what is bothering them or answer the medical questions. A team of highly trained specialists take care of all the needs of the infants and children who require a heart surgery. The pediatric cardiac surgeons provide a system of care which embraces the special needs of infants, children and teens as well as their families for diagnosing heart conditions, treating children with heart problems and planning for sound management before and after the surgery.
The team of pediatric heart surgeons consists of specialists in the fields of neonatology, cardiology, cardiac anesthesia, intensive care, nursing, social work and respiratory therapy. These teams are trained extensively to provide the best medical care for your child before, during and after surgery. The top pediatric cardiologists in India will have a detailed discussion about the choices and possible outcomes to help your child. You may rest assured that they offer the right options so that you choose the best treatment for your child. Send us your query to know the pediatric cardiac surgery cost in India.
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Conditions Treated by the Pediatric Cardiac Surgery Team
The pediatric cardiac surgery team provides the following surgical services for pediatric heart surgery in India:
- Blalock-Taussing Shunt
- Aortic Valve Repair
- Damus Procedure
- Glenn Shunt
- Atrial Septal Defects Closures
- Heart Transplantation
- Tetralogy of Fallot
- Arterial switch
- Vascular Ring
- Ross Procedure
- Coarctation of the Aorta
- Fontan Procedure
- Norwood Operation
- Atrioventricular Septal Defect, Complete
- Surgical Valvuloplasty
- Atrioventricular Septal Defect, Partial
- Interrupted Aortic Arch
- Double-Switch Procedure
- Pulmonary Artery Banding
- Truncus Arteriosus
- Repair of Ebstein’s Anomaly
- Transposition of the Great Arteries
- Hypoplastic Left Heart Surgery
- Rastelli procedure
- Ventricular Septal Defect Closures
- Total Anomalous Pulmonary Venous Return
- Patent Ductus Arteriosus Ligation
- Repair of Anomalous Coronary Artery
Risks
The risks include:
- Bad reactions to medicines
- Infections
- Bleeding during surgery or in the days after surgery
- Blood clots or thrombi
- Problems breathing
- Heart attack
- Air bubbles or air emboli
- Stroke
- Heart problems or arrhythmias
- Pneumonia
What to Expect Before the Pediatric Cardiac Surgery in India?
If your child talks then tell them about the surgery, if you have a preschool-aged child then tell them the day before the surgery about what will happen. If your child is older then tell them about the procedure a week before the surgery. Involve the life specialist who helps children and their families during times such as major surgery and show your child the hospital and the surgical areas.
Your child may undergo different tests such as:
- Blood tests including complete blood count, clothing factors, electrolytes and cross match
- Electrocardiogram or EKG or ECG
- X-rays of the chest
- Cardiac catheterization
- Echnocardiogram or ECHO or ultrasound of the heart
- History and physical
Always tell your child’s healthcare provider what medicines they are taking including the drugs, vitamins and herbs you bought without a prescription.
During the days before the surgery:
- Ask which drugs the child should still take on the day of the surgery
- Talk with your child’s provider if your child is taking blood thinners about when to stop giving these drugs
On the day of pediatric cardiac surgery in India
Most often your child will be asked not to drink or eat anything after midnight, the night before surgery. If your have been told to give your child any drugs then give it with a small sip of water. You will be given instructions about when to arrive at the hospital. Fill up the enquiry form to know the pediatric heart surgery cost in India.
What to expect after the pediatric cardiac surgery in India?
Most children who have had the open heart surgery need to stay in the intensive care unit (ICU) for 2-4 days right after the surgery. Your child will have one or more small tubes in a vein (IV line) to give fluids and medicines, an endotracheal tube in the airways and a respirator to help with breathing. While on the respirator, your child will be kept sleeping, a small tube in an artery, a nasogastric tube through the nose into the stomach to empty the stomach and deliver medicines and feedings for several days, a tube in the bladder to drain and measure the urine for several days, one or more chest tubes to drain air, blood and fluid from the chest cavity and many electrical lines and tubes for monitoring the child.
Most of the tubes and wires will be removed by the time your child leaves the ICU. Your child is encouraged to stay with their regular daily activities. Some children may start eating or drinking on their own within one to two days while others may take longer. Most often after leaving the ICU your child will have a hospital stay for 5 to 7 more days. Often the stays in the intensive care unit and the hospital are shorter for people having closed heart surgery.
Parents and caregivers of the child are taught about activities which are okay for their child to do, how to care for the incisions, and give medicines once they are discharged from the hospital. The child needs at least several more weeks at home to recover, so talk with your provider about when your child can return to school or day care. He/she will need follow-up visits with a heart doctor every 6 to 12 months and may need to take antibiotics to prevent serious infections before visiting the dentist for teeth cleaning or other dental procedures.
Outlook
The possible outcome of the pediatric cardiac surgery depends on the child’s condition, the type of defect and the type of surgery. Most children recover completely and lead normal and active lives. Contact us to request the best child heart surgery cost in India that suits your budget.
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List of Top Pediatric Cardiac Surgeons in India
- Dr. Rajesh Sharma
- Dr. Mahadev D. Dixit
- Dr. Anil Bhan
- Dr. Krishna Subramony Iyer
- Dr. Devi Prasad Shetty
- Dr. Sathyaki Purushotam Nambala
- Dr. Colin John
- Dr. Parvathi Unninayar Iyer
- Dr. Muthu Jothi
- Dr. Anil Kumar D
- Dr. Suresh Rao
- Dr. Girish Warrier
- Dr. Joseph Xavier
- Dr. Neville Soloman
- Dr. Pradeep Kumar Kaushik
- Dr. Vijay Agarwal
- Dr. Jayanta Kumar Das
- Dr. Prashanth Shah
- Dr. Smruti Rajan Mohanty
- Dr. Ravi Shankar Shetty
- Dr. Vikas Kohli
- Dr Alla Gopala Krishna Gokhale
- Dr Kuldeep Chulliparambil
- Dr. NS Devananda
- Dr. Aseem R Srivastava
- Dr. Anurag Kaw
- Dr. Ashok Kumar Dutta
- Dr. Raja Joshi
- Dr. Shyamveer Singh Khangarot
- Dr. Munesh Tomar
List of Best Hospitals for Pediatric Heart Surgery in India
- Fortis Heart Failure Centre, Chennai, Tamil Nadu
- Apollo Heart Center, Chennai, Tamil Nadu
- Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra
- Asian Heart Institute, Mumbai, Maharashtra
- Fortis Malar Hospital, Chennai, Tamil Nadu
- Apollo Children’s Hospitals, Chennai, Tamil Nadu
- Manipal Hospital, Bengaluru, Karnataka
- Max Super Speciality Hospital, New Delhi, Delhi
- Wockhardt Heart Hospital, Nagpur, Maharashtra
- Fortis Hospital Mulund, Mumbai, Maharashtra
- Child Heart Clinic, Indore, Madhya Pradesh
- Metro Heart Institute with Multispeciality, Faridabad, Haryana
- All India Institute of Medical Sciences, New Delhi, Delhi
- Delhi Child Heart Centre, New Delhi, Delhi
- Best Heart Hospital In India, Ghaziabad, Uttar Pradesh
- Sakra World Hospital, Bengaluru, Karnataka
- Metro Multispeciality Hospital, Noida, Uttar Pradesh
- Apex Heart Institute-Asia’s First Heart Hospital With Vascular Robotics, Ahmedabad, Gujarat
- Ramkrishna CARE Hospitals, Raipur, Chhattisgarh
- Best Hospital in India, New Delhi, Delhi
- Adventist Wockhardt Heart Hospital, Surat, Gujarat
- The Inamdar Heart Clinic, Pune, Maharashtra
- National Heart Institute, New Delhi, Delhi
- Frontier Lifeline Hospital, Chennai, Tamil Nadu
- Central India’s Child Hospital and Research Institute, Nagpur, Maharashtra
- Sri Sathya Sai Sanjeevani International Centre for Child Heart Care & Research, Baghola, Haryana
- Innova Children’s Heart Hospital, Hyderabad, Telangana
- Sri Sathya Sai Sanjeevani Hospital, Naya Raipur, Chhattisgarh
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