Paediatric Cardiac Surgery in India
Paediatric cardiac surgeries
Paediatric cardiac surgeries correct the abnormalities of heart in new- borns or infants and children. Paediatric heart problems are mainly present since birth or are congenital. The cardiac surgeons are specially trained to perform heart surgery on infants as it requires special skills.
Paediatric Heart Surgery in India with the best Paediatric Heart surgeons in India is what you would want if your little one is suffering from any heart ailment. IndiCure's affiliate paediatric heart surgeons in India are among the top paediatric heart specialists and offer best in paediatric heart care.
Affordable Pediatric Heart Surgery in India at Best Cardiac Hospitals with Top Pediatric Cardiac Surgeons in India with IndiCure
Our goal is to achieve the best outcome for your little one's heart surgery
We do this by offering you the mix of best pediatric heart hospitals in India and paediatric heart surgeons in India taking into account the affordability of the heart surgery. We understand how critical and important it is for you and your child.
Heart Treatment in India for Major Heart Ailments in Children
The most common cardiac defects in children are the following:
Atrial Septal Defect
ASD- Atrial Septal Defect refers to a hole in the septum, which results in mixing of pure and impure blood and thus discoloration of the body (such kids are commonly known as blue babies), increase blood pressure and irregular cardiac contractions. If severe, they can be fatal for the child.
The arterial septal defect in the child is best corrected by the heart surgery. Our associate heart hospitals in India, with the most advanced technology use the minimally invasive approach for repairing the ASD.
Ventricular Septal Defect
Ventricular Septal Defect is a hole in the wall between the right and left ventricles of the heart, which usually develops before birth. This defect can lead to right and left ventricles working quite hard leading to their failure. Blood returning to the heart from the blood vessels backs up into the lungs, causing pulmonary congestion, and further backup into the body, causing weight gain and fluid retention.
Small VSDs' are symptomless and closed spontaneously as the child grows, but the large VSDs' cause symptoms like difficulty in breathing and feeding, poor growth and pallor. The symptoms occur due to the increase in size of the right ventricle (right ventricular hypertrophy) and increase in pressure inside the lungs (pulmonary hypertension).
There are two main techniques to correct the disorder:
Intra-Cardiac Technique - is an open heart surgery under general anesthesia , whereby the child is attached to an external heart-lung machine. This heart lung machine performs circulatory and respiratory function during surgery. The heart is directly accessed and the defect is sutured.
Trans- Catheter Technique - this is a minimally invasive technique through which surgical instruments are passed through the catheter inserted in the femoral artery. The catheter is slowly guided up towards the point of defect to close it.
Both the procedures are quite successful. Which one is best for your child can be ascertained by the paediatric cardiac surgeon in India after the examination of the child.
Fallot of Tetralogy is the most common congenital heart defect in children., which results in mixing of pure and impure blood.
Fallot of tetralogy is actually a combination of four defects in the heart of the child- right ventricular hypertrophy (increase in the size of right lower chamber), ventricular septal defect (hole in the wall between the two ventricles), abnormal position of aorta (aorta is on right side of heart instead of the left) and pulmonary stenosis (narrowing of pulmonary valve opening which prevents outflow of blood from right ventricle).
The heart surgeons perform two surgeries to correct Fallot of Tetralogy heart defect in the child
Blalock- Taussig's operation is a palliative procedure performed in smaller infants to increase blood flow to lungs and to allow the child to grow big enough to withstand the corrective surgery. A connection is made between right subclavian artery and pulmonary artery to pass more oxygenated blood to the latter. This relieves the cyanosis to a great extent.
The total corrective surgery is performed in children within 2 years of age. VSD is closed with a patch and the narrowed pulmonary valve is opened. The outcome of surgery is favourable and most children lead a healthy life after the surgery with minimum restrictions
Double valve repair and replacement
Valves are openings between two chambers and also between a chamber and artery which allows unidirectional flow of blood. The patency of these valves is very important for normal flow of blood. The function of mitral valve (between left atrium and left ventricle) and the aortic valve (between left ventricle and aorta) is very important.
If these valves get narrowed, the amount of blood passing from left atrium to left ventricle (mitral valve) or from left ventricle to aorta (aortic valve) is drastically reduced. In this case the heart will pump blood harder to push it through the narrowed valves. But the blood will tend to go upwards back into the pulmonary vein and finally to the lungs. This will cause excess blood in the lungs leading to congestion. At the same time very less blood will come out into the aorta from the left ventricle which will result in reduced blood and oxygen supply to all the body parts.
Double valve repair and replacement procedure aims at correcting or replacing these both these damaged valves (aortic & mitral together) with new functional valves. This is done through the open heart surgery. The patient is put under general anaesthesia and connected to the heart lung machine. This machine takes over the pumping, circulatory, and respiratory functions of the heart and lung till the surgical procedure is going on.
The valves are accessed by cutting open the rib cage and accessing the heart directly. The old valves are sliced from their attachments and new valves are put in their place. The new valves may be obtained from a cadaveric donor, or an animal (pig) or it may be made of a nonreactive inert material. The patient needs to be given anticoagulants or immunosuppressive to clotting of blood or rejection of organ. The prognosis of this surgery is good. It is many a time a life-saving and life extending surgery.