Pediatric Heart Surgery
Introduction
Pediatric cardiovascular surgery (PCS) includes surgical procedures carried out in neonates and children to treat congenital heart disease or a related acquired heart disease. The current techniques are of crucial importance not only for the prevention of death and improving of the life quality of children but also serve as a great tool for saving the lives of children. Because of the sensitivity of children’s hearts and their developing bodies, pediatric cardiac surgery requires particular expertise and attention.
What is Pediatric Heart Surgery?
Children’s heart surgery is a collection of surgical procedures that are designed to repair or treat heart disease in children. This may include reconstruction of congenital defects, for example, defects of the heart, narrowings of blood vessels, or valve defects. There are cases where operations are performed to treat acquired pathology, such as arrhythmias or an infectious heart disease.
Common Types of Pediatric Heart Surgery
- Open-heart surgery: A procedure that involves opening the chest and surgically operating on the heart directly, most commonly to repair congenital heart defects.
- Cardiac catheterization: A less invasive procedure that uses a catheter inserted through a blood vessel to treat heart defects or blockages.
- Valve replacement or repair: Repairing or substituting malfunctioning valves to restore normal blood circulation.
Why is Pediatric Heart Surgery Needed?
Cardiac surgery in pediatric populations is frequently required because of congenital heart defects, which are abnormalities present at birth. The reason for pediatric cardiac surgery may also include complications of infections or cardiac diseases. These procedures are essential in the prevention of heart failure, cardiac function, and child growth and development.
Types of Pediatric Heart Surgery
- Atrial Septal Defect (ASD) Repair: This is a surgical intervention that closes a passageway between the two apical chambers of the heart.
- Ventricular Septal Defect (VSD) Repair: A technique to close communication between the two inferior ventricles of the heart.
- Patent Ductus Arteriosus (PDA) Closure: This is performed to close a ductus arteriosus that didn’t close naturally after birth.
- Pulmonary Valve Replacement: Resurfacing narrowed or leaking pulmonary valves to increase ventricular outflow.
Procedure Steps
The procedure steps of pediatric heart surgery may be different in the sense of surgery. Generally, the steps include:
- Preoperative Preparation: The candidate is exhaustively screened to rule out cardiopulmonary fitness before surgery. This encompasses imaging studies, blood tests, and physical examinations.
- Anesthesia: The child is sedated through general anesthesia to keep them pain-free during the procedure.
- Surgical Procedure: The operator makes precise repairs or correctives in the following way: open-heart surgery or minimally invasive operation.
- Postoperative Care: Following surgery, the patient is closely supervised in an operating room recovery bay or in the intensive care unit (ICU) until reasonably stable to be discharged home.
Benefits of Children’s heart surgery
- Improved Heart Function: Optimal surgical intervention can greatly improve cardiac function and preclude subsequent complications such as cardiac failure.
- Better Quality of Life: Many children experience a more active and fulfilling life after surgery, with fewer limitations.
- Long-Term Health: The early treatment of heart defects may promote long-term health and development.
Risks and Complications
As for any surgery, pediatric heart surgery has risks, such as:
- Infection: Infection risk exists at the incisional site or in the heart.
- Bleeding: Surgery may cause bleeding, especially during open-heart procedures.
- Arrhythmias: Irregular heartbeats can occur post-surgery.
- Heart Failure: Although infrequent, surgery may fail to fully treat cardiac problems and may result in cardiac failure.
Treatment cost in India vs U.S.
The economics of pediatric heart surgery differ significantly between India and the USA:.
- India: Cardiac surgeries in children in India can fall between $3,000 and $15,000 (depending on the kind of surgery and the facility).
- USA: In the USA, the cost of pediatric heart surgery typically ranges from $30,000 to $150,000, depending on the complexity of the surgery and post-operative care.
Top Hospitals in India for Pediatric Heart Surgery
The following are some of the top pediatric heart surgery hospitals in India:.
- Fortis Escorts Heart Institute, Delhi: Having excellent cardiac care as well as experienced pediatric cardiac surgeons.
- An institution providing affordable and expert pediatric cardiac care.
- Kokilaben Dhirubhai Ambani Hospital, Mumbai: A renowned private, highly equipped hospital with the best in pediatric cardiology.
- Medanta—The Medicity, Gurgaon: Known for offering comprehensive pediatric heart surgeries with excellent outcomes.
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