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More Information on Paediatric Cardiac Surgery

Indication

Congenital heart surgery is recommended for complex and life threatening congenital heart defects.
It may be needed in cases of:

•  Medium to large atrial septal defects (ASD) that do not close on their own. ASD is a hole in the septum that separates the upper chambers of the heart i.e. the atria
•  Large ventricular septal defects (VSD). A VSD is a hole in the septum that separates the lower chambers of the heart i.e. the ventricles
•  Severe pulmonary valve stenosis (narrowing of pulmonary valve)
• Complex heart defects like tetralogy of fallot: combination of pulmonary valve stenosis, a large ventricular septal defect, an overriding aorta and right ventricular hypertrophy

Pre-Procedure

Echocardiography is done to create a moving picture of the heart. Echo helps in diagnosing the problem, following it over time and in deciding that when treatment is needed. Fetal Echo may be advised by the doctor if congenital heart defects are suspected during pregnancy. 
Electrocardiogram testing may be done to record the heart’s rhythm.
A chest x ray may also be advised. 
Cardiac catheterization may be done to see the flow of blood through the heart and view the blood vessels on an x ray image.
 

During-Procedure

The surgery is performed by pediatric cardiac surgeons. 
Cardiac catheterization is done to repair some heart defects. A thin flexible tube called a catheter is inserted in a vein in the arm, upper thigh or neck which is then threaded to the heart. A dye is injected through this catheter which flows to blood vessels and chambers of the heart and this allows the doctor to see the x ray image of these vessels. Catheterization is commonly used for treatment of atrial septal defect and pulmonary valve stenosis. An open heart surgery may be required when cardiac catheterization cannot be done. Biological materials or manmade/synthetic materials may be used to repair defects. 
The child may be put on heart lung bypass machine during the surgery. 

Post-Procedure

• Recovery is faster with catheter procedures as chest need not be surgically opened. Complete recovery can take several weeks. There will be pain post surgery which will take a few days to weeks to completely subside. 
• Activities like cycling, skating and swimming that can hurt the chest must not be done till allowed by the doctor.
• The child will be irritable and will need support from the caregivers to return to daily activities. 
   

Risk and Complication

There is risk of excessive bleeding, infection and reaction to anesthetic drugs. The nerves in the chest area may be damaged.

More Info

• It may also be called as congenital cardiovascular surgery.
• Some congenital defects are small & asymptomatic and do not require any surgical treatment. 
• Those who have complex congenital heart defects may need several catheterizations and surgeries over a period of time. 

Top Doctor for Paediatric Cardiac Surgery in Gurgaon

92%

Dr. Vijay Agarwal

MBBS, MS - General Surgery, Fellowship - General Surgery

Director and HOD - Pediatric Cardiac surgery

16 Years

1500

Fees are indicative. Actual fees may vary.
Credihealth DOES NOT charge anything extra for in-person consultation with the doctor.

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91%

Dr. Aseem R Srivastava

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery

Senior Consultant - Paediatric Cardiology & Cardiac Surgery

1 Awards, 12 Years

1000

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Credihealth DOES NOT charge anything extra for in-person consultation with the doctor.

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N/A

Dr. Mahendra Narwaley

MBBS, MS, MCh - CTVS

Consultant - Paediatric Cardiac Surgery

2 Awards, 7 Years

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N/A

Dr. Anup Charles

MBBS, MS - General Surgery, MCh - Cardio Thoracic and Vascular Surgery

Consultant - Paediatric Cardiac Surgery

6 Years

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