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Pediatric Cardiology and Cardiovascular Surgery

Pediatric Cardiovascular Surgery

Overview

In children, cardiac surgery is done for the treatment of congenital heart defects and acquired heart diseases that need surgical management.

Children may have congenital or acquired heart diseases.

Today, congenital heart anomalies in pediatric population can successfully be treated. Thanks to treatments performed with advanced surgical techniques at Centers with Pediatric Surgery Clinic, pediatric population can maintain their lives as healthy adults.

It is possible to identify those problems with advanced methods and eliminate them with surgery immediately after birth. Similarly, heart disease diagnosed in children can also be managed with surgical or non-surgical methods. However, pediatric cardiac surgeries can be performed at specialized centers. Number of those centers can be counted on the fingers of one hand.

Pediatric heart diseases can develop secondary to various heart anomalies. The most common one is the “blue baby syndrome” that is characterized with leak of venous blood into arterial circulation. Skin color of these infants is purplish and poor exercise capacity is very common. The picture may sometimes include fainting. On the other hand, some infants can develop anomalies that cause leak of arterial blood into the venous circulation. In these infants, lung infection is very common that is followed by heart failure.

Another group of heart diseases faced in infants are rheumatic heart diseases. The disease usually originates from bacterial colonization in throat and leads to impairment in heart valves.

Moreover, rhythm disorders can sometimes develop secondary to congenital heart anomalies or even without any reason.

The most common complaints of children with heart problems are bruising, getting tired quickly and cyanosis that is provoked by crying, running or even walking. Walking for a few steps, the child gets tired and needs to rest by crouching. Mothers need to be aware of such symptoms and make the child examined by a doctor, if family history is notable for heart diseases.

Pediatric heart diseases can be treated successfully with operative or non-operative (medications) methods. Open or closed techniques can be used for pediatric cardiac surgery. In the cardiac catheterization, the femoral vessel is punctured and the catheter is advanced to the heart to occlude holes and to dilate stenotic segments.

Since pediatric heart surgery is a very specific field and these surgeries are much more complex than adult cardiac surgery, they require perfect team work and multidisciplinary approach. This team is formed by pediatric cardiologist, cardiovascular surgeon and physiatrist. Existence of pediatric heart surgery clinic in a facility is regarded as a good reference for the facility. Recently, significant achievements are obtained in pediatric heart surgeries.

At Medicana Hospitals, congenital disorders and acquired heart diseases of all pediatric age groups - ranging from newborns to children- are diagnosed and treated using cutting edge devices by healthcare professionals who are experienced in this field.

Diagnostic methods used for pediatric heart diseases in our hospital:

  • Non-invasive diagnostic methods:
  • Electrocardiogram
  • Telecardiogram
  • Echocardiography
  • Holter monitoring
  • Cardiac stress (treadmill) test


Semi-invasive diagnostic methods:

  • Cardiac MRI
  • Cardiac CT
  • Invasive diagnostic methods:
  • Conventional cardiac catheterization and angiography:

This method is employed when non-invasive examinations fall short or extra information is needed. Newborns and minor children may require sedation or general anesthesia.

Angiography devices, called Flat Panel, which maximize quality of angiography images, are available only a few centers, including our hospital, in Turkey and around the world.

Medicana Hospital Group is one of the pioneering facilities, where quality services are rendered using novel technologies by experienced pediatric cardiologists, cardiac surgeons and anesthesiologists in diagnosis and treatment of congenital heart diseases.

Fetal Echocardiography: (Examining heart of fetus)

Remarkable advancements in diagnosis of fetal anomalies within the last fifteen years originate from splendid development of ultrasound imaging techniques.  Recently, development of high-resolution ultrasound devices results in ability to examine anatomy and anomalies of the fetal heart.

Fetal echocardiography is a more complex and complicated examination comparing to routine obstetric ultrasound. Therefore, it should be considered for patients with high risk of cardiac anomaly. Indications of fetal echocardiogram are addressed in three categories: fetal, maternal and familial.

Result of a cardiac surgery depends on the overall health of the child, the disease and type of the surgery. Most children recover completely and proceed into a normal and active life.

At Medicana Hospitals, medical and surgical care of your child is undertaken by cardiovascular surgeons, cardiologists, cardiac anesthesiologists, cardiovascular surgery nurses and imaging technicians. The entire team consists of specialists who are well trained and educated in the field of pediatric heart diseases.

In addition, out pediatric cardiovascular surgery team cooperates with other specialists of your hospitals. Our multidisciplinary approach ensures the best possible care.

Those specialists, each acting as a member of the team, create a comprehensive care plan to address many aspects of the health in case of a heart disease.

You will meet a professional team that is committed to meet all medical, physical and emotional needs of your family, starting at your first visit. We take each step to make the healthcare experience of your family manageable.