We understand the anxiety you feel when your child requires heart treatment. That’s why we offer paediatric cardiac surgery in India, at a lower cost than other countries.   

At the Heart Centre for Paediatric Cardiac Surgery in India, we provide exceptional care for children’s hearts, ensuring they receive the best treatment and support. We offer a variety of services, tailored to meet the specific needs of young hearts.

When Does Your Child Need paediatric cardiac surgery in India?

Your child may require heart surgery because of severe infection damage or a congenital heart defect. Doctors typically advise surgery as a last resort after other treatments for heart conditions in children have not worked. Several exams are carried out to verify the necessity of surgery. Some common heart surgeries performed on children include:

Fixing or substituting heart valves:

Heart valves act as obstacles to prevent blood from moving in the incorrect path. The valve in the right ventricle permits blood to enter the heart in one way, while the valve in the left ensures blood exits the heart in one direction. If the heart valves of your child are injured or unhealthy, the heart will need to exert more effort to push blood around the body.

Depending on the damage, the paediatric cardiothoracic surgeon may either place a ring to support the existing valve or replace it entirely with an artificial one. Repairing or replacing a valve can greatly improve your child’s health.

Heart transplant:

A heart transplant is considered when your child has a severe heart condition. In this procedure, a specialized paediatric cardiac surgeon removes the damaged heart and replaces it with a donor heart. After the transplant, your child will need regular follow-up appointments, which are essential for recovery.

Certain heart abnormalities or injuries can be repaired through minimally invasive surgical procedures. For instance, in the case that your child has a ventricular septal defect (a hole in the heart), it can be fixed using a procedure known as cardiac catheterization.

Why Paediatric Cardiac Surgery in India is Performed?

Paediatric cardiac surgery in India is performed to address different heart conditions that may arise in children either at birth or during their childhood. Some typical purposes for undergoing this surgical procedure include:

• Holes in the heart: Some defects, like atrial septal defects (ASD) or ventricular septal defects (VSD), involve abnormal openings between the heart chambers. Surgery is often needed to close these holes and prevent potential complications.

• Valvular abnormalities: Certain kids are born with faulty heart valves, such as problems with the aortic or mitral valves. Paediatric heart surgery can fix or change these valves to ensure blood flow and heart function are correct.

• Complex heart defects: Some children have complicated heart conditions from birth that need complex surgery to repair specific parts of the heart. These methods are focused on enhancing the child’s quality of life by improving heart function.

• Heart rhythm disorders: Sometimes, surgery may be necessary to fix irregular heartbeats like atrial flutter or ventricular tachycardia, which could result in severe health complications if not addressed.

Preparation for Paediatric Cardiac Surgery

Before the surgery, a thorough evaluation is conducted, which usually includes:

• Medical history and physical examination: The child’s medical history, current health, and any related conditions are reviewed. A physical exam is done to assess the child’s overall health and heart condition.

• Diagnostic tests: Imaging techniques such as echocardiography, cardiac MRI, or cardiac catheterization provide detailed information about the heart’s structure and function, helping with surgical planning.

• Blood tests: Blood samples are taken to evaluate the child’s blood count, clotting ability, and overall health.

Procedure of Paediatric Cardiac Surgery in India

The specific steps vary depending on the child’s health status, the kind of operation, and the surgeon’s method, but here is an overall summary:

• Anaesthesia: The child is given general anaesthesia to ensure they are asleep and free of pain during surgery.

• Incision: The surgeon makes an incision, either in the chest or through smaller cuts if using a minimally invasive technique.

• Cardiopulmonary bypass (CPB): In open-heart surgeries, the child is connected to a heart-lung machine, which temporarily takes over the heart’s pumping and oxygenation. This allows the surgeon to operate on a still and blood-free heart.

• Surgical repair: the surgeon fixes the heart abnormalities by potentially sealing openings, mending valves, or altering the circulation of blood.

• Weaning from CPB: Once the repair is complete, the child is gradually disconnected from the heart-lung machine, allowing the heart to resume normal function.

• Closure: Once the surgeon ensures the heart is functioning correctly, they use sutures or other methods to close the incisions.

Recovery and Complications of Paediatric Cardiac Surgery In India

The overall recovery time after paediatric cardiac surgery varies based on the complexity of the procedure and the child’s response. Potential complications associated with paediatric cardiac surgery can include:

• Bleeding: During heart surgery, there is a chance of experiencing bleeding, which may require further procedures or blood transfusions to manage the excessive blood loss.

• Infection: The surgical site or the heart itself may become infected, requiring appropriate antibiotic treatment.

• Arrhythmias: Abnormal heart rhythms may occur following a surgical procedure, requiring additional medical care or medication to restore a regular heartbeat.

• Fluid accumulation: Fluid may build up around the heart or lungs, which can lead to respiratory issues. This may require drainage or medication to manage.

• Poor wound healing: Occasionally, the incisions may heal slowly or become infected, necessitating additional care and treatment.

After the Procedure of  Paediatric Cardiac Surgery In India

The majority of children who have open-heart surgery usually stay in the intensive care unit (ICU) for 2 to 4 days right after the procedure. Typically, they remain in the hospital for another 5 to 7 days following their discharge from the ICU. On the other hand, individuals who undergo closed-heart surgery typically experience shorter stays in the ICU and hospital. Yet, more intricate heart procedures could result in your child needing a hospital stay lasting weeks or even months.

During their time in the ICU, your child will be closely monitored and may have:

• An endotracheal tube and a respirator to assist with breathing while they are kept asleep (sedated).

• One or more small tubes (IV lines) are inserted into a vein to provide fluids and medications.

• A small tube (arterial line) in an artery for blood pressure monitoring.

• One or two chest tubes to drain air, blood, and fluid from the chest cavity.

• A nasogastric tube through the nose into the stomach to empty it and deliver medications and feedings for several days.

• A tube in the bladder to drain and measure urine output for several days.

• Various electrical lines and tubes for monitoring purposes.

• By the time your child leaves the ICU, most of the tubes and wires will have been removed. They will be encouraged to begin many of their usual daily activities. Some children may start eating or drinking on their own within 1 or 2 days, while others might take a bit longer.

• Parents and caregivers will receive instructions on allowable activities, wound care, and medication administration when their child is released from the hospital.

• Your child will typically need several more weeks at home to recover. Be sure to discuss with your healthcare provider when your child can safely return to school or daycare.

• Regular visits to a cardiologist are important and typically scheduled every 6 to 12 months. Furthermore, your child might require antibiotics before dental appointments such as cleanings or other procedures to avoid severe heart infections. Make sure to inquire with the cardiologist if this measure is needed.

Top hospitals for paediatric Cardiac Surgery in India

1. Fortis Hospital, Bangalore
2. MGM Healthcare, Chennai
3. Venkateshwar Hospital, New Delhi
4. Batra Hospital and Medical Research Centre, Delhi
5. BLK Super Specialty Hospital, Delhi
6. Max Super Specialty Hospital, Delhi
7. Medanta the Medicity, Gurgaon
8. Care Institute of Medical Sciences, Ahmedabad
9. Gleneagles Global Hospital, Hyderabad
10. Lilavati Hospital and Research Centre, Mumbai

Choose GoMedii for affordable paediatric Cardiac Surgery in India

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