PEDIATRIC CARDIOVASCULAR SURGERY

Updated: Dec 2, 2021



Cardiac catheterization



The task of the department of Pediatric Cardiac Surgery is to provide a diagnostic and therapeutic response to all cardiopathologies from birth to adulthood from an interdisciplinary point of view.


The department has the following specialized divisions

* Department of Cardiological Fetal, Neonatal and Pediatric Surgery.

* Department of Surgery for Congenital Heart Defects in adults.

* Department of Neuro-Cardiological Development.


The cardiac surgery team performs the following operations:


Level 1 cardiac surgery

* Closure of the atrial septal defect

* Closure of the ventricular septal defect

* Resection of the subaortic membrane

* Tetralogy of Fallot

• Aortic coarctation

* Ligation of the open arterial duct

* Narrowing of the pulmonary artery

* Anostomosis according to Blaylock-Taussig





Cardiac surgery

Cardiac surgery of level 2-3



* Closure of a complex defect of the interventricular septum


* Double output of the right ventricle


* Full atrioventricular canal


* Partial atrioventricular canal


* Replacement of the pulmonary valve


• Operation Ross


* Replacement of the aortic valve


* Restoration of the mitral valve


* Mitral valve replacement


* Arterial switching


* Auricular switching


* Glenn's bidirectional anastomosis


* Replacement of the aortic root

Cardiac catheterization (Kalp kateterizasyonu).



biopsy

Cardiac catheterization is a procedure in which a long flexible tube (catheter) is inserted into a blood vessel (usually in the leg) and sent through it to the heart. This provides detailed information about the internal structures of the heart. Cardiac catheterization may be recommended for the diagnosis of a problem or for treatment.

In pediatrics, catheterization can be performed for the following reasons:


Accurate determination of the anatomy of the heart in the context of congenital heart defects.


* Obtaining heart tissue samples for biopsy.


* Opening of the atrial septum in congenital heart defects.


* Placement of mesh devices that cover small holes inside the heart (in the atrial or interventricular septa)


* Deliberate blockage of blood flow in the vessel.


* Placement of a stent (wire mesh device) in stenosed arteries to keep them open.


There may be other reasons why the doctor recommends cardiac catheterization for your child. Cardiac catheterization can be performed in children of all ages, including newborns.



Cardiac surgery of congenital heart defects in adults


The Department of Congenital Heart Defects in Adults is a specialized department formed by cardiologists and surgeons, which is engaged in monitoring and comprehensive care for patients with congenital heart defects.

A congenital heart defect is a series of malformations of the heart structure and / or main vessels that are present from birth and occur at the stage of fetal development. It is estimated that 85% of patients operated on in the neonatal period require new treatment after reaching adulthood.

The knowledge that our multidisciplinary team has about congenital pathologies allows us to offer the best recommendations, diagnosis and treatment for these adult patients.


In this department, the following pathologies are considered in accordance with the needs of each patient individually:


* Closure of the atrial septal defect


* Closure of the ventricular septal defect


* Replacement of the pulmonary valve


* Replacement of the aortic valve


* Restoration of the mitral valve


* Mitral valve replacement


* Replacement of the aortic root



Mitral valve replacement

What is pediatric cardiac surgery?


This is a surgical operation on the heart to correct its pathologies in children. These pathologies can be congenital (the child was born with this problem) and acquired after birth.



Who is a pediatric cardiac surgeon?


A pediatric cardiac surgeon is a cardiac surgeon who has received special training in the diagnosis, treatment and containment of the development of heart diseases in children. A pediatric cardiac surgeon treats complex congenital heart defects of newborns, children and adolescents, as well as adults. Taking into account the specifics of young patients, a pediatric cardiac surgeon receives the necessary skills to provide children with the best medical care.


Professional training


A pediatric cardiac surgeon is a doctor who has received at least 4 years of medical education, completed 5 years of general surgical residency, 2-3 years of cardiothoracic residency and received additional 2-4 years of training in pediatric cardiac surgery.



What types of cardiac surgery procedures are available ?


This is when the surgeon opens the chest and performs surgery on the muscles, valves and arteries of the heart. In open-heart surgery, a cardiopulmonary apparatus is usually used. Open-heart surgery is also called traditional cardiac surgery.


During it, the doctor makes an incision in the sternum. The child is under general anesthesia. To send blood to the cardiopulmonary apparatus, special tubes are used. The device saturates the blood with oxygen, maintains its heat and circulation through the body while the surgeon performs heart surgery.


The use of a cardiopulmonary apparatus allows you to stop the heart so that the surgeon can operate on the heart muscles, valves or vessels. After the operation is completed, the heart starts again, and the device is turned off. Then the incision is sewn up.


Thoracotomy


This procedure involves an incision on one side of the chest, between the ribs. It is also called closed-heart surgery. This operation is performed using special tools and a camera.