What is pediatric cardiac surgery?

What is Pediatric Cardiac Surgery?Dr. Benedict Raj R

http://doctorbenedict.com

The joy of giving back.

The surgical management ofcongenital heart disease

Making a diagnosis

To find out what the child needs is the first and most important step.

To assess the severity of the disease.

To plan the course of management.

To follow-up the child for life.

Seeing the child and parents.

The first meeting with the family cements a relationship that grows with time. We understand how the family is to face the course of the childs growth and the associated treatments.The parents are taken into confidence through education about the condition and the prognosis.

History taking& Clinical examAfter learning about how the child has shown signs and symptoms of disease we examine the child.The age, weight, height, Oxygen saturation in the blood, and other clinical signs are looked in detail for.We then investigate with a standardized pattern of tests that guide us to making a diagnosis and evaluating the severity of the condition.

Investigations-Xray

How to take a 12 lead ECG in a newborn child.

investigations

Investigations EKG

ECHO-CARDIOGRAM

Investigations

Investigations - ANGIOGRAM

Investigations - MRI

This image shows a large ventricular septal defect and right ventricular hypertrophy. Note the descending aorta is on the right, consistent with a right-sided aortic arch

MRI- 3D recon of MAPCA to LT lung

Investigations

PLANNING

Surgery of the heart and great vesselsStructural heart disease that can be cured can be operated with various levels of difficulty and risk.Some may not be curable in one step, but staged to reach normalcy.A few complex cases may need staged palliation to reach adulthood with reasonable quality of life and finally transplanted at that stage.Supporting the family and the patient through this course is our job, it is born out of a passion, to give back to society, to the innocent children and their young parents.

Open heart surgeryThe child needs to be sedated ( anesthesia ) Surgery of the heart needs the support of a heart lung machine managed by a professional ( perfusionist ) The Nurses help the surgeon and the Physician assistant carry out the surgery efficiently and safely.The child is kept in the ICU under the care of more nurses and a specialist doctor ( Intensivist)

Anesthesia

Investigations

The Benefits of surgery should always outweigh the risks.

Types of surgery

Closed Heart Surgery

CHS-Modified BT Shunt

Open heart surgery uses a heart lung machine.

OHS-Advantages of Heart lung machineMaintains the child alive when the heart function is compromised during surgery.Increases the safety of the operation.

Sternotomy is the gold standard

Thoracotomy access to the heart has become more common and the scars have become smaller.

The futureHybrid procedures.Minimally invasive techniques.Robotics.Day care surgery?

The rewards

More rewards

And more

Looking forward to working with you !Dr. Benedict Raj RSenior consultant cardiac surgeon