Pediatric Heart Surgery

Pediatric Heart Surgery

Pediatric Cardiac Surgery in India - Success Rate and Cost

Pediatric Cardiac Surgery is a cardiac surgery done in children born with congenital heart defects. These congenital heart defects may affect the growth and overall progress of a child if not treated as the defects involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can intervene with the normal blood circulation through the heart. Therefore, the Pediatric heart surgeon may opt for Pediatric Cardiac Surgery for complex heart defects in children.

Symptoms that you may need the Pediatric Cardiac Surgery

The symptoms of Congenital Heart Defect which may lead you to get a Pediatric Cardiac Surgery may vary from mild to severe depend on the progression and severity of the heart defect in a child. The serious signs of that you may need a Pediatric Cardiac Surgery become clear at birth or after the few weeks of a child's birth. They include:

  • Pale gray or blue skin color
  • Fast breathing
  • Swelling in the legs, abdomen or areas around the eyes
  • Shortness of breath during feedings, leading to poor weight gain

However, less serious Congenital Heart Defect may have noticeable symptoms much later, when the child grows a little older. These symptoms may include:

  • Breathlessness after exercising and other physical activity
  • Easy exertion with light activities
  • Fainting during exercise or activity
  • Swelling in the hands, ankles or feet

Why you may need a Pediatric Cardiac Surgery?

The main motive of getting a Pediatric Cardiac Surgery is because of the presence of Congenital Heart Defect, whose cause is still not known by the doctor. The heart of a child starts developing in the first 6 weeks of pregnancy. The blood vessels surrounding the heart also develop during this time. It is during the formation of the heart that the heart defect can develop, and you may need a Pediatric Cardiac Surgery. owing to several risk factors like:

Genetic Factors

1. Heredity

Children who have one of their parents or siblings with a heart defect are more likely to born with a Congenital Heart Defect.

2. Mutations

There are several mutations in the DNA of the human body cells that can interfere with the formation of a healthy heart.

3. Other birth defects

Children born with other serious birth defects such as Down syndrome andTurner syndrome may also have to go through a Pediatric Cardiac Surgery.

Environmental Factors

1. Viral Infections

Pregnant women contracting rubella (German Measles) during the first three months of pregnancy possess a higher risk of having a baby born with a heart defect.

2. Medication

Some medications are taken by pregnant women that include elements like lithium, Accutane or anti-seizure medications also pose a threat to the child's heart formation.

3. Alcohol

Pregnant women indulging hard on alcohol may have their child born with syndrome like thefetal alcohol syndrome (FAS) where children may often have with their heart


Women smoking during the initial weeks of the pregnancy contribute to the incomplete formation of the child's heart, as the heart starts to develop during the 6 initial weeks of pregnancy, hence contributing to baby taking birth with a heart defect and needing a Pediatric Cardiac Surgery.

5. Cocaine

Consumption of drugs like cocaine during pregnancy also contributes to a high risk of the child being born with a Congenital Heart Defect.

6. Maternal chronic illnesses

These may include diabetes, phenylketonuria (PKU), and Vitamin B deficiency.

Types of Congenital Heart Defect

  • Anomalous pulmonary venous return
  • Atrial septal defect (ASD)
  • Atrioventricular septal defect (AVSD)
  • Aortic valve stenosis
  • Coarctation of the aorta
  • Ebstein’s anomaly
  • Patent ductus arteriosus (PDA)
  • Pulmonary valve astresis
  • Pulmonary valve stenosis
  • Tetralogy of Fallot
  • Transposition of the great arteries or vessels
  • Tricuspid valve atresia
  • Truncus arteriosus
  • Ventricular septal defect (VSD)

Open Heart Surgery for Infants

Infants who have cardiac surgery have a higher chance of developing language, concentration, and cognitive delays by the age of 4 compared to children who do not undergo the procedure. Twenty-one percent of preschoolers who had heart surgery and survived were found to have hearing loss, a rate 20 times greater than that seen in the general population. For the best possible outcomes, experts advise evaluating the hearing of children undergoing cardiac surgery between 24 and 30 months.

Heart Punctures Surgery for Children

Heart defects come in a wide variety. Some are very modest, and others that are far more severe. Heart defects may arise in the heart muscle or major arteries. Certain congenital cardiac abnormalities may need emergency surgery shortly after birth. If your child's condition is not one of them, they may be able to wait weeks, months, or even years before undergoing surgery without risk.

A single operation may be sufficient if the heart defect is small enough, while larger defects often need many surgeries. Below, we'll go over three methods for correcting cardiac problems in infants and young children born with them. When a surgeon does open heart surgery for children, they often employ a heart-lung bypass machine.

To do this procedure, the youngster is put to sleep, and a cut is made in the sternum; the child is asleep and pain-free.

The heart and lungs are bypassed in this procedure, with tubes carrying the blood to the new pump. While the heart is being repaired, the oxygenated blood is kept warm and circulating by this equipment.

When the equipment is used, the heart stops beating. The heart may be stopped so the valves and muscles can be repaired, or blood arteries around the heart can be replaced. With the damage repaired, the heart may be restarted and the equipment removed from the patient's body. When finished, the incision above the breastbone and the skin are stitched back together.

Pediatric Cardiac Surgery for Congenital Heart Defect

A congenital heart defect can have strong repercussions on the child's health if not treated on time. Sometimes the defects present in the heart may not require intense treatment and go with certain medications. The Pediatric Cardiac Surgery caters to treating the Congenital Heart Defect which may hamper with the child's growth, some Congenital Heart Defect may be so serious that they may require immediate Pediatric Cardiac Surgery, otherwise, it could even lead to death. The Pediatric Cardiac Surgery may consist of several surgical techniques for the Congenital Heart Defect, the major ones include:

1. Procedures Using Catheterization

In some Pediatric Cardiac Surgery, the doctor may go for catheterization techniques to treat children and adults with Congenital Heart Defect. The catheterization technique is a minimally invasive Pediatric Cardiac Surgery procedure that is carried out to repair holes, valves, and narrowed arteries in the heart. This done by inserting a thin tube-like structure called catheter, through a vein in the leg guiding the doctor towards the heart, via X-ray images. Once the catheter reaches the site of the defect, tiny tools are planted in this Pediatric Cardiac Surgery to repair the heart defect.

2. Open-heart Surgery

Depending on your child's condition, sometimes the more opted form of Pediatric Cardiac Surgery may be an Open-heart surgery. This means the heart defect cannot be treated via a non-invasive procedure. The doctor may open the child's heart and operate on the heart defect while hinging the body to an artificial heart-lung machine.

3. Heart Transplant

In case, both of the above mention Pediatric Cardiac Surgery treatments have failed, or can't treat the defect, a heart transplant may be opted by the pediatric cardiac surgeon as the main Pediatric Cardiac Surgery option.

Success Rate of Heart Punctures for Children

The likelihood of a successful outcome during an open heart surgery for children is proportional to the severity of the lesion being repaired. Corrective operations such as closing the atrial septal defect and the ventricular septal defect have a very high success rate and a mortality rate close to zero percent.

A greater risk of 15–20% is associated with more complex lesions, such as single ventricle abnormalities, because one or both of the ventricles or valves is hypoplastic. The outcomes may vary depending on other variables.

How long does Open Heart Surgery take for children?

Your child's heart surgery may take anywhere from three to six hours, but this will depend on the ailment's severity and the procedure's specifics.

How long does Cardiac Catheterization take for Children?

The time required for a cardiac catheterization might range anywhere from two to five hours, depending on the procedures that must be performed. The time needed to recuperate might range from six hours to a whole night. Both you and your kid must arrive at the hospital prepared to spend the night there.

Success Rate of Open Heart Operations for Children

The survival percentage for children under the age of one who has cardiac surgery or open heart surgery for children is quite high, at 98%. Because of this, just keeping track of children's survival rates is not a good indicator of how well they are doing. It has recently been discovered that complications may be a more accurate measure of surgical and postoperative treatment quality than previous standards of care have allowed. It may be most enlightening to learn about complications that have a significant impact on the kid as a whole and the child's quality of life.

Tips After Open HeartSurgery for Children

It would be best if you didn't let your kid do anything that might cause a fall or a hit to the chest for at least four weeks following surgery. Until the doctor gives the green light, your youngster shouldn't ride a bike or skateboard, go roller skating, go swimming, or participate in any contact sports. After a child's chest has been cut open, they must be cautious with their upper body movement during the first six to eight weeks.

  • Never grab a youngster by the arms or raise them by the armpits. Instead, pick the baby up in your arms.
  • Stop your kid from putting their arms over their head.
  • It would be best to discourage your kid from engaging in any actions requiring him to pull or push with his arms.

If your kid is still a kid, they shouldn't be lifting more than 5 (2 kg). Make sure your kid is getting enough calories to recover and develop normally by carefully checking what they eat.

Babies and infants who have had cardiac surgery are often allowed to drink as much breast milk as they want. Your baby's doctor may tell you to limit breast milk intake. The recommended time between meals is 30 minutes. If your kid needs a higher-calorie formula, your doctor or nurse will explain how to do it.

Pediatric Cardiac Surgery FAQs

Why might a newborn need open heart surgery?

Open heart surgery for children may be necessary if a child's cardiac abnormality cannot be repaired with a catheter treatment. The defect may be fixed in certain cases with a single surgical procedure. When that isn't an option, the youngster may require more procedures spaced out over months or even years.

When it comes to children, how often is open-heart surgery?

There are around 22,000 open heart surgery for children annually in the United States. Having these operations done on youngsters is quite safe.

Who is a high-risk candidate for cardiac surgery?

Infection, abnormal heartbeat, and bleeding are just a few risks that must be considered before undergoing heart surgery. Complications are more likely to occur in the elderly, females, and persons with major health conditions, such as diabetes or lung disease.

What is minimally invasive cardiac surgery referred to as?

Minimally invasive CABG is now an option. Without breaking bones, the heart may be reached via a tiny incision between the ribs. Neither the heart nor the patient's breathing needs to be halted, and in most cases, a heart-lung bypass machine is not even necessary.

Is cardiac catheterization dangerous for children?

For kids, cardiac catheterization is generally safe. But, if doctors use these, it involves some risk factors, including risk from radiation and anesthesia.

How much does a heart puncture surgery cost for children?

The average cost of heart puncture surgery for children is 6000 USD, while the price range can reach 7000 USD.

What is the recovery period after open heart surgery for children?

Your child will require at least 3 or 4 more weeks to heal at home. Recovery from major surgery could take 6 to 8 weeks. It would be best to discuss with your child’s doctor when your child can return to school, daycare, or participate in sports. Don’t worry about the pain your child is experiencing after surgery, as it is normal.

What is the bone healing period after open heart surgery for children?

If your child had open heart surgery and the surgeon split your child’s sternum, it will take about 6 to 8 weeks to heal. It can take about 12 weeks to stabilize your child’s sternum for complete healing. The surgeon will dress the wound to stay in its place for the next two weeks after surgery. After that time, your child will be strong enough to perform daily activities like playing.

What is the success rate of tetralogy of fallot surgery for children?

Our cardiologists have a 100% child survival rate in tetralogy of Fallot surgery. You need not worry about the treatment with our expert surgeons.

What to expect after pediatric open heart surgery?

After pediatric open heart surgery, the child needs to accommodate in the intensive care unit (ICU) for the next 2 to 4 days. Sometimes, your child should stay in the hospital for at least 5 to 7 days after leaving the ICU. Though, for closed heart surgery, the time duration is often shorter.