Common Cardiac Conditions
- ASD Surgery in Delhi
- VSD Surgery in Children in Delhi
- Best PDA Surgery in Delhi
- Coarctation of Aorta Treatment in Delhi
- Aortic Stenosis Treatment in Delhi
- Pulmonary Stenosis
- Atrio-Ventricular Septal Defect (AVSD/AVCD)
- RSOV Treatment in Delhi
- Eisenmenger Syndrome/ Complex
- Tetralogy of Fallot Treatment
- Transposition of Great Arteries (d-TGA)
- Total anomalous pulmonary venous connection treatment in Delhi
- Truncus Arteriosus
- Tricuspid Atresia
- Double Outlet Ventricle
- Congenitally Corrected Transposition of great vessels in Delhi
- Ebstein’s Anomaly
- Pulmonart Atresia (PA) Without VSD/Intact Septum
- Pulmonart Atresia (PA) with VSD
- Hypoplastic Left Heart Syndrome
- Stenosis of Pulmonary Artery Branches
- Patent Foramen Ovale (PFO)
- AP Window Device Closure
- Vascular Rings
- Interrupted Aortic Arch (IAA)
- Bicuspid Aortic Valve Treatment
- SVT treatment in children
A form of severest variety of pediatric heart disease.
In this complex heart disease, left sided heart components are severely small in size or may be atretic.
Clinical Presentation
At birth, neonate can have normal appearance as there is a large PDA.
In next 48 hours, when PDA is getting close then neonates can present in the form of bluishness of the body, shortness of breath or in shock.
Diagnostic Evaluation
This defect can be diagnosed antenatally also by doing fetal echocardiography and If diagnosed, then it is a clear indication for medical termination of pregnancy.
After birth, Echocardiography needs to be done so that timely management can be planned.
Treatment Modalities
Non-Surgical
Without treatment, it is fatal, but with treatment, neonate can be saved. Prostaglandin (PGE1) infusion to be started for maintaining the patency of PDA.
Open Heart Surgery
Pediatric cardiac surgeon performs multiple operations. Surgical operations are complex.
Neonates undergo 3 surgeries:
- After birth, in the form of Norwood or Sano procedure. Sometimes, HYBRID procedurein the form of PDA stenting with PA banding can be planned instead of Norwood or Sano procedure.
- For second & third stage surgeries: please read double outlet ventricle section in common cardiac condition of www.childrenheartcare.com for more information.