Pediatrics

Paediatric Heart Surgery

The Heart Surgery Service aims to offer a diagnostic and therapeutic response to all heart pathologies from birth through to adulthood, from a multidisciplinary perspective.

The service has the following specialist care units:

  • Foetal, Neonatal and Paediatric Heart Surgery Unit.
  • Adult Congenital Heart Anomaly Surgery Unit.
  • Neuro-Heart Development Unit.

The heart surgery team carries out the following interventions:

Level 1 heart surgery

  • Closure of atrial septal defect
  • Closure of ventricular septal defect
  • Subaortic membrane resection
  • Tetralogy of Fallot
  • Coarctation of the aorta
  • Ductus arteriosus ligation
  • Pulmonary artery banding
  • Blalock–Taussig shunt

Level 2-3 heart surgery

  • Complex closure of ventricular septal defect
  • Double outlet right ventricle
  • Complete atrioventricular canal
  • Partial atrioventricular canal
  • Pulmonary valve replacement
  • Ross procedure
  • Aortic valve replacement
  • Mitral valve repair
  • Mitral valve replacement
  • Arterial switch
  • Atrial switch
  • Bidirectional Glenn shunt
  • Aortic root replacement

Cardiac catheterisation

Cardiac catheterisation is a procedure in which a long, flexible tube (catheter) is introduced into a blood vessel (generally in the leg) and is guided towards the inside of the heart. This gives detailed information about the internal cardiac structures. Cardiac catheterisation can be recommended to diagnose a problem or used as a treatment.

In paediatrics, catheterisation can be done for the following reasons:

  • Precise definition of the anatomy of the heart in the context of a congenital cardiopathy.
  • Obtaining heart tissue samples for biopsies.
  • Opening the atrial septum in congenital cardiopathies.
  • Placing mesh devices that close small holes inside the heart (such as the atrial or ventricular septal defect).
  • Intentional stoppage of blood flow in a vessel.
  • Placing a stent (wire and mesh device) in stenosed arteries to keep them open.

There may be other reasons why the doctor recommends cardiac catheterisation for your child. Cardiac catheterisation can be done in children of all ages, including newborn babies.

Adult Congenital Heart Surgery

The Adult Congenital Cardiopathies Unit is a specialist unit made up of paediatric and adult cardiologists and surgeons who are dedicated to the follow-up and integral care of patients with congenital cardiopathies.

Congenital cardiopathies are a series of malformations in the heart structure and/or the large vessels that are present from birth and that occur during the foetal stage. It is calculated that 85% of patients operated on during the neonatal period reach adult age with new needs which require responses.

Knowledge of the congenital pathology by our multidisciplinary team enables us to offer the best assessment, diagnosis and treatment for these adults.

The following pathologies are included in this unit, in keeping with the needs of each patient, in a personalised way:

  • Closure of atrial septal defect
  • Closure of ventricular septal defect
  • Pulmonary valve replacement
  • Aortic valve replacement
  • Mitral valve repair
  • Mitral valve replacement
  • Aortic root replacement