Advanced Pediatric Cardiac Surgery – Description

Advanced Pediatric Cardiac Surgery focuses on diagnosing and treating heart defects in newborns, infants, children, and adolescents. These procedures correct complex congenital heart conditions such as septal defects, valve abnormalities, cyanotic heart disease, and structural malformations present from birth.

The surgeries are performed by highly trained pediatric cardiac surgeons using child-friendly, minimally invasive, and technologically advanced methods. The goal is to ensure healthy heart development, improved quality of life, and long-term survival. With dedicated pediatric ICUs, advanced monitoring systems, and compassionate care teams, children receive safe, specialized, and comprehensive cardiac treatment.

 Types of Paediatric Cardiac (Congenital Heart) Surgeries

1. Shunt Procedures (for increasing lung blood flow)

🔹 BT Shunt (Blalock–Taussig Shunt)

🔹 Central Shunt

🔹 Sano Shunt

🔹 Waterston / Potts shunts (rare now)

2. ASD / VSD / PDA Surgeries

🔹 ASD Closure (device or surgical)

🔹 VSD Closure

🔹 AV Canal Defect Repair

🔹 PDA Ligation / Device Closure

3. Tetralogy of Fallot (TOF) Surgeries

🔹 Complete TOF Repair

🔹 TOF with MAPCAs repair

🔹 TOF Palliation (BT shunt)

🔹 Revision TOF surgery (Re-do)

4. Single Ventricle Pathway

🔹 Norwood Procedure (Stage I)

🔹 Glenn / Hemi-Fontan (Stage II)

🔹 Fontan Completion (Stage III)

🔹 Extracardiac Fontan / Lateral tunnel Fontan

5. Aortic Arch & Major Vessel Surgeries

🔹 Coarctation repair

🔹 Interrupted aortic arch repair

🔹 Aortic arch augmentation

🔹 Patent ductus arteriosus dependent lesions surgery

6. Great Artery Surgeries

🔹 Arterial Switch Operation (ASO) – for TGA

🔹 Rastelli Procedure

🔹 REV Procedure

🔹 Senning / Mustard procedures (for d-TGA, older approac

7. Outflow Tract Obstruction Surgeries

🔹 RVOT Reconstruction

🔹 PA plasty (pulmonary artery repair)

🔹 Ross Procedure (pulmonary autograft for aortic stenosis)

🔹 Konno Procedure (LVOT enlargement)

8. Valve Surgeries (Paediatric)

🔹 Pulmonary valve repair / replacement

🔹 Mitral valve repair / replacement

🔹 Aortic valve repair / replacement

🔹 Tricuspid valve repair

🔹 Balloon valvotomy (AS, PS)

9. Atrioventricular Septal Defect Surgeries

🔹 Partial AV Canal repair

🔹 Complete AV Canal repair

10. Anomalous Venous Return Surgeries

🔹 TAPVC Repair (supra-cardiac, infra-cardiac, mixed)

🔹 PAPVC Repair

11. Complex Cyanotic Heart Disease Surgeries

🔹 DORV repair

🔹 Tricuspid atresia surgeries

🔹 Pulmonary atresia repair

🔹 Ebstein anomaly repair (Cone repair)

🔹 Heterotaxy repair

12. Aortic / Mitral / Pulmonary Conduit Surgeries

🔹 RV-PA conduit placement

🔹 Aortic homograft / pulmonary homograft insertion

🔹 Conduit replacement surgeries (Re-do)

13. Neonatal Emergency Surgeries

🔹 TAPVC obstructed repair

🔹 Coarctation with shock repair

🔹 TGA arterial switch (early newborn)

🔹 HLHS Norwood Stage 1

🔹 Interrupted arch repair

14. Pediatric Cardiac Tumor Surgeries

🔹 Rhabdomyoma removal

🔹 Fibroma excision

🔹 Myxoma removal (rare in children)

15. Arrhythmia & Conduction Surgeries

🔹 Pacemaker implantation (epicardial)

🔹 Conduction pathway repairs (for CHB)

🔹 EPS + ablation (older children)

16. Heart Failure & Transplant

🔹 Paediatric Heart Transplant

🔹 Paediatric VAD (Berlin Heart, LVAD)

🔹 ECMO for children

17. Minimally Invasive / Hybrid Procedures

🔹 Hybrid PDA / VSD closure

🔹 Hybrid Norwood

🔹 Minimally invasive ASD sealing

🔹 Catheter + surgical combined repairs

18. Re-do Surgeries

🔹 Conduit replacement

🔹 Re-do TOF

🔹 Re-do Fontan

🔹 Re-do valve repairs