Pediatric Cardiovascular Treatment and Procedures
The Heart Institute at Nicklaus Children's Hospital offers the most advanced techniques for the surgical management of pediatric cardiovascular problems. Bringing together a select group of world-renowned cardiologists and cardiovascular surgeons whose teamwork has contributed to the development of many new treatments and surgical techniques including minimally invasive management of pediatric congenital heart Disease.
Post operative and follow-up care is streamlined by using an integrated computer database management system. All patients are supported as needed by Nicklaus Children's caring, dedicated Pediatric CICU team.
By providing the kind of personal care which puts each child at the center of a team medical effort, the Nicklaus Children's Hospital Heart Institute has worked miracles for critically ill children and provided calming relief to distressed families.
Advanced Cardiac Services Include:
Amplatzer Piccolo Occluder
The Amplatzer Piccolo Occluder is a treatment for the congenital heart defect known as patent ductus arteriosus (PDA).
Anomalous Coronary Artery Repair
Anomalous coronary artery repair is a surgery performed to repair a heart problem known as anomalous left coronary artery arising from the pulmonary artery.
Aortic Valve Replacement
Aortic valve replacement is a surgery to remove and replace the heart’s aortic valve. This may be needed if the valve leaks (aortic regurgitation) or has a narrow opening (aortic stenosis).
Atrial Septal Defect Repair
Your child may need atrial septal defect (ASD) repair if they have a hole between the two upper chambers of their heart. During ASD surgery, the physician sews a patch into the heart to close the hole.
Balloon and Stent Angioplasty
Balloon angioplasty is a non-surgical procedure used to restore the flow of blood through blocked or narrow vessels. It is performed using a catheter, is less invasive than surgery, and in some instances more effective, such as in vessels that cannot be easily reached by the surgeon.
Balloon Angioplasty and Stent Angioplasty for Coarctation of the Aorta
When feasible, a balloon angioplasty with or without stent angioplasty is a medical procedure that can help restore the flow of blood to the lower extremities.
Balloon valvuloplasty is a medical procedure that is used to try to correct a heart valve that is either stiff or narrow by using a balloon to widen the valve opening.
Bidirectional Glenn Procedure
Bidirectional Glenn procedure is one in a series of surgeries performed to get a sufficient amount of blood to the lungs. It is needed when one of the heart’s ventricles doesn’t work well.
A variety of surgical procedures which aim to repair or reconstruct congenital heart defects. Our team has developed innovative and minimally invasive techniques with outstanding surgical outcomes.
Coarctation of the aorta is a when a portion or segment of the aorta is narrowed and restricts the flow of blood to the body. Coarctation repair is a surgery performed to repair the aorta.
Complete Atrioventricular Canal Repair
A complete atrioventricular canal defect is a birth defect in which the heart doesn’t develop properly. It’s characterized by a hole in the center of the heart that allows blood from all four chambers to mix and not flow through the heart properly. Complete atrioventricular (AV) canal repair is a surgery to fix this defect.
Device implants refers to the medical procedure required to implant a device that regulates and/or monitors the heart rate and rhythm.
Diaphragm plication is a surgical procedure to lower and repair the diaphragm.
Extracorporeal Membrane Oxygenation (ECMO) Therapy
Extracorporeal membrane oxygenation therapy is an emergency medical treatment for very ill babies/children who often need a heart and/or lung support. It involves circulating blood out of the body, through an artificial lung for oxygenation and back into the body.
Fontan procedure is a heart surgery used to correct single ventricle type heart defects in children.
Heart catheterization is a medical procedure that determines how well your heart is working.
Heart Valve Replacement Surgery
Heart valve surgery is used to repair or replace damaged or diseased heart valves. A common precursor to heart valve surgery is heart valve disease, which happens when a heart valve does not close completely, which can cause blood to flow backwards, limit blood flowing forward, cause chest pains, shortness of breath, fainting, or heart failure.
Interrupted aortic arch repair
Interrupted aortic arch repair is a surgical procedure to fix interrupted aortic arch (IAA). IAA is a heart defect in which the aorta is incomplete.
Ligation of collateral vessels
Collateral vessels are abnormally large blood vessels that connect the aorta to the pulmonary artery, and are usually associated with a congenital abnormality of the heart. The process of closing these collateral vessels off is called ligation of collateral vessels.
Loop Recorder Implantation
A loop recorder is a device that measures the heart’s electrical activity. It activates if the heart rate gets too low or too high and begins to record the heart rate.
Norwood procedure is a cutting-edge three-step surgery that corrects HLHS with a good success rate.
Pacemaker and Automatic Implantable Cardioverter-Defibrillator Therapy (AICD)
A pacemaker and implanted internal defibrillator are devices implanted in the chest to control the heart rate. A pacemaker keeps the heart rate steady with electrical pulses if you have arrhythmia, the implanted internal defibrillator shocks the heart when the rhythm becomes dangerous.
Partial anomalous pulmonary venous return (PAPVR) is a heart defect that is sometimes present at birth, in which one or two of the pulmonary veins of the heart drain blood into the right atrium instead of the left atrium. PAPVR repair is a surgery performed to fix the problem.
Patent Ductus Arteriosus Ligation
Patent ductus arteriosus (PDA) is a heart defect that’s present at birth. PDA ligation is a procedure to repair this problem.
Pediatric Pacemaker Implantation
A child may need a pediatric pacemaker if he or she has an abnormal heartbeat.
The body’s heart is enclosed in a protective covering called a sac. The sac has two layers with fluid between them that reduce friction as the heart beats. When too much fluid builds up between the layers, this can cause a variety of problems. Pericardial window is a procedure to remove this excess fluid.
Pulmonary Artery Catheterization
Pulmonary artery catheterization is a procedure where a long thin flexible tube called a catheter is inserted into a blood vein in the groin area of a leg and guided into the right side of the heart to the pulmonary arteries. It is done to diagnose or treat a number of heart conditions.
Pulmonary Heart Valve Replacement with the SAPIEN™
The Edwards Lifesciences SAPIEN™ transcatheter heart valve replaces a leaky or narrow pulmonary valve. The implant itself is made from a portion of a cow’s vein, and has a wire frame for support.
Pulmonary Valve Replacement with the Harmony Transcatheter Valve
The Harmony Transcatheter Pulmonary Valve is the first FDA-approved valve that offers older children and adults in need of pulmonary valve replacement.
Radiofrequency energy to treat heart rhythm abnormalities and disturbances.
Radiofrequency energy refers to the use of special electricity or radio waves to disrupt the abnormal electrical activity of heart muscle.
Right Ventricular Outflow Tract Reconstruction
RVOT reconstruction is a surgical repair of the RVOT. Frequently, a pulmonary valve will also need to be replaced as part of the reconstruction of the heart.
Ross procedure is a surgery to repair a damaged aortic valve. The aortic valve is responsible for pumping blood from the heart out to the body.
Ross-Konno procedure is a surgery to repair a damaged aortic valve. The aortic valve is responsible for pumping blood from the heart out to the body. The left ventricular outflow tract is also enlarged as part of the Ross-Konno procedure.
Standard balloon angioplasty and cutting balloon angioplasty
Angioplasty is a medical procedure that’s used to open up narrow or blocked arteries or other blood vessels. Standard balloon angioplasty and cutting balloon angioplasty are two unique variations of angioplasty that are used for different problems and patients.
Subaortic Membrane Resection
Subaortic membrane resection is a surgery that’s used to repair a medical condition known as subaortic stenosis. With subaortic stenosis, the area just below the aortic valve of the left ventricle is obstructed or narrowed often by excess tissue, which reduces the flow of blood to the body.
Tetralogy of Fallot Repair
Tetralogy of Fallot (TOF) is a heart defect present at birth. TOF consists of four different heart abnormalities: a ventricular septal defect, overriding aorta, pulmonary stenosis and right ventricular hypertrophy.
Thrombolysis is a treatment that can break up blood clots lodged in veins. Doing so can prevent the clots from potentially causing heart attacks or strokes later on.
Total Anomalous Pulmonary Venous Return Repair
Total anomalous pulmonary venous return (TAPVR) is a heart defect sometimes present at birth. With it, the four pulmonary veins that are supposed to bring blood from the lungs to the left atrium of the heart instead bring it to the right atrium. TAPVR repair is a surgery to correct the defect.
Transcatheter and Hybrid Ventricular Septal Defect Closure
A ventricular septal defect (VSD) is an opening in the heart between the left and right ventricles that should not be there. It is one of the most common heart-related birth defects. Transcatheter ventricular septal defect closure is a potential method to fix the problem (close the hole) in some specific types of VSDs.
Transcatheter Atrial Septal Defect Device Closure
Transcatheter atrial septal defect device closure is a minimally invasive solution for ASD that is as effective as open heart surgery.
Transcatheter Patent Ductus Arteriosus Closure
Transcatheter patent ductus arteriosus closure is a method of correcting PDA without the need for a surgical procedure and avoiding a scar on the chest/back.
Truncus repair is an open heart surgery that is performed in the first few weeks of life after the infant is maximally stabilized.
Ventricular pacing refers to the electrical stimulation provided to the ventricles of the heart by a pacemaker. It’s intended to regulate the heart rate in individuals with abnormally slow heart rhythm.