Most of the congenital heart diseases need to be operated. After establishing the diagnosis the cardiologist could most likely ascertain that the disorder would recuperate spontaneously, needed to be treated by a heart catheter intervention or a cardiac operation must be executed in order to restore the health of the patient.
At our clinic we offer undisturbed conditions for the parents in order to have the sufficient time to get acquainted with all the necessary details and information on their child’s expectable heart operation. Dr. Sándor Mihályi, chief medical officer, having wide experience and practice in pediatric heart surgery is ready to answer all questions of the parents comprehensively in the course of his consultation and counseling.
What are the diseases which - in order to heal the child – lead to cardiac operation?
The most frequent maladies (including but not limited to) are:
- certain cases of atrial septal defects
- ventricular septal defects
- atrioventicular septal defects
- Fallot tetralogy
- pulmonary atresia
- large vessel transposition
- pulmonary vein transposition
- truncus arteriosus communis
- aortal arch defects
- coarctatio aortae
- most cases of heart valve defects
- different forms of univentricular heart
- coronary artery diseases
- serious cases of cardiac failure
- complex development anomalies of the heart and large vessels
- certain cases of cardiac disrhytmia
To establish the type and the time of the necessary cardiac operation it requires a decision on an individual basis for all patients. If on the basis of the outcome of the consultation with the pediatric cardiologist a cardiac surgery is needed it is advised in any case to consult with a cardiac surgeon as well.
Consultation may have basically four ways:
- if the cardiac development anomaly was diagnosed in the embryonic age, the pregnant mother may get acquainted with the different treatment options to be executed after the birth of the baby; in this case the cardiac surgeon outlines the eligible curing strategies and the possible life expectancy but not the details of a concrete operation yet
- if the cardiac disease is diagnosed in the newborn, infant or childhood age and the cardiologist renders the operation possible, an informatory consultation is required where details of the expected surgery (or if needed surgeries) and particulars of the long term life expectancy are given to the parents
- should an adequate operation scheme has already been prepared and possibly the time of the surgery has already been fixed there is an opportunity to consult with the cardiac surgeon every particularities of the coming operation; it is advisable to come to this type of consultation with already formulated questions during which the cardiac surgeon intends to give exact and precise answers for all the questions – even if they look banal – since this coming intervention would basically influence the recovery and the life of the child; this consultation gives the parents a good opportunity to discuss all the questions relating to the operation
- relatives could get information on the further life expectancy including the relating aspects of the later-adult-age of children and adolescents having a prior heart operation; this consultation has a particular importance in cases when there is a probability of further cardiac operations
Speaking about congenital heart diseases, complex heart anomalies, transplantations or implantation of an artificial heart parents could discuss the details of the heart operation and could get customized information, which may improve the recovery of the child, with the cardiac surgeon of our clinic in the course of the pediatric heart surgery consultation.