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Why ZEALTHDOC?
  • We are one of the leading heart hospital in India
  • Focused on treating our patients with Care & Love
  • We Follow quality as per the JCI, NABH and NABL standards
  • We are working with the best Cardiac Surgeons of India
  • We specialize in Heart bypass surgery, Open heart bypass surgery etc.
  • We work with the best heart hospitals of India
  • Unmatched world class amenities & facilities to all our patients
Specialties
  • Pediatric Cardiac Surgery
  • Atrial Fibrillation
  • Coronary Angioplasty
  • Heart Bypass Surgery
  • Pacemaker
  • Valve Replacement
  • Coronary Angiography

Our Doctors

Dr. Ashok Seth

Director - Cardiology

Dr. Ashok Seth is the current Chairman of Fortis Escorts Heart Institute, New Delhi and Head, Cardiology Council of Fortis Group of Hospitals. His contributions in the field of Cardiology, especially Interventional Cardiology have been recognised extensively in India as well as across the world. During his career span of 26-years, he has pioneered numerous Angioplasty techniques Directional Atherectomy, Angioscopy, Stents, Thrombectomy devices and Drug Eluting Stents, use of Impella heart support device failing heart, Bioabsorbable Stents and TAVI and implemented it successfully both in India and other regions in Asia Pacific. He has performed one of the highest number of angiographies and angioplasties which has been mentioned in the 'LIMCA Book of Records'.

cardiovascular surgeon
cardilogy surgeon

Dr. T.S. Kler

Director - Cardiology

Dr. T. S. Kler is the Executive Director, Cardiac Sciences, and Head of department of Cardiology, FEHI, Delhi. In addition, Dr. Kler is a Director Arrhythmia Service, at FEHI Delhi since its inception in 1991. He performs 2000 cardiac diagnostic angiographies, around 300 angioplasties including stenting/atherectomy/rotablation every year. He established the 1st state of the art Electrophysiology department in India & was the first doctor to implant Implantable Cardioverter Defibrillator (ICD) in April 1995 in India. In May 2000 he implanted the 1st heart failure device (Biventricular Pacemaker) in South East Asia. In April 2002 he was the first doctor to implant Combo Device (Combination of ICD & Biventricular pacemaker) in South East Asia. He was the first doctor to start the Radiofrequency Ablation (RFA) programme in Sri Lanka & Bangladesh. Dr. Kler was first to implant an ICD in Punjab Institute of Cardiology, Lahore, Pakistan in March 2004. He also arranged the 1st Indo Pak Heart Summit at Amritsar, Punjab in April 10th - 11th, 2004 thus bringing the doctors of both the countries scientifically & socially together.

Dr. Upendra Kaul

Director - Cardiology

A highly recognized name, both nationally and internationally for his work in cardiovascular sciences. He is known as a passionate teacher and an astute clinician who is credited with starting the coronary angioplasty program in India and continues to bring innovative techniques in interventional cardiology to the country. He was also on the faculty of G B Pant Hospital, PGIMER Chandigarh and AIIMS where he was a Professor of cardiology. He established cardiology units at several hospitals in Government and private sector. These include C T Centre AIIMS, Batra Hospital, Fortis hospitals NOIDA, Vasant Kunj and SSIHMS at Puttaparthy, AP. Dr Kaul has trained more than 350 cardiologists and has authored more than 400 papers and written many books. He is a visiting professor to several overseas universities. He is a fellow of several prestigious societies in cardiology both nationally and internationally and has delivered many named orations. He has held the posts of President of Cardiological Society of India and SAARC Cardiac Society. Currently he is a Trustee of the SCAI, USA. Among the numerous recognitions for his contributions he has also been awarded the Dr. B. C. Roy Award and Padma Shri.

cardiothoracic surgeon
cardiac doctor

Dr. Atul Mathur

Director - Cardiology

Dr. Atul Mathur is Director Interventional Cardiology at Fortis Escort Heart Institute, New Delhi. He is a pioneer in the field of both Coronary and Vascular interventions in the Asia Pacific. Apart from complex coronary procedures he is also an expert in aortic stent grafting, carotid stenting, IVC filter placement, peripheral vascular stenting, venous interventions etc. He also performs structural heart interventions like balloon valvotomies, acquired VSD Closures and LAA appendage closures. He conducts conferences and workshops at an international level to train budding interventionists.

Pediatric heart surgery

Heart surgery in children is done to repair heart defects a child is born with (congenital heart defects) and heart diseases a child gets after birth that need surgery. The surgery is needed for the child's wellbeing.

Description

There are many kinds of heart defects. Some are minor, and others are more serious. Defects can occur inside the heart or in the large blood vessels outside the heart. Some heart defects may need surgery right after the baby is born. For others, your child may be able to safely wait for months or years to have surgery.
One surgery may be enough to repair the heart defect, but sometimes a series of procedures is needed. Three different techniques for fixing congenital defects of the heart in children are described below.

Open-heart surgery is when the surgeon uses a heart-lung bypass machine.

  • An incision is made through the breastbone (sternum) while the child is under general anesthesia (the child is asleep and pain free).
  • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.
  • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incision are then closed.

For some heart defect repairs, the incision is made on the side of the chest, between the ribs. This is called a thoracotomy. It is sometimes called closed-heart surgery. This surgery may be done using special instruments and a camera.
Another way to fix defects in the heart is to insert small tubes into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired this way.

Why the Procedure is Performed

Some heart defects need repair soon after birth. For others, it is better to wait months or years. Certain heart defects may not need to be repaired.

In general, symptoms that indicate that surgery is needed are:

  • Blue or gray skin, lips, and nail beds (cyanosis). These symptoms mean there is not enough oxygen in the blood (hypoxia).
  • Difficulty breathing because the lungs are "wet," congested, or filled with fluid (heart failure).
  • Problems with heart rate or heart rhythm (arrhythmias).
  • Poor feeding or sleeping, and lack of growth and development of the child.
Risks

Hospitals and medical centers that perform heart surgery on children have surgeons, nurses, and technicians who are specially trained to perform these surgeries. They also have staff that will take care of your child after surgery.

Risks for any surgery are:

  • Bleeding during surgery or in the days after surgery
  • Bad reactions to medicines
  • Problems breathing
  • Infection

Additional risks of heart surgery are:

  • Blood clots (thrombi)
  • Air bubbles (air emboli)
  • Pneumonia
  • Heartbeat problems (arrhythmias)
  • Heart attack
  • Stroke
Before the Procedure

If your child is talking, tell them about the surgery. If you have a preschool-aged child, tell them the day before what will happen. Say, for example, "We are going to the hospital to stay for a few days. The doctor is going to do an operation on your heart to make it work better."

If your child is older, start talking about the procedure 1 week before the surgery. You should involve the child's life specialist (someone who helps children and their families during times like major surgery) and show the child the hospital and surgical areas.

Your child may need many different tests:

  • Blood tests (complete blood count, electrolytes, clotting factors, and "cross match")
  • X-rays of the chest
  • Electrocardiogram (EKG, or ECG)
  • Echocardiogram (ECHO, or ultrasound of the heart)
  • Cardiac catheterization
  • History and physical

Always tell your child's health care provider what medicines your child is taking. Include drugs, herbs, and vitamins you bought without a prescription.

On the day of the surgery:

  • Your child will most often be asked not to drink or eat anything after midnight the night before the surgery.
  • Give your child any drugs you have been told to give with a small sip of water.
  • You will be told when to arrive at the hospital.
After the Procedure

Most children who have open-heart surgery need to stay in the intensive care unit (ICU) for 2 to 4 days right after surgery. They most often stay in the hospital for 5 to 7 more days after they leave the ICU. Stays in the intensive care unit and the hospital are often shorter for people who have closed-heart surgery.

During their time in the ICU, your child will have:

  • A tube in the airway (endotracheal tube) and a respirator to help with breathing. Your child will be kept sleeping (sedated) while on the respirator.
  • One or more small tubes in a vein (IV line) to give fluids and medicines.
  • A small tube in an artery (arterial line).
  • One or 2 chest tubes to drain air, blood, and fluid from the chest cavity.
  • A tube through the nose into the stomach (nasogastric tube) to empty the stomach and deliver medicines and feedings for several days.
  • A tube in the bladder to drain and measure the urine for several days.
  • Many electrical lines and tubes used to monitor the child.

By the time your child leaves the ICU, most of the tubes and wires will be removed. Your child will be encouraged to start many of their regular daily activities. Some children may begin eating or drinking on their own within 1 or 2 days, but others may take longer.
When your child is discharged from the hospital, parents and caregivers are taught what activities are okay for their child to do, how to care for the incision(s), and how to give medicines their child may need.
Your child needs at least several more weeks at home to recover. Talk with your provider about when your child can return to school or day care.
Your child will need follow-up visits with a cardiologist (heart doctor) every 6 to 12 months. Your child may need to take antibiotics before going to the dentist for teeth cleaning or other dental procedures, to prevent serious heart infections. Ask the cardiologist if this is necessary.

Outlook (Prognosis)

The outcome of heart surgery depends on the child's condition, the type of defect, and the type of surgery that was done. Many children recover completely and lead normal, active lives.

Alternative Names

Heart surgery - pediatric; Heart surgery for children; Acquired heart disease; Heart valve surgery - children

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FAQ's
How long will the surgery take?

The amount of time in the operating room depends upon the child's heart defect and type of surgery. Your surgeon will be able to answer this question. When the surgery is completed, your surgeon will meet with you. Parents are allowed to visit the child approximately one hour after the child's arrival in the PICU.

Where do parents wait during the surgery?

There is a large waiting area inside the hospital premises. Parents, other family, and friends may wait there. Someone from the operating room will update you during the surgery.

What about anesthesia?

There are a variety of different methods that can be used to put your child to sleep. Anesthetic plans are individualized for each patient, and you will have an opportunity to speak with the anesthesiologist prior to the surgery. Usually, children first are given a sedative by mouth to reduce their anxiety, then they may be given an inhaled medicine given through a mask. Generally, an intravenous line is started only after the child is asleep.

Will my child need a blood transfusion?

Yes, with very few exceptions, any child having heart surgery will need a blood transfusion. We encourage family and friends to donate blood for the child at the Hospital's Blood Donor Services. Every donation is fully screened.

Will I be able to stay with my child at all times, even in the Pediatric Intensive Care Unit?

Yes, we encourage a parent to stay with the child. We have cots and reclining chairs available for this purpose. the child is transferred to the Pediatric Ward, each room has a cot and a private bathroom with a shower.

What should we bring to the hospital?

We encourage parents to try to create a familiar and home-like environment for their child because we want your child’s hospital experience to be as comfortable as possible. Our Hospitals will provide all the basic necessities for the child’s hospital stay, but you are encouraged to bring any items to make your child feel more comfortable after discussing with doctor.

How long will my child be in the hospital?

Every child is different. Every day your child is here, your doctor and/or nurse will make it a priority to communicate with you about the child’s condition and progress and plan for discharge.

Who can visit?

We know it is important to keep communication consistent and open with friends and family members while your child is in the hospital, but at the same time guidelines are in place to ensure proper order and care on the patient floors. Therefore, siblings and friends are allowed during normal hospital visiting hours, which are 10 a.m. to 9 p.m. Please ask your nurse about specific visiting hours in the Intensive Care Units, which may change during seasonal community infections, such as the flu. Parents are always encouraged to visit, unless they are ill.

When will my child be able to eat?

It is very important that the child should not eat after midnight on the night before the surgery. After surgery, every child is different and it will depend upon the kind of surgery he had, but children are often ready to start eating one day after their heart surgery.

What kind of care will he need once he is home? What do we have to do when he gets home?

There will be virtually no special care needed once the child is discharged from the hospital. The surgical incision will be healing well and not need any bandages. You will be expected to wash the incision daily with soap and water. The child will be playing and eating almost normally when he goes home.

Will he be on medicines at home?

Your cardiologist will be able to answer this question. It will depend upon the child’s cardiac defect and the type of surgery he has. Often, the child will need medicine at home for one to four weeks after surgery, your cardiologist will tell you when to stop giving the medicine.

How soon can he go back to school?

Please ask your doctor. Typically, the children stay home from school for approximately six weeks.

What will the scar look like?

Every child heals differently so it is difficult to predict what the scar will look like in a few months. Approximately two weeks after surgery, you can put a cream or emollient of your choice on the healing incision. Protecting the incision from the sun with sunscreen or clothing for 6 months will reduce the appearance of the scar.

When do we have to come back to the hospital?

Your child will be seen by the nurse practitioner or the surgeon for a wound check 1-2 weeks after being discharged from the hospital. You will also see the cardiologist in 1-2 weeks and continue to follow with him or her throughout the child’s life. It is also important that your regular pediatrician sees the child soon after surgery.

Our Hospitals