Services

Services offered at LHCC

Neonatal And Pediatric Echocardiography

Echocardiograms are used in Pediatric Echocardiography which creates a moving picture of the heart using sound waves in a non-invasive test. This test is done to evaluate and diagnose many heart conditions.

There are many forms in which Echocardiography is known such as cardiac ultrasound or ultrasonography, cardiac Doppler, echo or transthoracic echocardiography (TTE). To assess the structure and function of the heart.

Device Closure –
ASD

ASDs account for 7% of all congenital heart defects. The most common ADS is a secundum defect versus defects located in the septum primum, sinus venosus defects, or unroofed coronary sinus.

Transcatheter secundum ASD Closure is indicated in patients with hemodynamically significant ASD with suitable anatomic features (Level of Evidence: B).

Device Closure – PDA

Transcatheter occlusion of PDAs with a variety of devices and innovative techniques has been reported. Transcatheter PDA occlusion is indicated for the treatment of a moderate-sized or large PDA with a left-to-right shunt that results in any of the following: Congestive heart failure, failure to thrive, pulmonary over circulation.

Diagnostic Cardiac Catheterizations

Cardiac catheterization has long served as the "gold standard" for the anatomic and physiological assessment of patients with CHD. Real-time fluoroscopy with contrast injection coupled with rapid digital angiography has provided the high-resolution images of the heart necessary for successful surgical management of these patients. The direct measurement of pressures within cardiac chambers and great vessels help to stratify patients according to risk, assists in evaluation of medical therapy, and helps to indicate a need for intervention

Fetal Echocardiography

Fetal echocardiography is a test similar to an ultrasound. This exam allows us as doctors to better see the structure and function of your unborn child’s heart. It’s typically done in the second trimester, between weeks 16 to 18.

The exam uses sound waves that “echo” off of the structures of the fetus’ heart. A machine analyzes these sound waves and creates a picture, or echocardiogram, of their heart’s interior.

Pediatric Cardiac CT & MRI Reporting

Cardiac MRI provides excellent visualization and no exposure to ionizing radiation. Its negatives include potential lack of availability, high cost, use of gadolinium-based contrast agents, time to perform, and the potential need to sedate the patient.

The advantages of cardiac CT include excellent spatial resolution and visualization of the airways, pulmonary parenchyma, bones, and soft tissues. It is also a very fast exam to perform.

Pediatric And Adult Transesophageal Echocardiography

 

TEE is the short form for Transesophageal echocardiography and it is also called as endoscopic cardiac. TEE evaluates the heart and blood vessels within the chest using a small endoscopic like cardiac ultrasound probe guided into the Transesophageal

Pediatric And adult Transesophageal Echocardiography are used to:

  •  To evaluate ASD Anatomy, Heart Defects like ASD, Post Infant, BSDs and prior to surgical intervention

Device Closure – VSD

VSDs account for =20% of all forms of CHD. The ventricular septum can be divided into 4 regions: Membranous, inlet, trabecular, and outlet. VSDs can be single in any of the mentioned regions or multiple ("Swiss Cheese") in the muscular part of the septum.

It is reasonable for infants who weigh >= 5 Kg, children, and adolescents with hemodynamically significant (left ventricular or left atrial volume overload or pulmonary-to-systemic blood flow ratio >=2:1) MVSD to undergo percutaneous VSD device closure (Level of Evidence: B)

Balloon Dilatation – BPV, BAV

Balloon valvuloplasty remains the treatment of choice for valvar pulmonary stenosis in patients of all ages. Indications for Balloon Pulmonary Valvuloplasty are similar to surgical indications, namely, symptoms or a resting gradient >= 40mm Hg with the patient sedated in the catheterization laboratory.

BAV technique is widely regarded as the therapy of first choice for children with valvar AS of sufficient severity to warrant intervention. Aortic Valvuloplasty is indicated regardless of valve gradient in the newborn with isolated critical valvar AS who is ductal dependent or in children with isolated valvar AS who have depressed left ventricular systolic function (Level of Evidence: B)

Congenital Heart Surgeries

Congenital heart disease is a general term referring to defects occurring in the heart, valves, or arteries. As there are numerous types of congenital heart disease, likewise there are numerous procedures for correcting and/or treating these defects.

Surgery becomes necessary when non-invasive procedures fail to correct a heart defect. There are two types of congenital heart surgery:

  •  Reparative congenital heart surgery: This procedure is used to correct the heart defect.
  •  Palliative congenital heart surgery: A surgical procedure that relieves pain but partially corrects the defect. It needs another surgery to correct the complete defect.

Pediatric Arrhythmia Management

Appropriate evaluation and management of arrhythmias in pediatric patients require an understanding of the presentation, clinical correlations, and unique responses of children to the various potential treatments. The primary focus of this review of arrhythmias in the pediatric population is on arrhythmias that are seen more frequently or behave differently in children than how they do in adults. We manage profoundly to have proper care of these patient.

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