With our reputation for advanced cardiovascular medicine, renowned physicians and compassionate care, KIMS' Paediatric Cardiac Services cater to the needs of young patients and their families from near and far. The medical staff work together to provide a full range of cardiovascular services—all specially designed for children. Our treatments include:
Management of congenital heart disease, including cardiac catheterization for newborns and in the fetus, including on-site cardiology support during delivery and genetic counseling
Treatment for childhood-acquired cardiovascular diseases, including myocarditis, Kawasaki's disease, rheumatic heart disease and other connective tissue disorders.
Treatment for persistently hypoxemic babies or children not responding to full ventilatory support, including:
Nitric Oxide Treatment:
A state-of-the-art therapy to correct pulmonary hypertension in children with severe respiratory failure, as well as meconium aspiration and persistent pulmonary hypertension in newborns.
Extracorporeal membrane oxygenation (ECMO):
For temporary heart-lung support.
- Echocardiography, including routine transthoracic echocardiography, transesophageal echocardiography (TEE), fetal echocardiography, dobutamine stress echocardiography, echo-guided balloon atrial septostomy and echo-guided pericardiocentesis.
- Exercise stress testing, including routine treadmill stress tests (using Paediatric or Bruce protocols) and stress with myocardial perfusion imaging.
- Evaluations of presyncope/syncope (for neurocardiogenic syncope), including tilt test with or without Isuprel infusion, and Holter EKG or cardiac event recorder, if necessary.
- Cardiac electrophysiologic procedures (for arrhythmia), including transesophagealelectrophysiologic study, intracardiacelectrophysiologic study, pacemaker surveillance and programming, radiofrequency catheter ablation of arrhythmia- inducing tissues for the treatment of supraventricular/ventricular arrhythmias and transvenous cardiac pacemaker implantation.
- Cardiac catheterization procedures, conducted in a state-of-the-art biplane "cine-less" cardiac catheterization lab to reduce radiation exposure for the patient and physician include routine right/left heart diagnostic procedures and special or interventional procedures, including:
- Valvulotomy for pulmonary or aortic stenosis
- Stents to correct stenotic vessels
- Coil embolization of ductusarteriosus or AV fistulae
- Balloon or blade atrial septostomy
- Closure of atrial septal defects
- Routine diagnostic procedures, such as EKG and chemistries, are also provided at our network of satellite facilities and outpatient clinics.
- Neonatal Cardiac Surgery The procedure has newborns with complex lesions, such as hypoplastic left heart syndrome, and various types of transposition of the great arteries are routinely treated. Primary repair is usually performed to avoid multiple procedures, regardless of weight and age. Early and accurate diagnosis before the baby is born contributes to the excellent surgical results.
- Surgery for complex lesions in children beyond infancy includes innovative approaches that aim at giving the child a long- lasting cure, at reducing further surgical intervention and at providing a normal lifestyle.
- Support of the failing heart and lung with Extracorporeal Membrane Oxygenation (ECMO) is used when other therapies have failed. It allows the heart and lung to recover from acute failure, or prepares the patient for cardiac transplantation, which is available as an alternative treatment whenever it is needed.
- Surgery, in conjunction with highly specialized cardiac electrophysiologic procedures for abnormal heart rhythm, supplements the excellent medical therapies available.