Pediatric Cardiac Sciences

Overview of Specialty

The Department of Pediatric Cardiac Sciences at Yashoda Medicity and Yashoda Super Speciality Hospital, Kaushambi offers comprehensive care for children with heart diseases, from prenatal diagnosis to adulthood follow-up. Pediatric cardiology focuses on understanding the anatomy and function of the normal heart, as well as detecting and treating abnormalities that develop before or after birth.

With congenital heart disease affecting 8–10 per 1,000 live births and 30–50% of these requiring intervention within the first year, our department addresses an urgent need for quality, affordable, and accessible care.

Our multidisciplinary team, comprising pediatric cardiologists, cardiac surgeons, and critical care specialists, works in harmony to provide seamless preoperative, intraoperative, and postoperative care. Leveraging medical, surgical, and non-surgical (percutaneous) interventions, we aim to ensure that children with heart disease not only survive but thrive, with 75% of children with critical heart disease now able to live healthy lives thanks to modern advances.

Services Available

Pediatric Cardiology Services

Our paediatric cardiology unit provides comprehensive care for children with heart conditions, beginning as early as the fetal stage and continuing into adulthood. The team manages the full spectrum of congenital heart diseases as well as acquired conditions such as rheumatic heart disease, Kawasaki disease, MIS-C, Marfan syndrome and Long QT syndrome.

Mission

• Deliver the highest standard of medical care for children with congenital and acquired heart problems.
• Offer guidance and emotional support to families, helping them understand their child’s condition and treatment journey.
• Work closely with community physicians to promote heart health and well-being in children.

Diagnostic Services

Our diagnostic facilities are designed to provide accurate assessment across all age groups.

• Echocardiography Laboratory
  The echocardiography laboratory evaluates patients ranging from the fetus to the adult with congenital heart disease, providing high quality diagnostic services in a patient-friendly environment.
  • Transthoracic echocardiography
  • Transesophageal echocardiography
  • Intraoperative echocardiography (epicardial and transesophageal) to support surgical procedures
• Advanced Imaging
  • 3D echocardiography
  • Multi-slice CT scan
  • Cardiac MRI
• Fetal Echocardiography and Prenatal Counselling
  A detailed ultrasound of the fetal heart, usually done between 18–22 weeks of pregnancy, helps detect structural or rhythm abnormalities early. This enables counselling for parents, planning of delivery at the right centre, and immediate treatment if required.
• Cardiac Catheterization
  • Diagnostic procedures including angiography for detailed heart evaluation
  • Interventional procedures that avoid open-heart surgery in selected cases:
    • Closure of atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA), coronary artery fistula, pulmonary AV malformation and aortopulmonary collaterals
    • Balloon dilatation for aortic, pulmonary and mitral valves, coarctation of aorta, and pulmonary artery narrowing
    • Balloon atrial septostomy in newborns with specific defects
    • Stenting procedures such as ductal stenting in neonates, coarctation and pulmonary artery stenting
• Fetal cardiac unit:

Prenatal diagnosis and counseling of pregnant mothers with suspected heart defects in the fetus, prenatal treatment for fetuses with cardiac rhythm disorders. 

Pediatric Cardiac Surgical Services

A full spectrum of paediatric cardiac surgeries is offered, ranging from corrective to palliative procedures.

• Open-heart procedures
  • Closure of shunt lesions such as ASD, VSD and AVSD
  • Repair of cyanotic heart diseases including Tetralogy of Fallot, Double Outlet Right Ventricle (DORV), and TAPVC
  • Complex arterial switch and double switch operations, Senning and Rastelli procedures
  • Valve repair and replacement for congenital and acquired diseases
  • Specialised surgeries such as ALCAPA repair, single-ventricle palliation (Glenn and Fontan), conduit repairs and redo surgeries
  • Surgery for Ebstein’s anomaly
• Closed-heart procedures
  • PDA ligation
  • Repair of coarctation of aorta
  • Pulmonary artery (PA) banding
  • BT shunt and vascular ring division
  • Repair of congenital diaphragmatic hernia
     

Pediatric Cardiac Intensive Care Unit (PCICU)

The PCICU is located next to the operating theatres for smooth patient transfer and immediate support.

• Equipped with advanced ventilators, monitoring systems and life-support technology
• Staffed by a dedicated team trained in managing complex paediatric heart cases, from neonates to young adults
• Provides stabilisation before surgery, post-operative care, and advanced support for critically ill children transferred from other hospitals

Adults with CHD:

• Adults with unrepaired CHD
• Adult with repaired congenital heart disease

The most rapidly growing population of patients with congenital heart disease is the adult with repaired congenital heart disease. We provide coordinated and comprehensive care for such patients.

Conditions Treated

• Congenital heart defects (ASD, VSD, PDA, AVSD, Tetralogy of Fallot, TAPVC, DORV, single ventricle physiology)
• Acquired heart diseases (rheumatic heart disease, Kawasaki disease, MIS-C)
• Cardiomyopathies and genetic syndromes (Marfan syndrome, Long QT syndrome)
• Valve disorders (stenosis, regurgitation)
• Complex and rare cardiac anomalies (Ebstein’s anomaly, ALCAPA)
• Fetal heart rhythm abnormalities detected in utero

Technologies

• State-of-the-art echocardiography lab with transthoracic, transesophageal, and intraoperative imaging
• Advanced imaging with 3D echo, cardiac MRI, and multi-slice CT scan
• Modern cardiac catheterization lab for diagnostic and interventional procedures
• Fetal cardiac unit with detailed fetal echocardiograms between 18–22 weeks for early detection and planning
• Pediatric Cardiac ICU with cutting-edge monitoring and life-support systems