Clinics and services

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Cardiovascular surgery

Pediatric cardiac surgery consists of carrying out procedures that correct malformations of the heart structure present at birth, which cause alterations in its functioning.

The medical-surgical team treats heart defects of any degree of complexity in newborns, preschoolers, schoolchildren, and adolescents. Compared with adult surgery, heart repair in children represents an additional challenge. It requires specific and highly specialized training for medical and nursing staff, and the use of very particular techniques, with state-of-the-art technology.

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Rectangulo-873

Pediatric cardiac surgery consists of carrying out procedures that correct malformations of the heart structure present at birth, which cause alterations in its functioning.

The medical-surgical team treats heart defects of any degree of complexity in newborns, preschoolers, schoolchildren, and adolescents. Compared with adult surgery, heart repair in children represents an additional challenge. It requires specific and highly specialized training for medical and nursing staff, and the use of very particular techniques, with state-of-the-art technology.

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Why choose the Pediatric Heart Center for your daughter or son’s surgery?

The Pediatric Heart Center (PHC) has two highly trained pediatric cardiovascular surgeons to surgically treat any congenital or acquired heart disease. The experience generated during 20 years in the care of these diseases, initially at the National Institute of Pediatrics and, later, since 2012 with the creation of our unit at Centro Médico ABC and the constant academic and care exchange generated through the years with the Texas Children’s Hospital, has allowed the surgical group to position itself as a leader in this field in Mexico. With global mortality below 3% since the creation of the PHC, our results are comparable to those of the best centers in the world.

abc-por-que-escoger-el-centro-pediatrico

Why choose the Pediatric Heart Center for your daughter or son’s surgery?

The Pediatric Heart Center (PHC) has two highly trained pediatric cardiovascular surgeons to surgically treat any congenital or acquired heart disease. The experience generated during 20 years in the care of these diseases, initially at the National Institute of Pediatrics and, later, since 2012 with the creation of our unit at Centro Médico ABC and the constant academic and care exchange generated through the years with the Texas Children’s Hospital, has allowed the surgical group to position itself as a leader in this field in Mexico. With global mortality below 3% since the creation of the PHC, our results are comparable to those of the best centers in the world.

Neonatal surgery

Currently, about 30% of congenital cardiac malformations must be treated surgically during the first month of life. At the PHC, aware of our ability to care for neonatal patients, including those with the most complex malformations or very low weight, we have strived to treat patients early, including prenatally, in order to offer them the best life expectancies. Our surgical team was a pioneer in Mexico for the successful treatment of hypoplastic left heart syndrome with the Norwood procedure, in addition to having vast experience in the management of other diseases such as transposition of the great arteries, coarctation of aorta with hypoplasia of the aortic arch, aortic arch interruption, abnormal pulmonary vein connection, and many other diseases that ideally require early surgical resolution.

Neonatal surgery

Currently, about 30% of congenital cardiac malformations must be treated surgically during the first month of life. At the PHC, aware of our ability to care for neonatal patients, including those with the most complex malformations or very low weight, we have strived to treat patients early, including prenatally, in order to offer them the best life expectancies. Our surgical team was a pioneer in Mexico for the successful treatment of hypoplastic left heart syndrome with the Norwood procedure, in addition to having vast experience in the management of other diseases such as transposition of the great arteries, coarctation of aorta with hypoplasia of the aortic arch, aortic arch interruption, abnormal pulmonary vein connection, and many other diseases that ideally require early surgical resolution.

Surgery at the right time.

Although many cardiac malformations do not have to be operated in the neonatal stage, they require early surgery. At the PHC, our patients’ surgery is performed in a timely manner and following the appropriate guidelines for the care of these diseases.

Surgery at the right time.

Although many cardiac malformations do not have to be operated in the neonatal stage, they require early surgery. At the PHC, our patients’ surgery is performed in a timely manner and following the appropriate guidelines for the care of these diseases.

Surgery in patients with “univentricular heart”

The main characteristic of approximately 10% of congenital heart malformations is that the heart, instead of having two pumps (or “ventricles”) that are responsible for sending blood to the lungs and the body respectively, have only one of them. These hearts, collectively called “univentricular” represent a group of diseases for which it is necessary to establish a surgical treatment, which requires several surgeries during the first years of life, and a close and specialized medical follow-up. The experience of our surgical group in this area is very broad, and it has made it possible to offer patients with these diseases the best quality of life possible.

Surgery in patients with “univentricular heart”

The main characteristic of approximately 10% of congenital heart malformations is that the heart, instead of having two pumps (or “ventricles”) that are responsible for sending blood to the lungs and the body respectively, have only one of them. These hearts, collectively called “univentricular” represent a group of diseases for which it is necessary to establish a surgical treatment, which requires several surgeries during the first years of life, and a close and specialized medical follow-up. The experience of our surgical group in this area is very broad, and it has made it possible to offer patients with these diseases the best quality of life possible.

Minimally invasive surgeries

There is a group of patients with certain characteristics (cardiac malformation, age, and weight) that allows correction through an incision in the right armpit. This results in an underarm scar unlike the traditional incision, which leaves a scar on the front of the chest.

Minimally invasive surgeries

There is a group of patients with certain characteristics (cardiac malformation, age, and weight) that allows correction through an incision in the right armpit. This results in an underarm scar unlike the traditional incision, which leaves a scar on the front of the chest.

Pediatric cardiac catheterization

The interventional pediatric cardiologist is in charge of the anatomical and functional study of the heart. It uses invasive diagnostic and/or treatment techniques to study the heart. Hemodynamics pay attention to all cardiac and peripheral catheterization procedures for the diagnosis and treatment of cardiovascular diseases.

  • Diagnostic catheterization
    Diagnostic cardiac catheterization is a procedure performed by a trained team of specialists that uses catheters and other flexible tools to navigate through the body’s blood vessels to the heart. Doctors obtain information about the structure of the heart and its function that complements the accurate diagnosis of a number of heart problems. Surgeons and clinical specialists gather this information to create an individualized plan for your son/daughter.
  • Therapeutic catheterization
    Currently, a significant number of heart defects can have a definitive treatment solution through cardiac catheterization. Using flexible catheters and special devices, doctors can close or open holes in the heart, repair valves, widen narrow arteries outside the heart without the need for open heart surgery in a safe and effective way. Your doctors will describe the procedure in detail, which is usually short and usually recovers within the first 24 hours after the intervention.

Pediatric cardiac catheterization

The interventional pediatric cardiologist is in charge of the anatomical and functional study of the heart. It uses invasive diagnostic and/or treatment techniques to study the heart. Hemodynamics pay attention to all cardiac and peripheral catheterization procedures for the diagnosis and treatment of cardiovascular diseases.

  • Diagnostic catheterization
    Diagnostic cardiac catheterization is a procedure performed by a trained team of specialists that uses catheters and other flexible tools to navigate through the body’s blood vessels to the heart. Doctors obtain information about the structure of the heart and its function that complements the accurate diagnosis of a number of heart problems. Surgeons and clinical specialists gather this information to create an individualized plan for your son/daughter.
  • Therapeutic catheterization
    Currently, a significant number of heart defects can have a definitive treatment solution through cardiac catheterization. Using flexible catheters and special devices, doctors can close or open holes in the heart, repair valves, widen narrow arteries outside the heart without the need for open heart surgery in a safe and effective way. Your doctors will describe the procedure in detail, which is usually short and usually recovers within the first 24 hours after the intervention.

Heart Rate

The electrophysiologist is the cardiologist in charge of studying heart rhythm disorders, whether they are tachycardias or fast rhythms (palpitations) or bradycardias or slow rhythms. With the established diagnosis, different treatment options are offered which can be invasive, implantable devices or drugs. We have different specialized clinics to offer specific follow-up for each case.

Arrhythmia and pacemaker clinic
In the arrhythmia clinic, patients who manifest palpitations, heart rate abnormalities or documented tachycardias are cared for in order to identify the type of disease they have and its definitive treatment, either with drugs, invasive intervention, or placement of a stimulation device.

In the pacemaker clinic, the cardiac pacing devices and defibrillators are checked to optimize and individualize their function according to the patient’s needs and also to identify the useful life of the device to change it when necessary.

Faint clinic
It is the study of patients who have dizzy spells or fainting with the aim of identifying its cause and assessing the degree of risk of the disease as well as its specific treatment.

Stress tests.
It is the assessment of the heart rate, pressure, and functional capacity of the child when it undergoes an exercise test, the most common is walking or running on a treadmill. This test is used to assess the beginning or end of cardiac arrhythmias or exercise tolerance in children with heart disease.

Sports clinic
It is the comprehensive assessment (anatomical and functional) of healthy children who intend to perform sports, including high performance, or children with heart conditions that require starting physical activity.

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Pediatric Cardiology Clinic

Consultation specialized in pediatric cardiology consists of the diagnosis and treatment of heart problems in children and adolescents, which include:

Congenital heart disease: abnormalities in heart structure and function that are present from birth, involving the heart and large vessels. This consultation should be given by a medical specialist with training in pediatrics and pediatric cardiology, since these diseases are very different from those presented in adults.

Acquired heart disease care we treat heart injuries due to systemic diseases during childhood, such as rheumatic fever or Kawasaki disease among others.

Univentricular Heart Program: this program allows adequate monitoring of patients with univentricular heart disease, from the initial stage of diagnosis, and during the process that involves correction in the neonatal stage, the Glenn and Fontan surgery. This has made it possible to identify, in a timely manner, if there are any complications and solve them in a multidisciplinary way.

Pediatric Cardio-Oncology: advances in the treatment of child cancer have achieved an improvement in the cure and survival rate. However, drugs that cure cancer can have an impact on the heart. Prompt diagnosis and treatment of these effects can prevent irreversible damage. Pediatric cardio-oncology care and follow-up is given in children or adolescents with cancer who:

  • Will receive or have received chemotherapy that can affect the heart.
  • Will receive or have received radiation therapy to the chest.
  • Will undergo hematopoietic stem cell transplantation.
hospital-abc-clinica-de-cardiologia-pediatrica-movil

Pediatric Cardiology Clinic

Consultation specialized in pediatric cardiology consists of the diagnosis and treatment of heart problems in children and adolescents, which include:

Congenital heart disease: abnormalities in heart structure and function that are present from birth, involving the heart and large vessels. This consultation should be given by a medical specialist with training in pediatrics and pediatric cardiology, since these diseases are very different from those presented in adults.

Acquired heart disease care we treat heart injuries due to systemic diseases during childhood, such as rheumatic fever or Kawasaki disease among others.

Univentricular Heart Program: this program allows adequate monitoring of patients with univentricular heart disease, from the initial stage of diagnosis, and during the process that involves correction in the neonatal stage, the Glenn and Fontan surgery. This has made it possible to identify, in a timely manner, if there are any complications and solve them in a multidisciplinary way.

Pediatric Cardio-Oncology: advances in the treatment of child cancer have achieved an improvement in the cure and survival rate. However, drugs that cure cancer can have an impact on the heart. Prompt diagnosis and treatment of these effects can prevent irreversible damage. Pediatric cardio-oncology care and follow-up is given in children or adolescents with cancer who:

  • Will receive or have received chemotherapy that can affect the heart.
  • Will receive or have received radiation therapy to the chest.
  • Will undergo hematopoietic stem cell transplantation.

Diagnostic imaging

Congenital heart defects comprise a wide spectrum of heart malformations, which can be very simple or complex defects. The primary imaging tools are chest radiography and echocardiography. When the morphology and function of heart disease need to be better defined, pediatric cardiologists use other imaging methods with higher resolution, which are classified as invasive (cardiac catheterization) and non-invasive (MRI and computed tomography).
Computed tomography is a technique that uses a computer to create cross-sectional images of the heart. The images are taken in the imager which is a large tube-shaped x-ray machine where the child is put in and radiographic images are obtained as if they were slides or slices, a contrast agent may be administered to view the vessels and heart chambers (angiotomography). Later, from these images, the computer allows us to reconstruct a detailed representation of the heart, even in 3D.
MRI is an imaging test that allows you to obtain clear images of the heart without the need for a catheterization procedure and without using radiation. The imager is very similar to the tomography, it has the shape of a long and narrow tube where the child is put in and is surrounded by a magnetic field that interacts with the elements of its body, most of which has a magnetic charge. The magnetic signals it produces are read by a computer and converted into an image that can be viewed on a screen. In this study, a contrast agent can also be administered to enhance the vessels (angiography) and better define the cardiac structures, it is a useful study to evaluate cardiac function and define deep structures.

  • Pediatric echocardiogram:
    we have everything necessary to perform studies through sound waves to create images of the heart. With these images, the specialist identifies and diagnoses the patient’s disease, and proposes the treatment to be followed. The echocardiographer cardiologist works hand in hand with the cardiovascular surgeon before and during the intervention and will be in the know while your child remains in the PCICU.
  • Fetal echocardiography: Most congenital heart malformations can be detected in the fetal stage. The fetal echocardiogram allows to provide an accurate diagnosis to guide the appropriate treatment for each patient at the time of birth or during the first months of life, if necessary.
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Pediatric cardiovascular intensive care unit (PCICU)

It is an area where girls and boys with heart problems are given specialized care and management, as well as constant monitoring of their vital signs and the function of their organs. In this area, trained medical and paramedical personnel are involved to take care of the patient immediately after the intervention. This medical staff, highly specialized and trained in pediatric cardiovascular care, will be present 24 hours a day, for as long as the patient requires the care offered at the PCICU.

The doctor who takes care of patients in this area is highly trained, has updated and detailed information on management before and after the surgery, as well as situations that can put them at risk and appear in the first hours and during the patient’s stay in intensive care. Also, the area’s staff has specific data on the medical management granted in the unit to reduce the risks associated with the procedure performed and/or problems with the heart and other organs. It will carefully follow the evolution of the patient’s health, and it will keep it stable so that it improves day by day.

We also have nursing staff specialized in pediatric cardiovascular care. They are nurses trained to care for girls and boys. In addition, they have a special preparation for the care of the heart of patients and their other organs. They have the knowledge to support and assist parents before, during and after the procedure.

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Pediatric cardiovascular intensive care unit (PCICU)

It is an area where girls and boys with heart problems are given specialized care and management, as well as constant monitoring of their vital signs and the function of their organs. In this area, trained medical and paramedical personnel are involved to take care of the patient immediately after the intervention. This medical staff, highly specialized and trained in pediatric cardiovascular care, will be present 24 hours a day, for as long as the patient requires the care offered at the PCICU.

The doctor who takes care of patients in this area is highly trained, has updated and detailed information on management before and after the surgery, as well as situations that can put them at risk and appear in the first hours and during the patient’s stay in intensive care. Also, the area’s staff has specific data on the medical management granted in the unit to reduce the risks associated with the procedure performed and/or problems with the heart and other organs. It will carefully follow the evolution of the patient’s health, and it will keep it stable so that it improves day by day.

We also have nursing staff specialized in pediatric cardiovascular care. They are nurses trained to care for girls and boys. In addition, they have a special preparation for the care of the heart of patients and their other organs. They have the knowledge to support and assist parents before, during and after the procedure.

Pediatric Intermediate Cardiovascular Care Unit

It is an area where patients continue to be monitored by the aforementioned personnel, once their health begins to improve they require intermittent monitoring of their vital signs and the functioning of their organs. In this area, parents remain by their children side, despite continuing with the referred monitoring.

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Pediatric Intermediate Cardiovascular Care Unit

It is an area where patients continue to be monitored by the aforementioned personnel, once their health begins to improve they require intermittent monitoring of their vital signs and the functioning of their organs. In this area, parents remain by their children side, despite continuing with the referred monitoring.

ECMO

At the Pediatric Heart Center, we have a series of support therapies that are used to help the pediatric heart operated patient to recover, such as the use of oxygen, mechanical ventilation, medications for cardiac support, etc. But when there is extremely severe organ failure, these organs cannot work satisfactorily (heart failure or respiratory failure) despite the use of the above-mentioned therapies or are excessively supported that can be detrimental to the patient’s health. In these cases, you can use ECMO: Extracorporeal membrane oxygenation.

The ECMO system is a team that substitutes the functions of the patient’s heart and lungs to help the inflammation of the organs to subside and to recover. Specifically, ECMO is considered a rescue technique for those patients who present severe deterioration in the functioning of the organs, secondary to certain diseases, since when this therapy is not available, the percentage of a fatal outcome increases dramatically.  Although it is important to note that not all patients are candidates for ECMO and an evaluation of each case is necessary by the team of doctors who work at the Pediatric Heart Center.

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Cardiovascular anesthesiology and pediatric cardiopulmonary bypass

The pediatric cardiovascular anesthesiologist is a specialist who requires several years of preparation to care for patients with congenital heart disease in ages ranging from the neonatal stage (hours after birth) to adolescence; however, it must also optimally manage adult patients with congenital heart disease.
They have multidisciplinary training in order to care for sick people who will undergo not only surgery, but also electrophysiological procedures, cardiac catheterization, cardiology (transesophageal echocardiography) and diagnostic imaging (tomography or magnetic resonance imaging).

They must have extensive knowledge of pediatric extracorporeal technology (cardiopulmonary bypass, ECMO, among others), and they must also have extensive knowledge of non-cardiac surgery in patients who still have congenital heart disease or, when it has already been performed a partial or total correction and requires any other type of surgery (eg: abdomen, trauma, orthopedics, etc.). All of our specialists have had extensive training in pediatric cardiovascular anesthesia, they even have experience acquired abroad.

Pediatric cardiopulmonary bypass technology helps to perform highly complex procedures and our team has personnel trained in keeping all vital organs in optimal condition during cardiac surgery, especially in pediatric patients. The specialists have experience in the management of very young patients (newborns) and also have experience (from visits abroad) in other extracorporeal technologies in children such as: extracorporeal membrane oxygenation (ECMO) or ventricular support. The surgery triangle (or cardiology, interventionism, intensive care, or imaging) -anesthesia-perfusion, interacts very closely for the benefit of our patients.

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Follow-up and discharge

Once the critical phase has passed, patients are discharged from intensive care and return to the hospital room where monitoring decreases. From this moment until discharge from the hospital, parents will have greater interaction with their operated child and will actively help in its recovery. Some children will need to continue medication at home. The team will give instructions on physical activity and wound care.

Why choose our Pediatric Heart Center ?

  • Cardiovascular surgery
  • Neonatal surgery
  • Minimally invasive surgeries
  • Pediatric cardiac catheterization
  • Heart Rate
  • Pediatric Cardiology Clinic
  • Pediatric cardiovascular intensive care unit (PCICU)
  • Pediatric Intermediate Cardiovascular Care Unit
  • Cardiovascular anesthesiology and pediatric cardiopulmonary bypass

Our
Locations

At ABC Medical Center, we are prepared to serve you in out two Campuses 24/24h, 7 days a week.

Campus Observatorio

Sur 136 No. 116, Col. Las Américas,
Álvaro Obregón, 01120, Cd. de México.

Tel. 55 5230 8000

Campus Santa Fe

Av. Carlos Graef Fernández 154, Col. Santa Fe,
Cuajimalpa, 05300, Cd. de México.

Tel. 55 1103 1600