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Surgery of Congenital Heart Defects in Children and Adults


Each year, about 350 operations of congenital heart defects are performed at the Clinic for Cardiac Surgery. All perioperative diagnostic and therapeutic equipment is available for a state-of-the-art treatment of all patients in all areas.


Corresponding to their age and complex condition, our patients are treated in very close cooperation with the Clinic for Paediatric Cardiology (Director: Prof. Dr. med. Matthias Gorenflo) of the University Clinics Heidelberg.


All cases with pending surgery at our clinic are discussed in detail in a weekly interdisciplinary conference where the individual indications are determined. The referring private and hospital physicians connected via a nationwide competence network (managed by Prof. Dr. H.E. Ulmer) are informed in detail about the results of such conferences, the post-operative recovery of our patients and the follow-up treatment and care. In addition, two paediatric cardiological colloquia (managed by Prof. Dr. H.E. Ulmer) take place in cooperation with the Clinic for Cardiac Surgery. Here, specific topics are treated in lectures and specific case studies are discussed for the benefit of referring colleagues.


At the University Clinics Heidelberg, the required additional special departments are available for the interdisciplinary treatment of our patients at any time ”24 hours a day / 7 days a week“. Apart from the very close cooperation with the Clinic for Paediatric Cardiology, the anaesthesiology and child surgery departments, all special departments of the paediatric clinic including the treatment of so-called premature infants, nephrology, vascular surgery, neurology and neurosurgery, paediatric radiology, genetic section, haematooncology, hygiene institute, coagulation lab, and the histopathological institute are included closely in the treatment.


This also includes so-called special ventilation and support techniques (e.g. ECMO, NO, oscillation) and endoscopic procedures as well as all technical and therapeutical options including support and assist systems.


The range of surgical treatment options of the Clinic for Cardiac Surgery in the special field of congenital heart defects in children and adults comprises the following pathological conditions:




  Range of Treatment Options – Congenital Heart Defects in Children and Adults
  • Open, complex Ductus Botalli
  • Coarctation, hypoplasia of the transversal aortic arch
  • Interrupted aortic arch
  • Aortic arch anomalies, vascular rings / vascular slings
  • Vaskular compression syndromes of the intrathoracic trachea
  • Septal defects
  • Valvular surgery
  • Inflow and outflow obstructions at the right and left ventricle
  • Univentricular heart (total cavopulmonary connection)
  • Pulmonary and system vein anomalies
  • Common artery trunk
  • Coronary anomalies (Bland-White-Garland syndrome)
  • Cardiac tumors
  • Cardiac trauma
  • Pulmonary and tracheal surgery in connection with congenital vitia
  • Transposition of the great vessels
  • Implantation of pacemaker and defibrillator systems
  • Transplantation




Within this entire range of treatment options, proven significant operating experience has been acquired in the following areas of paediatric cardiac surgery:



  • Ebstein´s malformation of tricuspid valve
  • Vascular compression syndromes of the intrathoracic trachea
  • Tracheomalacia, tracheal suspension
  • Complex intrathoracic tracheal stenoses, association with vitia
  • Intraoperative tracheo-bronchoscopy
  • Aortic arch anomalies
  • Coarctation with aortic arch hypoplasia
  • Origin anomalies of the left coronary artery (Bland-White-Garland syndrome)




For more detailed information on paediatric cardiac surgery please visit the following website: www.kinderkardiochirurgie.de



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