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Division of Cardiothoracic Surgery

Pediatric Cardiothoracic Surgery State-of-the-Art Surgical Care

Operative Results for the Pediatric Cardiac Surgery Program

OperationNumber of Patients
2009 - 2013
30-day SurvivalSurvival to Hospital Discharge
Total cases (open+closed)195899%98%
Norwood (Stage I)6395%84%
Norwood (All)7996%87%
BDG (Stage II)86100%100%
Fontan (Stage III)94100%100%
Arterial Switch +/- VSD 51100%100%
Total anomlalous pulmonary venous return (TAPVR)2696%96%
Truncus arteriosus 20100%90%
Interrupted aortic arch (IAA)7100%100%
AV Canal8698%96%
Tetralogy of Fallot97100%100%
Aortic coarctation77100%100%
Subaortic stenosis16100%100%
Atrial septal defect (ASD)79100%100%
Ventricular septal defect (VSD)102100%100%
Pulmonary valve replacement3397%97%
Aortic valve repair29100%100%
Heart Transplant2893%93%

Patients receive both preoperative and postoperative care in a dedicated Pediatric Cardiac Intensive Care Unit (PCICU). The 12-bed PCICU, completed in 2005, is a state-of-the-art facility, designed specifically for the critical care of all pediatric cardiac defects. Capabilities include complete postoperative monitoring with intracardiac lines and cerebral oximetry (NIRS), 24-hour ECMO availability, and ventricular assist device support with the Berlin Heart device. Care is delivered by a team which includes pediatric cardiology intensivists, pediatric cardiac surgeons, dedicated pediatric cardiac care nurses, respiratory therapists, and pharmacologists.

The pediatric cardiac program is located in the MUSC Children's Hospital. Built in 1987, Children's Hospital is South Carolina's largest and most comprehensive pediatric healthcare center. It is dedicated to enhancing the health of children throughout South Carolina, and to providing an environment that supports excellence in pediatric patient care, teaching and research. Child magazine consistently ranks MUSC Children's Hospital as one of the top pediatric facilities in the country.

Our pediatric cardiac program functions within the Children’s Heart Program of South Carolina. Since the earliest days of congenital heart surgery, all of the specialists caring for children with heart disease in the state of South Carolina have worked together to coordinate care and provide the best possible outcomes for our patients. Pediatric cardiology groups are based in 4 locations – Charleston, Columbia, Greenville and Florence – with outreach clinics in a variety of other statewide cities. To optimize the care of the most critical patients, all surgical and catheterization procedures are performed in the MUSC Children’s Hospital. This system allows for the highest level of care by the specialized teams, while still assuring that the majority of the patient’s care is delivered close to home. This coordinated approach is unique to our state and we are proud to work so closely with our statewide colleagues to provide it.

Our cardiac program is one of 7 centers in the Pediatric Heart Network of the National Heart Lung and Blood Institute at the NIH. Funded since 2001, this network conducts prospective, multi-institutional trials on children with heart disease.

Highlights of our pediatric cardiac program include:

  • A 99 percent 30-day survival rate for all surgical procedures from 2007-2013
  • An 86 percent discharge survival rate for the Norwood procedure for hypoplastic left heart syndrome from 2007-2013
  • Special expertise in reconstructive surgery for the correction and palliation of all forms of cardiac defects in infants, children and adolescents
  • Excellence in early complete repair during infancy
  • Surgical management of patients with congenital heart disease from premature neonate to adult
  • Aortic valve repair for aortic valve disease in children and young adults
  • Ross procedure for aortic valve replacement; valve-sparing aortic root replacement for Marfan Syndrome
  • Hybrid procedure for high-risk neonates with hypoplastic left heart syndrome and related defects
  • Single-stage unifocalization for tetralogy of Fallot with pulmonary atresia and MAPCA’s
  • One of the country’s only dedicated Pediatric Cardiac Intensive Care Units (PCICUs), the 12-bed PCICU has the latest technology and is designed specifically for the critical care of all pediatric cardiac cases, including postoperative monitoring and management
  • 24 hour Extracorporeal Membrane Oxygenator (ECMO) availability
  • Pediatric biventricular pacemaker and Automatic Implantable Cardioverter Defibrillator (AICD) therapies
  • The first implantation of the Berlin Heart Ventricular Assist Device in the Southeast
  • Use of the Heartware Ventricular Assist Device with home discharge in children
  • Heart transplant program with comprehensive heart failure treatment

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