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Medic-All Complex congenital heart Surgery Team, NTUH 〉 Pediatric Heart Disease Treatment- From the Womb to Adulthood

Pediatric Heart Disease Treatment- From the Womb to Adulthood

Pediatric Heart Disease Treatment- From the Womb to Adulthood

1.Taiwan's center for treatment and care of complex congenital heart disease 2.Infant ECMO treatment center in Asia 3.Asia-Pacific region serious heart condition care training center

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Overview
  • Surgery in congenital heart disease patients and heart valve surgery in pediatric patients, pediatric heart transplants and ECMO treatments for infants and young children
  • Implantation of pacemakers and ventricular assist devices
  • Dialysis in pediatric patients with serious conditions
  • Gene screening for long QT syndrome, fetal cardiography, cardiac and transesophageal echocardiography (3D ultrasound)
  • Cardiac atheterization
  • Correction of arrhythmia and heart failure
  • Open heart surgery and emergency care for serious conditions
Features

Survival Rates for Children Under 16 treated by ECMO by the NTU Pediatric Cardiology Team in 2010 – 2014
The table above shows the number of patients and survival rates for children under the age of 16 treated with Extra-Corporeal Membrane Oxygenation (ECMO); diagnoses include congenital heart disease, acute myocarditis, dilated cardiomyopathy, pulmonary disease or inflammation, shock from sepsis, among others; the total number of cases treated is the most in Asia, and the survival rate is also comparable to international rates.

Survival rate for underweight babies with congenital heart disease is comparable to that in the US
Dr. Shu-jian Huang, now assistant professor at the National Taiwan University School of Medicine and director of the ICU for pediatric surgery at the National Taiwan University Hospital once used risk adjustment for congenital heart surgery (RACHS) to compare the rates of death for underweight infants (birthweights under 2,500 grams) with congenital heart disease between the Society of Thoracic Surgery (STS) and National Taiwan University Hospital. He found that for comparably intractable disease the rate of death was approximately the same, showing that the quality of care and treatment at NTU Hospital is comparable to the rest of the world.


Ref: NTUH 2008-1 ~2014-7 1  Risk stratification and outcome of cardiac surgery for patients with body weight <2 ,500g in an Asian center.Chen JW, Chen YS, Chang CI, Chiu IS, Chou NK, Huang HH, Huang CH, Huang SC.Circ J. 2014;78(2):393-8.


Appropriate use of screening for acute congenital heart disease in infants is beneficial for the timely care of the infant, and for providing effective early diagnosis and early treatment. The team at NTU Hospital has continued to make new and better advancements in the diagnosis and treatment of congenital heart disease, and their efforts have shown in the ever-increasing performance of the team, which is in pace with the rest of the world.




Table: October 30, 2008—Moves from pediatrics ward to pediatrics care building. November 29—Moves to pediatric surgery, surgery room use
Service Procedure
Team-member Dr. Jin-Chung Shih discovered in an ultrasound at about 16 weeks in one pregnancy that the fetus presented signs of congenital heart disease. Shih had the expecting mother moved to the Department of Medical Genetics for an amniocentesis and a gene chip analysis to confirm whether or not there were relevant pathologies in the chromosomes or genes. Afterward, she was transferred to the heritable disease counselor for education and support. Then, the pediatric cardiology counselor gave advice on post-delivery care and a likely logn-term prognosis; she then spoke with pediatric cardiac surgeons to discuss the possibility of post-delivery surgery, as well as the related success rates and possible complications. After 2 to 3 weeks, she returned for another checkup where she spoke with the doctors again about pre-delivery care and plans for the birth.
Notification
  1. Procedural surgery, family counseling
  2. At home treatment, education, and recovery
  3. Use of societal resources, family support groups
Estimated Cost
(Prices listed below are for reference. Actual cost may be according to the real expense during the hospitalization.)
Approx. 40,000 to 200,000 USD
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