Division of CVTS

FacultyServices Projects PublicationsResearch Staff Alumni

The paediatric cardiac surgery is a separate unit functioning under the department of Cardiovascular and thoracic surgery with standalone theatre, ICU and ward, treating the full spectrum of congenital heart diseases from neonates to adults.

Facilities

We have 2 - well equipped theatres, a 9 - bed ICU, 11 - bed postoperative ward and 11 bed preoperative ward. We have state of the art facilities for performing neonatal open heart surgery.

ICU

Operation Theater

Services

We operate on a wide range of congenital heart diseases from the smallest of kids (1.5 kg) to adults with heart disease, generally we operate around 3 cases per day. Paediatric cardiac care is more demanding, kids require an intense and longer duration of care to recover in the postoperative stage. Most of the complex surgeries like Arterial switch operation, TAPVC repair, ALCAPA, AV canal defects, various univentricular repairs are done with excellent outcomes.

Publications

1. Kottayil BP, Dharan BS, Menon S, Bijulal S, Neema PK, Gopalakrishnan SK, Jayakumar K. Anomalous pulmonary venous connection to superior vena cava: Warden technique. Eur J Cardiothorac Surg. 2010 Aug 7. [Epub ahead of print]
2. Thomas Koshy, Satyajeet Misra, Prabhat Kumar Sinha, Sasidharan Baiju; A novel technique to assess aortic valve reapir before releasing the aortic cross clamp ,Journal of Cardiothoracic and Vascular Anesthesia, Volume 23, Issue 1, February 2009, Pages 79-81
3. Neema PK, Manikandan S, Ahuja A, Dharan BS, Gandhi S, Krishnamanohar SR, Rathod RC, Sohmer B, Minhaj MM. Case 4--2008: difficult weaning from cardiopulmonary bypass in the lateral position caused by lung collapse. J Cardiothorac Vasc Anesth. 2008 Aug;22(4):616-24.
4. Varma PK, Dharan BS, Ramachandran P, Neelakandhan KS. Superior vena caval aneurysm. Interact Cardiovasc Thorac Surg. 2003 Sep;2(3):331-3.
5. Radha AS, Dharan BS, Kumar RK, Rao SG. Anomalous origin of left coronary artery from right pulmonary artery in an infant with coarctation of the aorta. Ann Thorac Surg. 2004 Jul;78(1):324-6.
6. Neema PK, Sethuraman M, Krishnamanohar SR, Rathod RC. Severe hypotension and overflowing of venous reservoir at the initiation of cardiopulmonary bypass in a patient undergoing repair of ruptured sinus of Valsalva aneurysm: management issues. Interact Cardiovasc Thorac Surg. 2006 Aug;5(4):448-50. Epub 2006 May 1.
7. Neema PK, Krishnamanohar SR, Rathod RC. Tetralogy of Fallot with total anomalous pulmonary venous connection: pathophysiology and management. J Cardiothorac Vasc Anesth. 2002 Apr;16(2):211-3. PubMed PMID: 11957174.
8. Duara R, Padhi SS, Iyer AP, Parija C, Manohar SR. Convulsive syncope after bidirectional Glenn shunts: physiological implications for a neurological event. Interact Cardiovasc Thorac Surg. 2006 Oct;5(5):594-8. Epub 2006 Jun 15.
9. Purushotham S, Manohar SR, Sivasubramaniam S, Neelakandhan KS. Submitral left ventricular aneurysm: the location of the circumflex coronary artery in relation to the aneurysm influences the surgical approach and outcome. J Thorac Cardiovasc Surg. 2005 May;129(5):1175-7.
10. Varma PK, Warrier G, Ramachandran P, Neema PK, Manohar SR, Titus T, Neelakandhan KS. Partial atrioventricular canal defect with cor triatriatum sinister: report of three cases. J Thorac Cardiovasc Surg. 2004 Feb;127(2):572-3.
Anand KT, Manohar SR, Harikrishnan S, Neelakandhan KS. Right ventricular mass: a histopathological surprise. Ann Thorac Surg. 2003 Jun;75(6):1969-71. PubMed PMID: 12822652.
Gadhinglajkar SV, Shyamkrishnan KG, Sreedhar R, Sonwalkar H. Delayed thrombosis of left internal jugular vein and left subclavian vein: complication related to drainage of left superior vena cava. Interact Cardiovasc Thorac Surg. 2003 Dec;2(4):607-10.
Sadiq A, Shyamkrishnan KG, Theodore S, Gopalakrishnan S, Tharakan JM, Karunakaran J. Long-term functional assessment after correction of tetralogy of Fallot in adulthood. Ann Thorac Surg. 2007 May;83(5):1790-5.
Neema PK, Rathod RC, Shyamkrishnan KG. Intrinsic airway abnormality in 2 patients with multiple congenital defects: a chance association or an unrecognized association. J Cardiothorac Vasc Anesth. 2002 Apr;16(2):214-7.
Shyamkrishnan KG, Singh M, Tharakan JM, Dal A. A ten-year post-surgical assessment of pulmonary hypertension in adults with patent ductus arteriosus. Indian Heart J. 1996 May-Jun;48(3):249-51.
Shyamkrishnan KG, Waikar HD, Titus T. Management of severe pulmonary hypertension during surgery for congenital heart disease. Indian Heart J. 1996 Mar-Apr;48(2):159-60.
Valiathan MS, Shyamkrishnan KG, Sankarkumar R, Balakrishnan KG, Tharakan J. A correlative study of the functional class and hemodynamic status following intracardiac repair of tetralogy of Fallot. Indian Heart J. 1991 May-Jun;43(3):141-5.
Valiathan MS, Tolia JT, Shyamkrishnan KG, Sankarkumar R. Surgical treatment of cardiac myxoma. Indian Heart J. 1988 Jan-Feb;40(1):44-6.

Future directions

1. 1. To start an advanced cardiac life support systems specifically ECMO
2. 2. Nitric oxide delivery systems
3. 3. Homograft programme - to harvest heart valves from human cadavers
4. 4. To increase the clinical and research output of the unit.

Contact us

Since we have a long waiting list and the waiting period is over a year for some cases and we accomdate emergency cases into our routine list, we are at present prioritising our list of patients.

If you have any questions feel free to contact us at any of the email addresses or the following telephone numbers 04712524423 (ICU) or 04712524228 (OPD, 10AM-4PM)

Members

Paediatric CTVS was setup as separate unit in the year 2004 and was headed by Prof KG Shyamkrishnan till his retirement in 2010, the unit is now being carried forward by Dr. Baiju S Dharan. The surgical team works in close association with the cardiac anaesthesia and cardiology teams.

Dr. Baiju S Dharan completed his MCh in 2002 from SCTIMST and worked for 3 years as Asst Prof in the Paediatric CVTS Dept In Amritha Institute , Kochi. He rejoined SCTIMST in 2006, he had advanced training in congenital heart surgery at Our Lady's Childrens Hospital, Crumlin, Dublin, Ireland. His areas of interest are neonatal cardiac surgery, development of cost effective technology for developing countries and mechanical circulatory support in children.

Dr. Sabarinath Menon completed his Mch in 2010 from SCTIMST and is currently doing a one year Post-doctoral fellowship in this department.

A team of five senior residents carryout the grass root level care of the patients.

A dedicated group of 35 nurses deliver the nursing care in the ICU, ward and operating room, that is so vital to these patients.

Ms.Beegum Thaslim N. is our specialist paediatric perfusionists with wide experience in neonatal and other complex perfusion techniques.