Despite treating some of the most complex pediatric heart conditions in the world, the Cardiovascular Program at Children's Hospital Boston has some of the best success rates.
Because hospitals present data differently and because of the uniqueness of each child's situation, it is important that statistics and outcomes are fully explained. We are happy to speak with parents regarding Children's Hospital Boston's outcomes anytime.
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Children's is home to the largest pediatric cardiac surgery program cardiac surgery program in the country. Each year, our surgeons perform more than 1,200 operations.
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Open heart
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4,765
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766
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97%
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Closed heart
(excludes premature PDA's)
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2,518
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442
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99%
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Thirty-day Operative Survival for the Cardiac Surgery Program
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*includes adult patients
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Children's Department of Cardiac Anesthesiology is staffed by twelve full-time physicians and several highly trained nurses and technicians manage before-surgery care for:
- more than 1,000 cardiac surgeries each year
- more than 1,000 non-surgical procedures each year.
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Children's has one of the largest pediatric Cardiac Catheterization Programs in the country. It draws the most talented and ambitious fellows from around the world. Seven full-time physicians perform:
- 1,600 cardiac catheterization procedures per year
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Catheter-based therapies developed and performed by Children's faculty:
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Valve Dilation
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Aortic Valve
Obstruction across the aortic valve can be reduced significantly without significant aortic insufficiency in most cases.
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672
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39
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Mitral Valve
Congenital mitral stenosis is very rare, and graded sequential valvuloplasty has substantially improved short and long term survival.
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132
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8
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Pulmonary Valve
Outcomes with pulmonary valve dilation are excellent and patients rarely require reintervention.
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861
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30
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Tricuspid Valve
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25
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1
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Balloon dilation
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Stenotic pulmonary arteries
The mortality rate of this procedure has fallen 10-fold, from 2% to 0.2%. New techniques, including cutting balloons and high pressure balloons, have at the same time, increased success rates from 60% to more than 90%.
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2,954
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217
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Coarctation of the aorta
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44
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Other Congenital or Acquired Stenosis
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239
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Stent placement
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Coarctation of the aorta
Serious aortic injury, although rarely reported, may occur in 1-2% of cases. Pre-stent assessment of aortic compliance and mobility has prevented catastrophic aortic ruptures at Children's Hospital Boston.
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203
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18
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Other Congenital or Acquired Stenosis
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137
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Defect closure
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Ventricular septal defect
Catheter closure of post-operative and multiple VSDs requires precise coordination between surgeons, interventional cardiologists and echocardiographers. With such coordination, procedural mortality is less than 1%.
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308
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8
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Atrial septal defect or patent foramen ovale
Atrial septal defect closure using one of several catheter-based devices can avoid the need for cardiopulmonary bypass, and may thereby optimize children's developmental outcome. Transcatheter device closure is offered as part of a team management approach for patients with a history of stroke or transient ischemic attack and an interatrial communication.
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1,103
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67
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Leakage around prosthetic valve
Proximity of leaks to moving valve parts and other cardiac structures makes it necessary to using different closure devices and strategies on a case-by-case basis.
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33
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1
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Coronary artery fistula
The absence of mortality and significant morbidity in a recent series from Children's , has prompted elective closure during childhood in most cases.
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56
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2
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*excludes coarctation stent placement
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Children's Cardiac ECMO Center serves more than 40 patients with severe respiratory or cardiac problems each year.
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The Cardiac Intensive Care Unit at Children's treats more than 1,200 children each year.
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The Cardiology Consultation Service at Children's Hospital Boston performed approximately 5,596 outpatient, and 893 inpatient consults in 2008.
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Children's Outpatient Cardiology Clinic is one of the busiest outpatient pediatric cardiology programs in the country with more than 21,000 visits each year.
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Echocardiograms
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20,000
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Fetal Echocardiograms
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1,600
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Cardiac MRI studies
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1,200
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The Exercise Physiology Laboratory at Children's Hospital performs more than 1,900 exercise tests, 1,900 holters, and 31,000 electrocardiograms (EKGs) each year.
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The Fetal Cardiology Program at Children's has performed more than 100 fetal heart procedures since its inception in 2001.
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Since its inception in 1986, Children's has performed more than 207 heart transplants making it one of the largest pediatric heart transplant programs in the country.
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Physicians and nurses treat more than 50 new patients each year for definite or suspected Kawasaki disease, and follow more than 1,400 children and young adults in the long-term Kawasaki Disease Program.
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