Pediatric Hypoplastic Left Heart Syndrome (HLHS)

Advanced Heart Surgery for Children: Early Primary Repair

At Children’s National, we plan treatments with your child’s long-term health in mind. If a newborn needs heart surgery, we intervene early and aggressively to correct defects. This way, the repair or reconstruction grows with your child and he or she benefits from a faster recovery. This approach is called early primary repair.

Many heart programs for children recommend waiting until a newborn is older before performing heart surgery. However, the longer we wait, the more health consequences a child may suffer. We perform surgery on infants so we can give them the best possible start in life:

• More than two-thirds of cardiovascular surgeries we perform are on patients less than 1 year old
• Half of those surgeries are on newborns less than 1 month old

Preventing Brain Injury During Heart Surgery: Our Approach

When children need open heart surgery, we often need to place them on a cardiopulmonary bypass machine. During the surgery, the bypass machine takes over the function of the lungs and heart. This can carry a risk of neurological damage.

At Children’s National, our team takes every step possible to protect your child’s brain development. In fact, we are considered a leader in this area. Our heart specialists use evidence-based protective measures and take all the necessary steps to ensure a successful surgery—for your child’s heart and brain.

Heart Surgery for Children: Family Resources

Our goal is to maximize the quality of our patients’ lives and ease the stress on families. Children’s National Heart Institute provides many family-centered services because we understand that when a child is ill, it affects the entire family.

Heart Surgery: What to Expect Before and After Your Child’s Procedure 

Our approach to care results in shorter lengths of stay for patients following surgery. For example, we use the smallest incisions possible and streamline our surgical process so it’s efficient and effective. We provide:

• Preoperative diagnosis. We pinpoint your child’s exact condition. An accurate diagnosis is crucial in order to tailor a personalized treatment plan. Learn more about cardiac imaging.
• Postoperative care and evaluation. After your child’s surgery:
  • Pediatric cardiac intensivists and cardiac critical care nurses and therapists provide the next stage of care in our Cardiac Intensive Care Unit.
  • After a Cardiac ICU stay, we transfer your child to a dedicated cardiac unit with specially trained cardiac physicians and advanced practice nurse practitioners.
  • During the recovery period, we perform tests to ensure the success of the procedure.
• Next steps. If your child needs any type of post-surgery therapy or other care, we plan for that and discuss the next steps with you.

Learn More About

• Services for Families: Support services and helpful resources for families and patients
• Amenities: Information about our facilities and services available during your child’s hospitalization

Contact Us

For more information, call us at 1-202-476-2811.