The Heart Center
The Heart Center at The Children's Hospital of San Antonio
333 N. Santa Rosa St.
San Antonio, TX 78207
- The Heart Center
- Our Team
- Our Services
- For Families
- For Physicians
The Heart Center at The Children's Hospital of San Antonio provides comprehensive care to children with heart problems. Our integrated group of specialists bring together a multidisciplinary approach from many specialties to care for children with heart defects. Together, we strive to provide the best of care to all patients. We believe that the most successful approach is where all care providers within the program work together to achieve outstanding results. In doing so, the cardiology team, cardiothoracic surgeons, anesthesiologists, pediatric perfusionists, neonatal and pediatric intensive care specialists and nurses throughout all of these groups work in concert to treat a child throughout hospitalization. Each of these groups have cardiac specialists who provide coverage and specialty care 24 hours a day.
Some of our specialized features include:
- Dedicated Cardiac Surgery Operating Room with its own team of specialized nurses and assistants.
- Dedicated Cardiac Surgical Intensive Care area in the PICU.
- Dedicated Neonatal and Pediatric teams available 24 hours a day to transport critically ill newborns and children.
- A Cardiac Cath Lab specially designed for children.
- Expert coordination with highly skilled Neonatal Intensive Care and other pediatric units.
- Specially trained cardiac teams in Neonatal Intensive Care Unit and Pediatric Intensive Care Unit.
Some of the conditions we treat:
Ventricular Septal Defect Atrial Septal Defect Coarctation of the Aorta
Our integrated group of specialists brings together multidisciplinary approach from many units to care for children with heart defects. Together, we strive to provide the best of care to all patients. We believe that the most successful approach is where all care providers within the program work together to achieve outstanding results. In doing so, the cardiology team, cardiothoracic surgeons, anesthesiologists, pediatric perfusionists, neonatal and pediatric intensive care specialists and nurses throughout all of these groups work in concert to treat a child throughout hospitalization.
Nitin Madan, M.D.
Assistant Professor of Pediatrics, Baylor College of Medicine
Dr. Madan received his medical degree from Maulana Azad Medical College in New Delhi, India, where he also completed his rotary internship and pediatric residency. He completed an additional pediatric residency at the Cleveland Clinic Children’s Hospital in Cleveland, Ohio, and his pediatric cardiology fellowship at Mount Sinai Hospital in New York City. Dr. Madan is board certified in pediatrics and pediatric cardiology by the American board of pediatrics.
Children are not just small adults. That is why our perfusion team specializes in pediatric perfusion. Our team members are skilled are skilled allied-health professionals trained and educated specifically as members of the congenital heart surgery team. They are responsible for the selection, setup and operation of the heart-lung machine and any other circulation equipment during medical procedures where it is necessary to support or temporarily replace a patient's respiratory or circulatory functions. This allows the surgeons to perform complex procedures inside the heart while the heart-lung machine is able to provide life sustaining oxygnated blood to the child's body. During this period, it is important to maintain the body in physiologic balance as though the body was working under its own normal circumstances.
Our cardiologists deliver the highest quality of care. We evaluate children prior to birth via fetal echocardiography, neonates who are born with congenital cardiac abnormalities, as well as patients into adulthood who have a known history of cardiac disease. Our Cardiac Catheterization Lab is designed exclusively for the care of pediatric patients and provides state of the art diagnostic and therapeutic strategies.
At the Heart Center, our experienced team of pediatric cardiologists and additional care team members treat patients from before birth to adulthood with congenital or complex heart problems. Dedicated to providing the highest level of heart care in a patient-and-family centered environment, we strive to achieve outstanding results for the patient and family.
We are able to provide diagnostic testing and interventional procedures in our cardiac catherterization lab. Diagnostic catheterization is used to test heart function, and interventional catheterization is used to fix a defect of the heart. Some heart problems that previously required open-heart surgery can now be fixed in the catheterization lab. This provdes a non-surgical and minimally-invasive way to diagnose and treat heart conditions.
We offer non-invasive cardiac imaging including echocardiography and cardiac MRI services for fetal, pediatric, and adult patients with congenital or acquired heart problems. We provide transthoracic, transesophageal, stress, and fetal echo support. Our team of sonographers is specialty trained in pediatric sonography. In an effort to meet the unique needs of children, and provide comfort during cardiac imaging, anesthesia is available.
With specialized training in advanced fetal cardiac imaging, our team’s experience and expertise is applied to the smallest of hearts, those in utero. We provide skilled fetal echocardiography from 18–32 weeks gestation, emphasizing evidence-based and informed counseling of families whose fetus has congenital heart disease.
We offer advanced diagnostic and treatment options for pediatric and adult patients who suffer from abnormal heart rhythms. Our electrophysiologist can perform fluoroscopy-free electrophysiology procedures without compromising the success of the procedure or adding any additional risks to the patient.
Adult Congenital Heart Services
We provide a high level of care for adolescents and adults with congenital heart disease. Our expert team of cardiologists works to ensure that patients with heart problems transitioning into or already in adulthood receive support and resources for long-term management and improved quality of life. We offer treatment options including valve repair or replacement, pulmonary hypertension therapies, and medications to control symptoms. as well as the most advanced procedures including the Melody Transcatheter Pulmonary Valve and Bi-ventricular Pacing.
Pediatric Cardiothoracic Surgery
Our surgeons have produced the best outcomes in the state of Texas for the past several years. In particular, the care of newborn infants with cardiac abnormalities and single ventricle physiology continues to be a source of strength and excellence. Children's Hospital of San Antonio is home to a dedicated pediatric cardiothoracic surgical operating room, which is reserved only for the care of children with cardiothoracic surgical needs.
The providers at the Heart Center offer the unique combination of extensive practical experience, research, and teaching. Our surgeons provide the most advanced therapeutic options for the treatment of congenital and other pediatric heart conditions for children with even the most complex cardiac problems.
Patients benefit from a full range of services in one location. Our all-inclusive approach allows for seamless admission, surgical, postoperative recovery and discharge processes. And it enables us to provide the best environment possible for the comfort and care of patients and their families.
Some of the conditions we treat:
Neonatal Intensive Care Unit and ECMO Program
The Neonatal Intensive Care Unit at Children's Hospital of San Antonio provides 45 beds in a Level III unit. We have neonatologists with cardiac expertise who form a team within the much larger group of neonatologists to focus on the care of neonates with cardiac disease. They provide 24-hour specialty care to all children within the unit who have cardiac disease. This sets the Heart Center apart from programs around the country in its focus on the need for cardiac specific specialists in the neonatal unit environment.
The ECMO program at Children's Hospital of San Antonio has been nationally recognized for its excellence. This team provides 24-hour physician specialty care for children requiring extracorporeal support. The ECMO team works in concert with the intensivists, cardiologists, and surgeons to provide a very high level of sophistication regarding the care of these very sick patients.
Pediatric Intensive Care Unit
The Pediatric Intensive Care Unit at Children's Hospital of San Antonio has a 24-bed unit dedicated to the care of surgical patients. It is staffed by intensive care unit specialists and pediatric intensivists forming a cardiac team within this unit, who focus upon children in the post operative period following cardiac surgery. In doing so, they provide 24-hour coverage for these children with their sole responsibility being caring for the patients on the cardiac service.
Pediatric Cardiac Anesthesiology
Subspecialty cardiac-trained anesthesiologists provide anesthetic care for children within our program. Their expertise is utilized in the operating room, catheterization lab, as well as in the intensive care units. They provide 24-hour coverage for any child on the cardiac service who is in need of anesthetic specialty care.
Children's Hospital of San Antonio has specialty nursing teams designed to care for cardiac patients staff the NICU, PICU, and Telemetry floor. Nursing leaders of these teams are an integral part of all programmatic efforts of the Heart Center. They all have extensive experience caring for our highly specialized patients and are the first-hand providers of care not only to the patient but also the entire family.
Child Life Specialists are academically prepared in child and family development, child psychology, or in a counseling related field. A Child Life Specialist will be available to help promote normal growth and development, reduce the stress of hospitalization, and provide support to you and your child. Your Child Life Specialist will age-appropriately prepare you and your child for surgery utilizing pictures, a doll with the medical equipment your child will have after surgery, and a tour of the hospital and Pediatric Intensive Care Unit. Your Child Life Specialist will also be available to assist in promoting coping during any procedures your child will have while hospitalized. A playroom is a welcoming environment your child will have access to on the weekdays to provide a sense of normalization. While we will have a variety of toys, games, movies, and music available, you are encouraged to bring familiar items from home to help comfort your child. Parents with a prenatal cardiac diagnosis can also receive a tour and preparation of the hospitalization and surgery. An appointment can be scheduled upon request.
Professional education and a team approach towards academic achievements is critical to the success of our program.
The Heart Center at the Children's Hospital of San Antonio also has a robust internal educational structure. Weekly conferences are held where all care providers gather to review cases, as well as evaluate patients sent to us from referring entities throughout the state of Texas.
In addition, monthly review and educational conferences are held to evaluate patient outcomes, as well as to investigate academic research being done within the program and around the country. These conferences are attended by all specialists in an effort to maximize the impact of a true multidisciplinary approach to disease.
Continuing Medical Education for Professionals
To learn more about education requirements for the Children's Hospital of San Antonio physicians, visit: christussantarosa.org/forphysicians
CHRISTUS Santa Rosa Continuing Medical Education
CHRISTUS Santa Rosa Health System physician services department provides information and support to members of the Children's Hospital of San Antonio medical staff and allied health professionals. For more information about continuing medical education opportunities at the Children's Hospital of San Antonio, click here.
The Harold S. Toy, MD Memorial Health Science Library is located on the fifth floor of the Goldsbury Center for Children and Families. To learn more about this resource, click here.