Notfall

Our Services in the

Department of Congenital Heart Disease – Pediatric Cardiology



580

heart catheter examinations performed

in 2018

Treatment of Heart Defects, However Complex

In the Department for Congenital Heart Disease – Pediatric Cardiology, our highly specialized team has been treating patients of all ages with congenital heart defects for more than 25 years. In addition to standardized surgical and interventional correction we offer individual treatment solutions for patients with highly complex heart defects.

Our Department has a specialized intensive care unit, an intermediate monitoring ward, outpatient facilities and a Competence Center for Adults with congenital heart defects.

Range of Services

Competence Center for Adults with Congenital Heart Defects

Since 2011 our Department has been certified as a supraregional center for the treatment of GUCH (grown-ups with congenital heart defects). In Germany there are currently only three such supraregional GUCH centers.

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Diagnostic Imaging

Our patients profit from up-to-the-minute diagnostic imaging procedures. These include special ultrasound examinations (three-dimensional, tissue Doppler), heart catheterization, cardiac magnetic resonance imaging (MRI) and cardiac computed tomography (CT).

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Cardiac MRI

Cardiac magnetic resonance imaging is an established procedure for diagnosing congenital heart defects, identifying the type of heart defect and studying the precise function of the individual heart.

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Hybrid Therapy

We have two so-called hybrid operation rooms. These are equipped with a heart-lung machine and modern catheterization laboratory facilities, so that surgical and heart catheter techniques can be combined. The advantage is that these combined procedures are shorter and less complex than other operations and thus the risk and the strain for the patient are reduced.

Heart Catheterization and Interventional Treatment

Twenty years ago heart catheterization was used as a purely diagnostic tool but today it has been refined and can also be used for treatment procedures. Simple, non-complex heart failures may be treated in this manner, without an operation. Patients with complex heart defects are also prepared by heart catheterization for their operation or undergo postoperative catheterization procedures.

Further Services

  • Dilation of narrow heart valves by catheterization technique
  • Opening of closed heart valves by the application of high frequency electric current
  • Closure of defects of the atrial and ventricular septum (dividing wall) by placement of an implant (occluder) by catheterization. We use all the commercially available occluders
  • Use of heart valves for the non-surgical treatment of incompetence and narrowing of the valve to the pulmonary artery (pulmonary valve)
  • Closure of defects of the atrial septal defects without exposure to X-rays
  • Treatment of narrowing of vessels close to the heart in newborns and children by placement of a special vessel support (growth stent), which adapts as the patient grows
  • Treatment of severe narrowing of the aorta (main artery) with coated vessel prostheses
  • Pacemaker treatment to optimize the heart function in patients with heart failure in childhood (synchronization therapy with triple-chamber pacemakers)
  • State-of-the-art treatment procedures for severe heart rhythm disturbances by the implantation of defibrillators (AICD) and pacemakers for single, double and triple chamber stimulation
  • Implantation of minimally invasive defibrillator systems (S-ICD; Cameron Health), which no longer require leads to be placed in the heart or vessels. Patients with AICDs and particularly complex heart defects or Eisenmenger syndrome can profit from this technology
  • Removal of pacemaker leads with the most modern instruments, such as mechanical extraction aids
  • Treatment of patients with high lung pressure (pulmonary arterial hypertension) in children and adults
  • Implantation of drug pumps for the continuous infusion of treprostinil as an alternative treatment for pulmonary arterial hypertension
  • Perioperative monitoring of cerebral perfusion by non-invasive procedures
  • Non-invasive cardiocirculatory monitoring by electrical velocimetry for continuous measurement of cardiac output

Performance Statistics

Origin of patients

In addition to the original health care tasks for Berlin and Brandenburg with 676 patients and a main focus on the eastern federal states, patients from all over Germany are also treated.

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Inpatient Admissions

The number of inpatients varies between 1200 and 1400 in the last 10 years.

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Outpatient Examinations

Increasingly larger shares of diagnostics and therapy are being shifted to the outpatient sector, which on the one hand is an expression of a clear trend in the German health care system and on the other hand is constantly increasing the demands on high-quality outpatient care...

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Age Distribution of Patients

Der Anteil an erwachsenen Patienten zur stationären Therapie (Operation, diagnostischer Herzkatheter oder Interventioneller Herzkatheter) liegt zwischen 15 und 30%...

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Operations and Catheter Interventions

The total number of patients with congenital heart defects treated at the German Heart Center Berlin with heart surgery or an interventional cardiac catheterization procedure was stable this year with 1076 patients compared to last year...

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Adult Patients

The DHZB is an international reference centre and certified supra-regional EMAH centre for the treatment of congenital heart defects in adulthood...

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Operations

The number of operated patients could be consolidated in the last 5 years on a stable high level...

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Heart Catheter Examinations

Each year, between 600 and 700 cardiac catheter examinations are performed in a cardiac catheter laboratory specially designed for the needs of patients with congenital heart defects...

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Mortality After Operations for Congenital Heart Defects

At 1.9 %, the lethality rates in operations for congenital heart defects could be kept stably low at the best international standard...

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Valve Implantations

In the case of congenital heart defects, valve operations are particularly frequent. To preserve the patient's own heart valve by reconstruction is the preferred form of therapy...

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