Highly specialized care for complex cardiac defects
Since its beginnings in 2002, the Congenital Heart Program at UC Davis has undergone some dramatic changes. The program has expanded to offer a full range of surgical and non-surgical options for congenital and acquired heart defects, running the spectrum from newborns to adult patients.
Our goal is to provide families in Northern California with local access to a diverse cardiac program which meets the need for specialized services while providing exceptional care. Our Norwood program is an example of a multifaceted, multidisciplinary effort that now brings the highest-quality treatment to infants with the most complex of congenital heart defects.
Hydroplastic left heart syndrome
Standard Norwood procedure
Hybrid Norwood procedure
The UC Davis Norwood Program
The UC Davis Norwood Program – the first in inland Northern California – began in 2008 when a dedicated interdisciplinary and interprofessional team from UC Davis identified a patient population in need of this service close to home. The team included pediatric intensivists, cardiologists, cardiac anesthesiologists, cardiothoracic surgeons and pediatric critical-care nurses who work together to care for this high-risk group of child patients.
After intensive fact-finding – including site visits to a number of highly regarded U.S. pediatric heart centers – team members integrated research and best practices into every aspect of the UC Davis program, from preoperative diagnosis and stabilization to postoperative care. To enhance outpatient care, they also developed the first home-monitoring program available in Northern California.
Today, the Pediatric Heart Center at UC Davis offers two types of Norwood procedures to address and repair defects of different severity:
The standard Norwood procedure takes place entirely in the operating room. The surgeon reconstructs the heart, allowing a single ventricle to do the work of two by permitting complete mixing of blood in the heart. This creates an unobstructed pathway that supplies the body and heart with blood while limiting the amount of blood to the lungs, protecting them from the damaging effects of too much pulmonary flow.
The second type of procedure, the hybrid Norwood procedure, is currently reserved for patients at very high risk for the standard Norwood. This two-step procedure allows the surgeon to avoid using a heart-lung machine while accomplishing the same goals as the standard Norwood procedure. The surgeon places pulmonary artery bands in the first step. The second step involves an atrial septostomy and stent of the ductus arteriosus, which can be performed by our interventional cardiology staff immediately following the treatments and compassionate care to improve quality banding or at a later date. The hybrid Norwood procedure has been shown to result in acceptable mortality and outcomes in high-risk patients.
We are also proud to offer advanced facilities and technology to support this exceptional level of care – a new, eight-bed state-of-the-art Pediatric Cardiac Intensive Care Unit (PCICU) within our Pediatric Intensive Care Unit – staffed by personnel dedicated solely to the care of infants and children with congenital or acquired heart disease.
Together, we are dedicated to providing innovative treatments and compassionate care to improve the quality of life for children and their families.
For more information
For referrals, consultation or inquiries, please contact the Pediatric Heart Center at 916-734-3456. More information on UC Davis pediatric cardiology is also available on the UC Davis Children’s Hospital website.
Gary Raff, M.D.
Surgical Director, UC Davis Pediatric Heart Center
Mark Parrish, M.D.
Medical Director, UC Davis Pediatric Heart Center
Stephanie Mateev, M.D.
Medical Director, Pediatric Cardiac Intensive Care Unit
Rajvinder Dhamrait, B.M., F.R.C.A.
Medical Director, Pediatric Anesthesiology