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Cardiology

Pediatric Heart Transplant Program

Our Pediatric Heart Transplantation Program dates back to 1984, when the world's first successful pediatric heart transplant was performed at Columbia Presbyterian Medical Center on a 4-year-old boy with complex congenital heart disease. Since then, our Pediatric Heart Transplant Program has continued to advance that proud tradition of leadership in pediatric heart transplantation. Our surgeons have performed over 265 heart transplants in children making NewYork-Presbyterian one of the largest pediatric heart transplant centers in North America and the world.

Our program specializes in transplanting children with end-stage congestive heart failure due to cardiomyopathy and children with complex congenital heart disease who are not candidates for palliative or corrective surgery. The program's surgeons have also successfully pioneered transplantations in high-risk patients who are not offered heart transplants elsewhere, including patients with severe, elevated pulmonary resistance.

Our multidisciplinary team approach has set the standard of care for children with end-stage heart failure-achieving 84 percent overall long-term survival after hospital discharge. Four pediatric cardiologists, two pediatric transplant nurses, two research nurses, an office manager, and an assistant are dedicated to serving this program and work closely with leading pediatric sub-specialists-including transplant surgeons, neurologists, psychiatrists, social workers, and physical therapists-to provide the most comprehensive care possible for complex conditions.

Patients who require both lung and heart transplantation benefit from a joint team effort of the cardiac and pulmonary groups to coordinate care of these very sick and complex children.

Pediatric ECMO

The Division of Pediatric Cardiology is one of the leading programs in the tri-state area to offer extended heart/lung life support via extracorporeal membrane oxygenation (ECMO). In selected children, this therapy substitutes for the heart and lung function until the child's organs recover. ECMO may also play a role in bridging children to transplantation while awaiting a suitable donor. Physicians at the Hospital participated in the earliest development of ECMO, making our facility one of the first in the world to use this life-saving modality successfully in children.

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