Recognized as a Top 50 Children’s Cardiology & Heart Surgery Program by U.S. News & World Report 2017-2018
Johns Hopkins All Children’s Heart Institute provides comprehensive pediatric and congenital cardiac care as well as pediatric heart transplantation. We have been providing pediatric cardiology services for children with congenital heart disease since 1977. We continue to expand our treatment and research efforts so more children can receive the highest level of compassionate family-centered care by our dedicated team of experienced physicians and nurses. Our facilities include a 22-bed cardiovascular intensive care unit (CVICU), two cardiac operating rooms, two cardiac catheterization labs with the ability to perform hybrid procedures, and electrophysiology. We also offer many services to support your family's needs, whether it's a place to sleep, a support group or social services.
Special Services and Patient Populations
- Rotational angiography with 3-D reconstruction
- Fetal, transesophageal and transthoracic echocardiography
- Advanced cardiac imaging (CT & MRI)
- Home monitoring for single ventricle patients
- Cardiac neurodevelopmental care
Clinical Areas of Focus
Cardiovascular Intensive Care Unit (CVICU)
Pediatric heart surgery patients recover in our 22-bed CVICU with the support of a multidisciplinary team of cardiac surgeons, cardiologists, critical care specialists, respiratory therapists and other pediatric experts.
Cardiomyopathy is a condition in which there is an abnormality in the heart muscle. Although there are several different kinds of cardiomyopathy, the two most common types are dilated cardiomyopathy, in which the heart may function poorly; and hypertrophic cardiomyopathy, in which the heart muscle is abnormally thick. Our Cardiomyopathy & Heart Failure Program provides advanced diagnostic and therapeutic options for infants, children and adolescents with this diagnosis.
Children with irregular, racing or abnormally slow heart rates may have a cardiac arrhythmia, a condition in which the heart's electrical conduction system is disrupted. Although most pediatric arrhythmias are not life threatening, some patients will need a pacemaker or implanted cardiac defibrillator. Our Electrophysiology Program provides care for these children.
Fetal Heart Program
Our Fetal Heart Program consists of a multidisciplinary team specializing in the detection, comprehensive assessment and management of heart disease before birth. Our team includes physicians from pediatric cardiology, obstetrics, neonatology, genetics, cardiovascular intensive care unit (CVICU) and cardiothoracic surgery. In addition, the team also includes fetal echocardiography sonographers, genetic counselors, case managers, chaplain services and social workers to address the medical, psychological and spiritual needs of patients and their families.
For some children and teens with heart disease, even the most aggressive treatment with medication or conventional cardiac surgery is not enough to restore health and maintain a good quality of life. These patients may be candidates for heart transplantation. Our neonatal and pediatric cardiac transplantation team performed its first transplant in 1995 and has more than two decades of experience.
Our pediatric cardiac surgery team has nationally recognized expertise in comprehensive cardiac surgical care, including:
- Complex neonatal cardiac surgery and repair of challenging congenital heart defects
- Use of minimally invasive and video-assisted pediatric heart surgery techniques
- Cardiac transplantation
The team at Johns Hopkins All Children’s Hospital performed its first heart transplant in 1995 and has since performed more than 185 pediatric heart transplants. Team members have extensive experience with the use of mechanical ventricular assist devices (VAD), including the Berlin Heart, to bridge critically ill children to transplant. The pediatric heart surgeons also lead the Johns Hopkins All Children’s Hospital extracorporeal membrane oxygenation (ECMO) Center, which is designated as a Center of Excellence by the international Extracorporeal Life Support Organization (ELSO) in recognition of excellence in patient care.
Interventional Catheterization Program
Our pediatric cardiologists perform diagnostic cardiac catheterization procedures to observe the heart in action as well as interventional cardiac catheterization as a method for repairing the heart. Interventional catheterization can accomplish many repairs that previously required surgical correction. Our pediatric cardiologists perform diagnostic, interventional and hybrid catheterization procedures on a daily basis in our state-of-the-art cardiac catheterization suites.
Pulmonary Hypertension Program
Pulmonary hypertension can affect both children with congenital heart defects and children without congenital heart disease. Ongoing research has led to improved understanding and management of pulmonary hypertension. At Johns Hopkins All Children’s Hospital, we provide both diagnostic and treatment options for this complex condition.
Additional Programs & Services
Adult Congenital Heart Service
More than 1 million adults in the United States live with congenital heart defects. Thanks to advances in medical and surgical care, children with congenital heart defects are surviving into adulthood—and thriving. However, these chronic conditions can put patients at risk over time. Our Adult Congenital Heart Service provides both outpatient and inpatient care to monitor and protect their health.
Cardiac anesthesiologists at Johns Hopkins All Children’s Hospital handle anesthesia and pain management for some of the most complex surgical cases. While surgeons focus their complete attention on the demanding task of repairing a defective heart, anesthesiologists perform multiple tasks that greatly affect both the safety and success of the surgery.
The Cardiovascular Genetics Clinic provides clinical care, information and resources for individuals and families with cardiovascular and genetic conditions. Services include genetic evaluation, syndrome diagnosis, management of malformation syndromes, genetic testing and genetic counseling.
Cardiology Outpatient Services
Our cardiologists provide an extensive range of evaluation services for patients with heart disease. In addition to treating simple and complex congenital heart defects, our cardiologists manage the medical care of pediatric heart transplant patients. The most common reasons cardiology patients are referred to Johns Hopkins All Children’s outpatient clinics are heart murmurs, palpitations, fainting and chest pain.
Advanced Cardiac Imaging (CT & MRI)
Non-invasive cardiac imaging includes pediatric echocardiography (two-dimensional and three-dimensional) as well as fetal echocardiography. We also offer cardiac computed tomography (CT) and cardiac magnetic resonance imaging (MRI). For some patients, cardiac MRI can be used to diagnose a heart problem without the need for a cardiac catheterization procedure. Cardiac MRI is available on our main campus as well as at Johns Hopkins All Children’s Outpatient Care, Tampa (on Bruce B. Downs Boulevard).
Preventive Cardiology Clinic
Preventative cardiology is a key part of adult cardiology, focusing on reducing the risk of heart attack and stroke later in life. Preventative cardiology is a growing area of pediatric cardiology and is an important service for children who may already have cholesterol and blood pressure problems. Our Preventative Cardiology Clinic provides expertise in identifying at-risk children and offers options for dietary, activity and medical management.