Heart failure in a child, whether in early infancy or late teens, can be a life-threatening condition that arises suddenly and causes stress and uncertainty for your child and family. Heart failure can appear in a newborn baby, a school-age child, or a teen living with undiagnosed heart disease for years.

If your child experiences heart failure, they are in excellent hands with the specialists at the Blalock-Taussig-Thomas Pediatric and Congenital Heart Center. 

Learn more about heart failure in children.

What to Expect: Treating Your Child for Pediatric Heart Failure

There are options available for managing heart failure, treating the underlying cause and slowing heart disease progression.
 
Our goal is to investigate all the available approaches that could improve your child’s health and quality of life, including medication, the use of a ventricular assist device and, when necessary, heart transplantation.

Ventricular Assist Devices for Children

A ventricular assist device (VAD) supports your child’s heart function, maintaining blood flow to the organs as your child awaits heart transplantation. Routinely used in adult patients, VADs are increasingly used in pediatric and adolescent patients to address heart failure and as a bridge to transplant.

Other Therapies for Pediatric Heart Failure

Our team has experience in addressing pediatric heart failure with the full range of new and effective treatments, including:

• Medication with 24/7 home infusion therapies
• Extracorporeal membrane oxygenation (ECMO)

• Implanted biventricular pacemakers for cardiac resynchronization therapy
• Automatic cardioverter-defibrillator devices to treat life-threatening arrhythmias.

If Your Child Needs a Heart Transplant

Preparation for a heart transplant considers all aspects of your child’s life and wellness, and our doctors, nurses, technologists and other experts will guide you and your child through the process, step by step. Your child will be examined by a cardiologist, a transplant surgeon and a nurse practitioner who specializes in pediatric heart surgery. We will ask for your child’s dental records. 
 
A child psychologist will help your daughter or son prepare for surgery with age- and development-appropriate support. We will listen to your child’s concerns and provide counseling on the surgical procedure and what happens next. 
 
A social worker will walk you and your family through what to expect in terms of the surgery’s impact on your child’s home life, return to school, participation in sports and other concerns.

After Your Child’s Heart Transplant

Recovery after heart transplant surgery takes about two weeks in the hospital. 
 
The immediate management of heart failure can be intense for children and their families, requiring up to two weeks of in-hospital care and four to six weeks of isolation to avoid the risk of rejection after transplant. 
 
Our concierge services work with families to smooth the practical and logistic concerns of coordinating treatment, covering details such as parking, food resources and places to stay.

Keeping Your Child Safe with Immunosuppression

To ensure that your child’s body accepts a donor heart, we treat him or her with immunosuppressive therapy before and after transplant surgery. Temporarily suppressing your child’s immune system makes a successful heart transplant possible. 
 
Because of this, your child might be more vulnerable to infection for several months after a heart transplant. We will review with you what is safe for your child to do for the first few months after surgery as the immunosuppression therapy ends.

Support and Care Going Forward

If your child’s or teen’s heart failure can be stabilized with treatment or heart transplant surgery, he or she will still require ongoing care. A donor heart is expected to last about 25 years. The continued course of treatment for your child may include regular outpatient catheterization procedures, further biopsies and possible surgery.

Parents should understand that a successful approach can mean a full life for your daughter or son, with an eventual return to physical activity, school, normal socializing and the chance for a full and happy life.