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Coronary anomalies program

Specialists at Dell Children’s Medical Center at Ascension Seton deliver care for babies, children and teens with coronary artery malformations.

A boy talking to his pediatrician.

Pediatric coronary anomalies program at Dell Children's

Pediatric Cardiology & Heart Surgery at Dell Children's Medical Center is ranked among the nation's best by U.S. News & World Report 2023-24.As the only comprehensive children’s heart center in Central Texas, Texas Center for Pediatric and Congenital Heart Disease at Dell Children's Medical Center at Ascension Seton is here for all your child’s heart care needs. Our pediatric cardiologists and cardiac surgeons have the expertise to diagnose and care for children and young adults with coronary artery malformations. Your doctor starts by listening to you and your child. Using advanced testing and imaging, we diagnose your child’s heart condition. Then, we create a care plan that’s personalized for your child.

The Texas Center for Pediatric and Congenital Heart Disease at Dell Children's Medical Center is ranked among the nation's best Pediatric Cardiology & Heart Surgery specialty programs by U.S. News & World Report in 2023-2024.

The Texas Center for Pediatric and Congenital Heart Disease care team is capable of treating rare and complex cardiac cases. Patients are cared for by a dedicated multidisciplinary care team, meaning your child will benefit from the expertise of multiple specialists across a variety of disciplines. Our board-certified and fellowship-trained pediatric and congenital heart surgeons have extensive experience treating heart diseases and defects in children of all ages and work alongside a team of pediatric cardiac experts, including cardiologists, interventional cardiologists, electrophysiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, providing unparalleled care for patients and their families every step of the way. We collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to provide innovative treatment options to patients with heart diseases and defects.

Conditions we diagnose and treat

The Coronary Anomalies Program diagnoses, treats, and manages the care of children, adolescents, and adults with anomalous coronary arteries. The coronary arteries are small blood vessels that supply blood to the heart muscle. Malformations can occur in the coronary arteries, potentially depriving the heart of oxygen and nutrients and causing serious side effects or cardiac events. While the vast majority of anomalous coronary arteries are not dangerous, there are a few anomalies that may lead to ventricular arrhythmia, myocardial ischemia, left ventricular dysfunction, and, in some cases, sudden cardiac death.

The Coronary Anomalies Program care team is comprised of nationally recognized and highly specialized physicians across different disciplines housed in a single cardiac care unit at Dell Children’s Medical Center. Our team utilizes a shared decision-making model, working with patients and their families to come up with a plan unique to each patient. The management strategy includes a standardized approach to diagnosis and treatment. The Coronary Anomalies Program is one of the leading programs in the country, actively collaborating with cardiac care specialists from across the country to study and advance the knowledge of coronary artery anomalies. With access to expert staff and advanced technology, we also provide a wide range of services, from evaluation, testing, and diagnosis to medical management, rehabilitation, surgery, and more, in an effort to give patients and their families the best quality of life.

We deliver care for coronary anomalies, including:

  • Anomalous coronary artery
  • Anomalous left coronary artery
  • Anomalous left coronary artery from the pulmonary artery
  • Interarterial coronary artery
  • Intramural coronary artery
  • Myocardial bridges

Our approach to care

Although many patients with a diagnosis of an anomalous coronary artery do not experience symptoms or need treatment, a thorough evaluation in early adulthood is recommended. The Coronary Anomalies Program care team uses a very carefully and strategically thought out plan for determining risk through testing, which may include CT scans, exercise stress tests, stress MRI, cardiac catheterization (cath) labs, and more. Based on careful analysis of the patient’s risk profile, our team works with you and your family to decide the risk-benefit ratio of an intervention to correct the anomaly or to continue to monitor throughout life.

Patients are cared for by a dedicated multidisciplinary care team, meaning you and your family will benefit from the expertise of multiple specialists across a variety of disciplines. Our board-certified and fellowship-trained pediatric and congenital heart surgeons have extensive experience treating patients with anomalous coronary arteries and work alongside a team of pediatric cardiac experts, including cardiologists, interventional cardiologists, electrophysiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, providing unparalleled care for patients and their families every step of the way.

Pediatric heart care backed by research

The Texas Center for Pediatric and Congenital Heart Disease at Dell Children's Medical Center is a collaboration between Dell Children’s Medical Center at Ascension Seton and UT Health Austin, the clinical practice of Dell Medical School at The University of Texas at Austin.

Frequently asked questions

  • How does the Texas Center for Pediatric and Congenital Heart Disease approach patient care? 
    We take a multidisciplinary approach to your child's care, meaning your child will benefit from the expertise of multiple specialists across a variety of disciplines. Depending on your child’s needs, a team is built around you and your family to ensure you are receiving the most personalized care.
  • What does treatment look like? 
    Patients are cared for by a dedicated multidisciplinary care team, meaning your child will benefit from the expertise of multiple specialists across a variety of disciplines. Our board-certified and fellowship-trained pediatric and congenital heart surgeons have extensive experience treating heart diseases and defects in children of all ages and work alongside a team of pediatric cardiac experts, including cardiologists, interventional cardiologists, electrophysiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, providing unparalleled care for patients and their families every step of the way.
  • What makes the care and treatment provided by the Texas Center for Pediatric and Congenital Heart Disease unique?

    The Texas Center for Pediatric and Congenital Heart Disease is the only pediatric program in Central Texas offering comprehensive heart care for newborns, infants, children, and adolescents. The care team is comprised of nationally recognized and highly specialized doctors across different disciplines housed in a single cardiac care unit at Dell Children’s Medical Center. The Pediatric Cardiac Care Unit is a 24-bed inpatient unit at Dell Children’s that is dedicated to delivering highly specialized, whole-person care to infants, children, adolescents, and adults diagnosed with congenital or acquired heart conditions. Patients and families have access to all of the resources and amenities Dell Children’s has to offer to make your stay as comforting as possible.

    We also collaborate with our colleagues at the Dell Medical School and The University of Texas at Austin to utilize the latest research, diagnostic, and treatment techniques, allowing us to provide innovative treatment options to patients with heart disease and defects.

  • Who will be part of my child's care?
    The Texas Center for Pediatric and Congenital Heart Disease care team includes board-certified and fellowship-trained pediatric and congenital heart surgeons who have extensive experience treating heart diseases and defects in children of all ages and work alongside a team of pediatric cardiac experts, including cardiologists, interventional cardiologists, electrophysiologists, critical care specialists, hospitalists, anesthesiologists, perfusionists, nurses, advanced practice providers, social workers, psychologists, child life specialists, dietitians, physical and occupational therapists, pharmacists, and more, providing unparalleled care for patients and their families every step of the way.
  • What types of services are provided? 
    The Texas Center for Pediatric and Congenital Heart Disease diagnoses, treats, and manages the care of children and adults with heart diseases and defects, including aortic coarctation, congenital heart disease, heart failure, pulmonary atresia, pulmonary valve stenosis, single ventricle defects, ventricular septal defects, and more. A list of services provided at the Texas Center for Pediatric and Congenital Heart Disease can be found here.
  • What can I expect during my child's first appointment?
    Initial cardiology appointments often include testing, such as a chest X-ray, an echocardiogram (ECHO), and an electrocardiogram (ECG/EKG), but may also include cardiac magnetic resonance imaging (MRI), a computerized tomography (CT) scan, or an exercise treadmill test (stress test). All initial appointments will include a visit with a cardiologist. The duration of the appointment is dependent on the patient and their condition, and appointments times vary from a short visit to potentially taking all day. Be sure to ask for an estimated timeframe when scheduling your appointment.
  • What can I expect during a preoperative appointment?
    Preoperative appointments typically involve testing, such as blood work, a chest X-ray and an electrocardiography (ECG/EKG), followed by visits with members of the Texas Center for Pediatric and Congenital Heart Disease care team, including a surgical advanced practice provider, such as a nurse practitioner or physician’s assistant, child life specialist, physical therapist, psychologist or social worker, and nurse navigator. The purpose of this appointment is to ensure patients are well and prepared for surgery and to answer any questions you may have. This appointment takes approximately 4 hours.
  • Are there any resources available to patients and their families?
    The Texas Center for Pediatric and Congenital Heart Disease is committed to providing both whole-patient and whole-family care and is dedicated to making every childhood the beginning of a healthy and happy life. We believe every child and their family deserves the best possible care, which is why we’ve compiled a list of resources that may be beneficial to you and your family. A list of patient resources can be found here. 

     

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What sets us apart

Central Texas leader

Our center is the only pediatric program in Central Texas offering comprehensive heart care for newborns, infants, children, and adolescents.

Medical firsts

In 2019, our team successfully implanted the first mechanical heart device in a pediatric patient in Central Texas.

Among the nation's best

Pediatric Cardiology & Heart Surgery at Dell Children's Medical Center is ranked among the nation's best by U.S. News & World Report 2023-24.

Coronary anomalies program