Cardiac Neurodevelopmental Outcomes Clinic

The Cardiac Neurodevelopmental Outcomes Clinic (CNOC) provides evaluation of the growth and development of infants and young children with congenital heart disease. Following surgery early in life, these children are at risk for problems in the areas of:

  • Feeding
  • Speech & language
  • Fine motor skills
  • Gross motor skills
  • Behavior
  • Social emotional development
  • Social interaction
  • Learning

Early identification and treatment of these problems is important for successful development.


Evaluations are needed to ensure that your child grows and develops optimally. By monitoring your child’s health and development, and providing guidance and referrals as needed, we can help your infant reach his or her full developmental potential. Early diagnosis and treatment of developmental delays may prevent or lessen long-term problems associated with cardiac conditions and serious newborn illness.

Special examinations are performed by a pediatric nurse practitioner or a clinical psychologist to evaluate how your baby is growing, changing, learning and developing.

We evaluate:

  • Neuromotor function (muscle strength or weakness)
  • Growth and nutrition (physical growth)
  • Language development (ability to listen and talk)
  • Social interaction (ability to interact with others)
  • Developmental milestones (ability to achieve developmental stages)

The evaluation takes approximately 1 ½ to 2 hours, and the results are discussed with you.  The evaluation process provides an opportunity for you to ask any questions you may have about your child’s development. A copy of the evaluation report is also sent to your child’s pediatrician and cardiologist.

For more information, click on the links below.

Frequently Asked Questions