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University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Diagnostic tests for abdominal aortic aneurysm
1497
Abdominal aorta open prosthetics of abdominal aortic aneurysm
21072
Endovascular bifurcational operation of the abdominal aortic aneurysm
20368
Replacement of abdominal aortic section prothesis during aortic aneurysm
21021
location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Diagnostic tests for abdominal aortic aneurysm
2119
Abdominal aorta open prosthetics of abdominal aortic aneurysm
27424
Endovascular bifurcational operation of the abdominal aortic aneurysm
27471
Replacement of abdominal aortic section prothesis during aortic aneurysm
27715
location_onCountry: Germany
location_searchingCity: Munich
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St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Diagnostic tests for abdominal aortic aneurysm
1586
Abdominal aorta open prosthetics of abdominal aortic aneurysm
22916
Endovascular bifurcational operation of the abdominal aortic aneurysm
22492
Replacement of abdominal aortic section prothesis during aortic aneurysm
22758
location_onCountry: Germany
location_searchingCity: Karlsruhe

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Diagnostic tests for abdominal aortic aneurysm
1568
Abdominal aorta open prosthetics of abdominal aortic aneurysm
22709
Endovascular bifurcational operation of the abdominal aortic aneurysm
22959
Replacement of abdominal aortic section prothesis during aortic aneurysm
22428
location_onCountry: Germany
location_searchingCity: Munich

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnostic tests for abdominal aortic aneurysm
1571
Abdominal aorta open prosthetics of abdominal aortic aneurysm
22680
Endovascular bifurcational operation of the abdominal aortic aneurysm
22570
Replacement of abdominal aortic section prothesis during aortic aneurysm
22807
location_onCountry: Germany
location_searchingCity: Krefeld

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Diagnostic tests for abdominal aortic aneurysm
1596
Abdominal aorta open prosthetics of abdominal aortic aneurysm
22800
Endovascular bifurcational operation of the abdominal aortic aneurysm
22874
Replacement of abdominal aortic section prothesis during aortic aneurysm
22480
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Diagnostic tests for abdominal aortic aneurysm
1672
Abdominal aorta open prosthetics of abdominal aortic aneurysm
24022
Endovascular bifurcational operation of the abdominal aortic aneurysm
24247
Replacement of abdominal aortic section prothesis during aortic aneurysm
24205
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Diagnostic tests for abdominal aortic aneurysm
2023
Abdominal aorta open prosthetics of abdominal aortic aneurysm
27837
Endovascular bifurcational operation of the abdominal aortic aneurysm
27791
Replacement of abdominal aortic section prothesis during aortic aneurysm
27875
location_onCountry: Germany
location_searchingCity: Berlin

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

The Hospital St. Elisabeth Grevenbroich offers a wide range of medical services. Special focuses include gastroenterology, oncology, general, abdominal and vascular surgery.

Diagnostic tests for abdominal aortic aneurysm
1662
Abdominal aorta open prosthetics of abdominal aortic aneurysm
0.00
Endovascular bifurcational operation of the abdominal aortic aneurysm
0.00
Replacement of abdominal aortic section prothesis during aortic aneurysm
0.00
location_onCountry: Germany
location_searchingCity: Grevenbroich
certificate

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Diagnostic tests for abdominal aortic aneurysm
2107
Abdominal aorta open prosthetics of abdominal aortic aneurysm
27745
Endovascular bifurcational operation of the abdominal aortic aneurysm
27566
Replacement of abdominal aortic section prothesis during aortic aneurysm
27462
location_onCountry: Germany
location_searchingCity: Berlin

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Diagnostic tests for abdominal aortic aneurysm
1651
Abdominal aorta open prosthetics of abdominal aortic aneurysm
24048
Endovascular bifurcational operation of the abdominal aortic aneurysm
24253
Replacement of abdominal aortic section prothesis during aortic aneurysm
24416
location_onCountry: Germany
location_searchingCity: Hannover
certificate

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Diagnostic tests for abdominal aortic aneurysm
1649
Abdominal aorta open prosthetics of abdominal aortic aneurysm
24161
Endovascular bifurcational operation of the abdominal aortic aneurysm
24189
Replacement of abdominal aortic section prothesis during aortic aneurysm
23897
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificate

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

The Marienhaus Klinikum St. Elisabeth Neuwied has 13 Departments and is one of the largest hospitals in the north of Rhineland-Palatinate. With 429 beds, the Marienhaus Klinikum St.

Diagnostic tests for abdominal aortic aneurysm
1566
Abdominal aorta open prosthetics of abdominal aortic aneurysm
22614
Endovascular bifurcational operation of the abdominal aortic aneurysm
22687
Replacement of abdominal aortic section prothesis during aortic aneurysm
22728
location_onCountry: Germany
location_searchingCity: Neuwied

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Diagnostic tests for abdominal aortic aneurysm
0.00
Abdominal aorta open prosthetics of abdominal aortic aneurysm
0.00
Endovascular bifurcational operation of the abdominal aortic aneurysm
0.00
Replacement of abdominal aortic section prothesis during aortic aneurysm
0.00
location_onCountry: Israel
location_searchingCity: Haifa

Hospital Waldbrol Oberberg

9.7/10 from 23 Votes

The Waldbröl District Hospital has the state-of-the-art medical equipment and is the certified Cancer Center. The key goal of the Hospital is to provide patients with a competent individual medical care and nursing.

Diagnostic tests for abdominal aortic aneurysm
1501
Abdominal aorta open prosthetics of abdominal aortic aneurysm
21317
Endovascular bifurcational operation of the abdominal aortic aneurysm
21063
Replacement of abdominal aortic section prothesis during aortic aneurysm
21370
location_onCountry: Germany
location_searchingCity: Waldbrоl

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions.

Diagnostic tests for abdominal aortic aneurysm
2190
Abdominal aorta open prosthetics of abdominal aortic aneurysm
27519
Endovascular bifurcational operation of the abdominal aortic aneurysm
27432
Replacement of abdominal aortic section prothesis during aortic aneurysm
27677
location_onCountry: Germany
location_searchingCity: Berlin

About the disease

Aortic aneurysm is an abnormal expansion of aorta, main artery of the body, due to weakening of its walls. Abdominal aortic aneurysm is manifested by abdominal pain. Aortic aneurysm develops if there was irreversible expansion of blood stem lumen.

Doctors differentiate true and false aorta aneurysm. True aneurysm is mainly characterized by thinning and extreme bulging of all layers of aorta. False aneurysm has the same symptoms as true aneurysm with a difference that it is formed by connective tissue. False aneurysm usually develops because of pulsating hematoma, which could be a result of trauma or postoperative complications.

Other specific complications of aortic aneurysms are gaps of aneurysmal sac, which are in most cases accompanied by internal bleeding and extreme bruising. A person can also develop aneurysm thrombosis and thromboembolism of the arteries.

Although this disease can be asymptomatic, in general, aneurysms have unfavorable prognosis due to high risk of death from aortic rupture or thromboembolic dysfunctions. Probability of rupture of an aortic aneurysm with a diameter of 5 cm is 50%, with a smaller diameter is 25% per year. Early detection and surgical treatment of the aortic aneurysms can lower significantly mortality rate and bring good long-term results.

Symptoms

Aortic aneurysms can be completely asymptomatic or accompanied by painful symptoms. Aortic aneurysm symptoms are:

  • Transient or permanent heart pain
  • Stomach discomfort
  • Nausea
  • Belching
  • Heaviness in epigastrium
  • Feeling of fullness
  • Dysfunction of bowel
  • Considerable weight loss

Symptoms may be accompanied by compression of stomach and duodenum. Often patients complain of increased pulsation in abdomen. Patients with aortic insufficiency can also have shortness of breath, tachycardia, and dizziness. If aneurysm is large, there can also be swelling of face and upper body. In some cases aneurysm of aorta leads to compression of esophagus, and then a person has such manifestations of disease as hoarseness (dysphonia), dry cough, bradycardia, and excessive salivation.

Diagnosis

Diagnostic methods for detection of the aortic aneurysm mainly include X-ray, general examination, ultrasound, and tomography. Auscultatory sign of aneurysm is the presence of systolic murmur in the place of aorta expansion. Such murmur can be heard through stethoscope. Abdominal aortic aneurysm can, in most cases, be detected by palpation of abdomen.

  • X-ray exam of patients with aneurysm includes fluoroscopy and radiography of the chest, abdominal plain radiography and X-ray of esophagus and stomach. Ascending aorta aneurysms can be diagnosed by echocardiography or, in other cases, by a Doppler ultrasound.
  • Computed tomography (CT) of chest / abdominal aorta can accurately visualize the aneurysmal expansion and reveal presence of bundles and thrombotic masses. Final stage of diagnosis includes aortography, which can show specified location, size and length of aortic aneurysm. It can also indicate if patient need to undergo surgery. Aneurysm of the thoracic aorta should be differentiated from lung tumor, as it has almost the same symptoms and it is more difficult to diagnose than other types of aneurysm.

Treatment

In case of asymptomatic non-progressive aortic aneurysm only limited dynamic observation and constant X-ray control are required. To reduce the risk of complications, a patient can also be advised to undergo hypotensive and anticoagulant therapy to eliminate the risk of clot forming and to lower cholesterol.

Surgical intervention is necessary in abdominal aortic aneurysms with a diameter greater than 3.5 cm. Also aneurysms of thoracic aorta need to be surgically repaired. Surgical treatment of aneurysms includes aneurysmal excision of the modified portion of the vessel. Some patients need replacement of vascular prosthesis. Usually surgery is done under local or general anesthesia. Most common types of surgery are: Replacement of prosthetic abdominal aorta is a sutureless resection of aorta and its replacement with plastic tube.

  • Endovascular prosthesis bifurcation of the abdominal aorta is an endovascular repair of aorta with graft insertion.
  • Abdominal aorta open prosthetics is type of open repair. According to Oxford Journal.com, this type of treatment can also be used as diagnostic measure. Overall, prosthetic grafts are one of the best available treatment options for both aorta aneurysms and vascular diseases.
  • Abdominal aorta endovascular prosthesis is also a type of stent graft treatment, when aneurysm is repaired.

If not treated on time, aortic aneurysms can be complicated by rupture with the development of massive bleeding, collapse and acute heart failure. Rupture of aneurysms can occur in pericardial and pleural cavity, esophagus and abdomen. At the same time a person can develop severe, sometimes fatal condition of hemopericardium.




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