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Treatment of Aortic Dissection in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
15615.05
General therapeutic rehabilitation
717.22

St. Franziskus-Hospital Muenster

10/10
location_onGermany, Muenster

Innovation Center for Endovascular Medicine

The St. Franziskus-Hospital Muenster positions itself as a modern medical facility, the primary task of which is to provide patients with top-class medical care at the international level. The hospital is the medical center of the St. Francis Foundation in Munich, whose medical facilities annually provide treatment to more than
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
42314.35

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Vascular Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
44300.85

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
60171.1

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal and Colorectal Surgery, Hepatobiliary Surgery, Hernia Surgery, Bariatric Surgery, Endocrine Surgery, Thoracic and Vascular Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
52490.45

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Vascular and Endovascular Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
39228.75

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
34123.3

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
39279.5

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Vascular Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
42014.2

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Cardiothoracic Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
39788.45

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Vascular and Endovascular Surgery

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of General, Abdominal, Thoracic and Vascular Surgery

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
44698.15

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Vascular, Endovascular Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
44503.85

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Vascular and Endovascular Surgery

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
45046.15

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Vascular and Endovascular Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
39124.35

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Vascular, Endovascular Surgery

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
39407.1

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Adult and Pediatric Cardiac Surgery, Vascular Surgery

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Resection aortic aneurysm with anastomosis in aortic dissection (dissecting aortic aneurysm)
36402.7
| from Booking Health GmbH

A dissecting aortic aneurysm is a rupture of the inner lining of the aorta and separation (dissection) of the wall of a blood vessel. Blood seeps under the intima. A false lumen of the aorta is formed, which can be connected to the true lumen, and a hematoma is formed. The disease usually develops due to atherosclerosis and arterial hypertension. A provoking factor can be an injury to the abdomen or chest.

Content

  1. Causes
  2. Symptoms
  3. Diagnostics
  4. Therapy

The dissecting aortic aneurysm often requires surgery. In emergency cases, it is performed using open surgical techniques: through an incision in the chest or abdomen. With planned treatment, German specialists perform endovascular or hybrid interventions, which are less traumatic but have similar efficiency.

You can undergo treatment at the University Hospital of Ludwig Maximilian University of Munich, the Charite University Hospital Berlin, the University Hospital Frankfurt am Main.

Please leave your request on the Booking Health website, and we will help you choose a clinic and a doctor, prepare the necessary documents, and make an appointment. You will be accompanied by a medical interpreter at the clinic, and your personal coordinator will be constantly in touch for any questions.

Causes

 

Dissecting aneurysms can be caused by the following diseases and conditions:

  • Hypertension 
  • Congenital connective tissue dysplasia in Marfan syndrome, Ehlers-Danlos syndrome, Turner syndrome
  • Congenital heart defects
  • Atherosclerosis
  • Injuries
  • Systemic vasculitis
  • Aortic injury during surgery

Two-thirds of the patients are men over 65 years. 84% of patients suffer from high blood pressure. Pregnant women over 40 are also at risk.

Symptoms

 

In the case of aortic dissection, there are no unique symptoms that allow doctors to make a diagnosis immediately. Here are some possible clinical manifestations:

  • Chest and abdominal pain
  • Pain between the shoulder blades or in the neck
  • Neurological symptoms, as in a stroke
  • Dyspnea
  • Hemoptysis
  • Swallowing disorders
  • Lower back pain (in case of the abdominal aortic aneurysm with spread to the renal arteries)

Diagnostics

 

The outcome of the disease depends on the timeliness of the diagnosis. Every hour until the disease is detected, the lethality of patients increases by 1%. The following methods are most often used to diagnose the disease:

Echocardiography is a simple and fast method that can detect up to 80% of aneurysms. The ultrasound examination is performed through the chest or abdomen. Transesophageal ultrasound is more informative: it detects up to 95% of cases of thoracic aortic aneurysms and also provides the doctor with additional information about the functional state of the cardiovascular system.

Computed tomography is performed with intravenous contrast enchantment. The method is non-invasive, and has a sensitivity of 94% and a specificity of 100%. Scanning is carried out quickly, which is important in emergency situations. Doctors may see blood clots in the aorta and pericardial effusion. However, CT scanning also has disadvantages: low sensitivity in determining the site of the beginning of the rupture; the intimal flap is poorly visualized, aortic regurgitation (reverse blood flow) and involvement of the aortic branches are not visible.

MRI is the most accurate diagnostic examination, but it is not used in emergency cases, as scanning takes a long time. The diagnostic sensitivity reaches 98%. About 100% of thrombi are detected, in 88% of cases, aortic regurgitation is determined. For the detection of pericardial effusion, the sensitivity is close to 100%. Therefore, in stable patients and in chronic dissection, MRI scanning is considered the gold standard for diagnosis.

Therapy

 

Should dissecting an aortic aneurysm be suspected, the patient will be taken to the hospital as soon as possible. The treatment options are as follows:

  • Drug therapy
  • Surgery
  • Endovascular repair

Drug therapy begins at the prehospital stage and continues in the hospital. The patient receives therapy aimed at eliminating pain and stabilizing hemodynamics. It allows the doctor to stop the formation of a hematoma. After conservative treatment, surgical intervention can be performed at different times.

Indications for emergency surgery are as follows:

  • Further spread of the aneurysm
  • Hematoma expansion
  • Risk of rupture
  • Pain that cannot be relieved with drugs
  • The formation of a saccular aneurysm

If there are no indications for emergency treatment, the operation is performed as planned, after the patient's condition has stabilized.

The main goals of the operation are:

  • Excision of the injured section of the aorta
  • Intimal flap resection
  • Closing the entrance to the false channel
  • Aortic replacement surgery
  • Aortic valve repair (plastic surgery, prosthetics)

Doctors usually perform resection of abdominal artery aneurysm or thoracic aortic aneurysm. The doctor removes part of the blood vessel and sutures the ends together (anastomosis imposition). If the ends cannot simply be brought together and sutured, the section of the aorta is repaired with prosthetics. With a descending dissection, endovascular treatment can sometimes be used: false channel closure and stent placement from inside the aorta, through an incision in the leg. Sometimes hybrid operations are performed: a combination of endovascular technique with an open surgical approach.

To undergo diagnostics, treatment of dissecting aortic aneurysm in Germany, and rehabilitation, you are welcome to use the Booking Health service. On our website, you can find out the cost of medical services. You can compare how much is the price for treatment in different clinics in Germany in order to book a medical care program at favorable prices. The specialists of the Booking Health company will help you choose a clinic and arrange your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Verywell Health

Healthline

Sience Direct




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