google_counter
background_img

Treatment of Aortic Valve Insufficiency (avi)

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

Aortic Valve Insufficiency Diagnosis
 from  477
Aortic valve replacement
 from  9909
Treatment of aortic valve insufficiency with aortic valve repair
 from  8934

University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

Department of Cardiac Surgery

According to the Focus magazine, the University Hospital Oldenburg ranks among the best medical facilities in Germany! The hospital offers a wide range of medical services that meet the highest medical standards. The hospital has 832 beds. The medical facility annually serves 37,000 patients on an inpatient and partially inpatie
Aortic Valve Insufficiency Diagnosis
1983 help1633
Aortic valve replacement
25746 help24146
Treatment of aortic valve insufficiency with aortic valve repair
22216 help20816

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Cardiothoracic 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
Aortic Valve Insufficiency Diagnosis
1949 help1806
Aortic valve replacement
30317 help27380
Treatment of aortic valve insufficiency with aortic valve repair
26364 help23682

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Cardiothoracic Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Aortic Valve Insufficiency Diagnosis
1884
Aortic valve replacement
29017
Treatment of aortic valve insufficiency with aortic valve repair
25196

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiothoracic 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
Aortic Valve Insufficiency Diagnosis
1813
Aortic valve replacement
27356
Treatment of aortic valve insufficiency with aortic valve repair
23870

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Cardiothoracic Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Aortic Valve Insufficiency Diagnosis
1792
Aortic valve replacement
28968
Treatment of aortic valve insufficiency with aortic valve repair
25222

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiac Surgery and Heart Transplantation

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
Aortic Valve Insufficiency Diagnosis
1959
Aortic valve replacement
28963
Treatment of aortic valve insufficiency with aortic valve repair
25130

University Hospital RWTH Aachen

9.5/10
location_onGermany, Aachen

Department of Cardiothoracic Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Aortic Valve Insufficiency Diagnosis
1901
Aortic valve replacement
30976
Treatment of aortic valve insufficiency with aortic valve repair
26565

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
Aortic Valve Insufficiency Diagnosis
1829
Aortic valve replacement
27591
Treatment of aortic valve insufficiency with aortic valve repair
23692

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Cardiac Surgery

According to the 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 field
Aortic Valve Insufficiency Diagnosis
0
Aortic valve replacement
0
Treatment of aortic valve insufficiency with aortic valve repair
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Cardiac 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
Aortic Valve Insufficiency Diagnosis
2018
Aortic valve replacement
30737
Treatment of aortic valve insufficiency with aortic valve repair
26450

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Cardiothoracic 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
Aortic Valve Insufficiency Diagnosis
2036
Aortic valve replacement
31091
Treatment of aortic valve insufficiency with aortic valve repair
26279

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Cardiothoracic 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
Aortic Valve Insufficiency Diagnosis
1805
Aortic valve replacement
27503
Treatment of aortic valve insufficiency with aortic valve repair
23499

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Cardiac 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
Aortic Valve Insufficiency Diagnosis
1907
Aortic valve replacement
30613
Treatment of aortic valve insufficiency with aortic valve repair
26841

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Cardiac 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
Aortic Valve Insufficiency Diagnosis
2423
Aortic valve replacement
40587
Treatment of aortic valve insufficiency with aortic valve repair
35459

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Cardiothoracic 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
Aortic Valve Insufficiency Diagnosis
1933
Aortic valve replacement
30799
Treatment of aortic valve insufficiency with aortic valve repair
26536

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Congenital and Acquired Heart Defects, Heart Valve Diseases

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
Aortic Valve Insufficiency Diagnosis
1820
Aortic valve replacement
27693
Treatment of aortic valve insufficiency with aortic valve repair
23798
| from Booking Health GmbH

Aortic valve insufficiency (AVI) creates the limitations that lead to the blood backflow. If the aortic valve flaps do not fully close (which is the reality with AVI), the backflow is constant. To compensate for the load on the heart, the ventricular muscle walls thicken (hypertrophy), and the ventricular structures increase in volume. Ultimately, despite this compensation, the heart cannot meet the demand for blood supply, which results in failure.

Content

  1. Overview
  2. Symptoms
  3. Options for the treatment of aortic valve insufficiency (AVI)
  4. Drug treatment of AVI
  5. Surgery for the treatment of aortic valve insufficiency (AVI)
  6. Treatment principles
  7. Life after treatment
  8. Best hospitals for the treatment of aortic valve insufficiency in Europe
  9. Prices for the treatment in European hospitals
  10. Treatment with Booking Health

Overview

 

When the aortic valve is insufficient, the valve does not close completely, and some amount of blood flows back into the heart, forcing it to work extra to provide sufficient blood supply to the body. As a result, the risk of heart failure increases.

This kind of valvular heart disease develops with age; most people over the age of 80 have some degree of aortic valve insufficiency. Aortic valve insufficiency can also be caused by infection, deposition of calcium salts in the valve, congenital anomaly, and it is often accompanied by aortic valve stenosis.

Symptoms of aortic valve insufficiency usually develop over time. Occasionally, they appear suddenly, without warning, usually due to an infectious lesion or trauma to the valve or artery.

Aortic valve insufficiency (AVI) may be present for years with minimal or no manifestations, except for heart murmurs audible with a stethoscope. At some point, the heart muscle ceases to cope with such a high demand for extra heart functioning, and symptoms of heart failure develop, including shortness of breath, headaches due to high blood pressure, a wheezing sound in the chest, swelling of the legs, and increased risk or frequency of fainting.

If patients have mild forms of insufficiency, they should have regular check-ups with a doctor to monitor the progression of the abnormality. Medications may also be prescribed to control symptoms of heart disease. If the condition worsens, surgery may be needed to repair or replace the valve. In most patients, aortic valve replacement procedures lead to a significant improvement in well-being.

Symptoms

 

Clinical manifestations of aortic valve insufficiency include:

  • Feeling of increased pulsation in the neck, in the head, as well as fast heartbeat.
  • Dizziness or lightheadedness.
  • Pain in the heart area.
  • Shortness of breath.
  • Periods of angina pectoris.

Heart pain can occur in patients with severe aortic valve insufficiency long before signs of left ventricular decompensation. The pain is usually localized behind the sternum but often differs in its nature from sensation typical for angina pectoris. Symptoms are not as often associated with physical load or emotional stress as angina attacks in patients with valvular heart disease. The pain often occurs at rest and is pressing or compressive; it usually lasts long enough and is not always stopped by nitroglycerin. Nocturnal angina attacks that may occur in patients with aortic valve insufficiency are accompanied by profuse sweating. Typical angina attacks in patients with aortic valve insufficiency, as a rule, indicate the presence of concomitant coronary heart disease and atherosclerotic narrowing of coronary vessels.

Dyspnea with progressive decrease of left ventricle systolic function turns into orthopnea. Then it is joined by suffocation attacks (cardiac asthma and pulmonary edema). Exercise fatigue rapidly occurs. Understandably, all symptoms associated with cerebral and coronary circulatory function are aggravated when aortic valve insufficiency (AVI) occurs. Finally, in rarer cases, when pulmonary hypertension persists and progresses for a long time, and patients potentially survive left ventricular failure, some signs of blood stasis in the venous channel of the systemic circulation (edema, heaviness in the right subcavity, dyspeptic disorders), associated with a decline in systolic function of the hypertrophied right ventricle may be revealed. However, more often it does not occur and the clinical picture is dominated by the above-mentioned symptoms due to affection of the left heart, peculiarities of the blood filling in the arterial vascular system of the great circle, and signs of blood stasis in the veins of the small circle of circulation.

In terms of medical examination, doctors look for symptoms like pallor of the skin, indicating insufficient perfusion of peripheral organs and tissues.

Options for the treatment of aortic valve insufficiency (AVI)

 

The main options for the treatment of aortic valve insufficiency (AVI) are:

  • Medication-assisted treatment.
  • Endovascular methods.
  • Surgical treatment.

The drug treatment of aortic valve insufficiency involves the use of vasodilators, ACE inhibitors, and calcium antagonists. The main goal of drug treatment of aortic valve insufficiency is to slow the progression of left ventricular dysfunction and halt its dilatation. Medication does not obviate the need to see a surgeon when left ventricular dysfunction or complaints occur. The goal of medication in the treatment of aortic valve insufficiency of acute form is to stabilize hemodynamics before surgery. Vasodilators are mostly used in cardiogenic shock; they reduce left ventricular afterload, decrease end-diastolic pressure and increase cardiac output. In severe cases, infusion of inotropic agents is required.

Endovascular methods such as intra-aortic balloon counterpulsation are contraindicated in moderate to severe aortic insufficiency cases and in dissecting aortic aneurysm. Aortic valve insufficiency (AVI) also serves as a relative contraindication to balloon valvuloplasty for aortic stenosis, because after the treatment of aortic valve insufficiency with this intervention the actual insufficiency increases.

Occasionally, treatment of aortic valve insufficiency with repair procedures is possible before indicating the replacement surgeries. For such procedures, the aortic insufficiency caused by bicuspid or tricuspid aortic valve prolapse is the main indication.

Drug treatment of AVI

 

The main goal of drug treatment of aortic valve insufficiency is to reduce regurgitation volume. The drugs of choice are vasodilators of various classes (nifedipine, ACE inhibitors, and hydralazine). Vasodilators can be used for:

  • Prolonged treatment of aortic valve insufficiency with pronounced symptoms or left ventricle dysfunction if surgical treatment is not recommended because of additional cardiac or extracardiac contraindications.
  • Short-term drug treatment of aortic valve insufficiency to improve the hemodynamic profile of patients with significant symptoms of heart failure.
  • Reduction of the rate of symptom progression in patients with severe aortic valve insufficiency, in the presence of the cavity enlargement of the left ventricle, but with a normal left ventricle ejection fraction.

Vasodilators are not usually recommended for the treatment of aortic valve insufficiency in asymptomatic patients with mild or moderate forms of the disease, and with normal left ventricular systolic function.

Surgery for the treatment of aortic valve insufficiency (AVI)

 

If the aortic valve is severely deformed or worn out, repairing it may not be sufficient. The old, damaged valve must be removed and replaced with a new valve. The new valve is firmly laced to the ring that remains from the old valve. There are several aortic valve replacement options. They usually fall into the difference between the artificial valve origin (biological or mechanical).

Many biological valves use animal valves in the structural part of the artificial valve. They are chemically treated and mounted in metal or plastic frames covered with tissue. In some cases, another person's aortic valve can be used. It is preserved by freezing.

The great advantage of biological valves is that they are very similar to natural valves. Therefore, the body does not need any special therapy to tolerate them. But a biological valve is not as durable as a natural valve, because preserving the valve can damage the tissue.

These are also artificial valves made of durable metals like carbon, ceramic, or plastics. The valve is attached to the heart tissue by a ring. The great advantage of mechanical valves is their durability. However, they are made of materials that are not natural to the body and can cause blood clots. To avoid this, blood-thinning medications are used. Most patients with mechanical valves installed must take these medications daily for the rest of their lives. This requires laboratory monitoring and regular physical examinations.

There is also a Ross procedure, during which the person’s valve subjected to removal is replaced with the patients’ own pulmonary valve. In many cases, the Ross procedure is a very effective long-term solution for the treatment of aortic valve insufficiency. With this approach, the patient's pulmonary valve is replaced with a donor valve. Ross procedure is usually successful because the pulmonary valve is easier to replace: the load on it is less than on the aortic valve. There is also no need for prolonged anticoagulant therapy with this procedure.

Treatment principles

 

Today, effective methods of treatment of aortic valve insufficiency (AVI), mitral valve insufficiency, and other manifestations of regurgitation have been developed.

If an acute form of aortic valve insufficiency is detected, aortic valve replacement must be performed without delay. To do this, doctors perform a  surgery, in which the non-working valve is removed and an artificial, well-functioning counterpart is implanted. After such a surgery, doctors prescribe taking some medications, among which are vasodilators and inotropic agents. But such surgery is always associated with a high risk of complications. Surgery cannot be performed in patients who have had a heart attack and severe left ventricle insufficiency.

Chronic aortic regurgitation is treated depending on the symptoms the patient has. If symptoms prevent them from living a full life, aortic valve treatment is also performed surgically. If the symptoms are minor, the person should reduce the severity of physical activity and have regular check-ups with the doctor. Specialists may prescribe taking vasodilators, which help optimize the left ventricle function. If there is ventricular insufficiency, diuretics and other drugs may be prescribed.

In case of treatment of aortic valve insufficiency and any other heart condition, the prescribed medications should be taken strictly as prescribed by the doctor. Do not increase or decrease the dose yourself.

Life after treatment

 

The success of the recovery after treatment of aortic valve insufficiency depends on several conditions. Patients need to stay physically active, eat healthy foods, take all necessary medications, not smoke, and follow all of the doctor's advice and recommendations. The frequency of visits to the doctor will depend on the needs of patients. When patients are discharged, they will have follow-up consultations with a surgeon and a cardiologist. But on average, patients need to have medical checkups at least once a year.

A healthy diet is a key to recovery. Patients may need to limit their salt intake. Hospital nutritionists and nurses will provide you with all the information in regards to a suitable healthy diet. General recommendations include the consumption of foods low in saturated fats, salt, and added sugar.

Physical activity is necessary for the patients who underwent treatment of aortic valve insufficiency. It helps the body to regain health and energy and to promote healthy blood flow. Physical rehabilitation can start already in the hospital and consists of simple walks around the room or down the hall. Patients are monitored to make sure the heart is up to the challenge. When patients have fully recovered from the treatment of aortic valve insufficiency, moderate-intensity training is recommended, such as brisk walking, for at least 150 minutes a week. This is usually discussed with a physician.

Patients may have to change their list of medications after the operation. It is necessary to only take medications that a doctor will prescribe. Do not take any medicine you were taking before medical procedures for the treatment of aortic valve insufficiency unless talking to the doctor. Do not even take over-the-counter medications such as aspirin without asking if they are safe for you.

Your doctor may prescribe medications to prevent blood clots on the valve. These are called anticoagulants (blood thinners). They do not actually thin the blood but simply increase the clotting time. Previously, blood-thinning therapy was monitored by a test called prothrombin time to make sure the dose was chosen correctly. New anticoagulants do not need to be monitored as closely, but it will probably be necessary to have a blood test from time to time.

The recovery period usually takes 6 to 8 weeks. The sternum will heal completely at the end of this period. Those with sedentary jobs may return to work part-time as early as 6 weeks after surgery. Those who have a physically demanding job can return to it later. Your doctor will tell you when you can start working.

Best hospitals for the treatment of aortic valve insufficiency in Europe

 

The following medical centers are best-rated European hospitals by patients:

  • University Hospital Oldenburg, Germany.
  • University Hospital Frankfurt am Main, Germany.
  • Assuta Hospital Tel Aviv, Israel.
  • HELIOS Heart Surgery Clinic Karlsruhe, Germany.
  • Hospital Kessel, Germany.

You can find more information about the mentioned hospitals on the Booking Health website.

Prices for the treatment in European hospitals

 

The cost of treatment for any heart condition is difficult to name prior to the initial assessment of the diagnosis by European doctors. However, average prices might help you understand the financial spectrum required for the treatment.

Below you will find prices for most medical procedures for the treatment of aortic valve insufficiency. We have compiled information on real prices for the treatment in Europe:

  • The prices for diagnosis of aortic valve insufficiency start at 477 EUR.
  • The cost of treatment with aortic valve replacement surgery starts at 9,909 EUR.
  • The cost of treatment with aortic valve repair starts at 8,934 EUR.
  • The prices for cardiac rehabilitation start at 566 EUR.

You can find more information about the cost of treatment of aortic valve insufficiency in Europe on the Booking Health website.

Treatment with Booking Health

 

If you have aortic valve insufficiency and want to undergo treatment in European hospitals, but do not know how to go about it, Booking Health is going to help you.

Booking Health cooperates with the best European hospitals and will select the most suitable for you, where you will be able to get quality medical care at a loyal price.

Also, Booking Health will help with paperwork and negotiation with the hospital. Our long-term experience in the organization of treatment abroad and adherence to international standards is the foundation of the cooperation only with certified hospitals.

If you would like to know more about the organization of treatment, please fill in the request form on the Booking Health website so that we could contact you.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko

To check for the Aortic valve insufficiency (avi) you can submit a request on BookingHealth and our managers will find the best hospital that is specialized in Aortic valve insufficiency (avi) to fulfill your needs
Cost of Aortic valve insufficiency (avi) treatment varies from 8934 to 40587



Feedback of our customers from other resources

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.