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Treatment of Thoracic Aortic Aneurysm

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

Diagnostic tests for thoracic aortic aneurysm
 from  557
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
 from  19424
Treatment of thoracic aortic aneurysm with open prosthetics
 from  19637

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
Diagnostic tests for thoracic aortic aneurysm
2106
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
35151
Treatment of thoracic aortic aneurysm with open prosthetics
35599

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
Diagnostic tests for thoracic aortic aneurysm
2565
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
47253

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for thoracic aortic aneurysm
2423
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
41563
Treatment of thoracic aortic aneurysm with open prosthetics
41539

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
Diagnostic tests for thoracic aortic aneurysm
1947
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
31463
Treatment of thoracic aortic aneurysm with open prosthetics
31678

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
Diagnostic tests for thoracic aortic aneurysm
1751
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
31479
Treatment of thoracic aortic aneurysm with open prosthetics
35274

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
Diagnostic tests for thoracic aortic aneurysm
1862
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
31157
Treatment of thoracic aortic aneurysm with open prosthetics
31258

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Vascular and Endovascular 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
Diagnostic tests for thoracic aortic aneurysm
0
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
0
Treatment of thoracic aortic aneurysm with open prosthetics
0

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
Diagnostic tests for thoracic aortic aneurysm
1895
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
31333
Treatment of thoracic aortic aneurysm with open prosthetics
31566

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Vascular Surgery

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Diagnostic tests for thoracic aortic aneurysm
2075
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
33441
Treatment of thoracic aortic aneurysm with open prosthetics
33535

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
Diagnostic tests for thoracic aortic aneurysm
2186
Treatment of thoracic aortic aneurysm with open prosthetics
35146

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Vascular, Endovascular Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for thoracic aortic aneurysm
2112
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
35220

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
Diagnostic tests for thoracic aortic aneurysm
2166
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
35495
Treatment of thoracic aortic aneurysm with open prosthetics
35203

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
Diagnostic tests for thoracic aortic aneurysm
1892
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
31143
Treatment of thoracic aortic aneurysm with open prosthetics
31220

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
Diagnostic tests for thoracic aortic aneurysm
1845
Treatment of thoracic aortic aneurysm with open prosthetics
31542

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
Diagnostic tests for thoracic aortic aneurysm
1849
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
29461
Treatment of thoracic aortic aneurysm with open prosthetics
29351

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Vascular Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for thoracic aortic aneurysm
2414
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
41486
Treatment of thoracic aortic aneurysm with open prosthetics
41180
| from Booking Health GmbH

A thoracic aortic aneurysm is a time bomb in your chest. This is a local enlargement of the aorta, which can rupture a blood vessel. Only a few people survive after the development of this complication. Timely treatment is required to prevent the aneurysm from rupturing. Doctors abroad can provide treatment with endovascular techniques: through an incision in the leg.

Content

  1. Causes
  2. Symptoms
  3. Diagnostics
  4. Who needs surgery
  5. What operations can be used

Causes

 

The most common cause of a thoracic aortic aneurysm is atherosclerosis. This disease affects all arteries in the human body and is the cause of most cardiovascular pathologies. Degenerative changes gradually occur in the aorta, its diameter increases. Then wall dissection may occur, the formation of blood clots, and their entry into the brain. In the case of ruptured thoracic aortic aneurysm, the mortality rate of patients exceeds 90%. This is due to massive blood loss.

About 20% of patients are diagnosed with genetic syndromes, in which the size of the aorta is reduced due to the decreased strength of the connective tissue. Marfan and Ehlers-Danlos syndromes are the most common among them. Another 15% of patients do not suffer from mutations, but doctors can detect a genetic link: their aneurysms form earlier, grow faster and rupture more frequently.

Rare causes may include:

  • Infections.
  • Surgery and endovascular procedures.
  • Injuries.

Aortic aneurysms develop more often in men. The risk of pathology increases with age.

Symptoms

 

The thoracic aortic aneurysm does not manifest any symptoms. Aortic enlargement can be detected with the help of instrumental diagnostic methods. However, doctors usually do not conduct any screening for pathology, with the exception of patients suffering from Marfan syndrome.

Due to the asymptomatic course, the disease is often detected only after the development of complications, the most common of which are embolism, dissecting thoracic aortic aneurysm or ruptured thoracic aortic aneurysm.

Diagnostics

 

The fact of enlarged aorta can be established or suspected using X-ray and ultrasound scanning. Nonetheless, with the help of these methods, the aorta is imagined not completely or not qualitatively enough. Therefore, the main diagnostic methods abroad are CT and MRI scanning.

The doctors measure the diameter of the aorta, since this is the main criterion that determines the treatment tactics. The specialists assess the state of the branches, which are the outgoing arteries of a smaller caliber. Their lesion is an argument in favor of the need for surgery at the borderline markers ​​of the aortic diameter.

With surveillance tactics, the doctors look at how quickly the diameter of the aorta is enlarged, and whether it is enlarged at all. The ascending thoracic aortic aneurysm usually grows slowly – by 1 mm per year, while the descending thoracic aortic aneurysm enlarges 3 times faster.

Who needs surgery

 

The treatment is required when the risk of ruptured aneurysm increases. The aorta is more likely to rupture if its diameter exceeds 6 cm in the ascending section and 7 cm in the descending section. With a smaller size, rupture can also occur, but very rarely, so the operation is not performed.

In the patients with Marfan syndrome, the operation is performed when:

  • Diameter of the aorta reaches 5 cm.
  • Diameter of the aorta does not exceed 4,5 cm, but the patient has additional risk factors.

In case of Loeys-Dietz syndrome, the operation is performed with an aortic diameter of 5,5 cm.

With detected borderline markers, the question of the advisability of surgery is considered individually. The doctor takes into account the structure of the patient's body, his height and weight, the presence of risk factors, the rate of aneurysm enlargement, the method of surgical intervention (endovascular treatment is less risky than open surgery).

If necessary, the doctor calculates the indexed aortic diameter. The operation is performed with an indicator of more than 2,75 cm per 1 square meter of body area.

An additional argument in favor of surgical treatment of the aneurysm may be another disease: stenosis or aortic insufficiency. If open valve replacement is planned, then at the same time the doctor can eliminate the aneurysm if the aortic diameter exceeds 4,5 cm.

What operations can be used

 

Aortic replacement is the main operation for the treatment of the disease. It can be performed using open or minimally invasive techniques.

In case of open surgery, the doctor makes an incision in the thorax and performs the necessary manipulations under imaging guidance. He can do the following manipulations:

  • Remove the pathological section of the aorta and implant a vascular prosthesis instead.
  • Wrap the dilated vessel with a mesh endoprosthesis.
  • Form an anastomosis – a bypass for blood flow.
  • Interventions on the coronary arteries and aortic valve can be performed simultaneously.

In terms of efficiency, endovascular aortic replacement is no worse than open aortic prosthesis. The long-term survival of patients is the same. However, the advantage of the endovascular method is low surgical mortality, minimal risk of complications and rapid patient recovery.

During the operation, a stent graft is implanted into the aorta. It is a mesh cylinder covered with a shell. It is imprinted into the vascular wall and strengthens it, thereby preventing rupture. This operation does not require an incision in the thorax. The doctor makes an incision in the leg and delivers the stent to the thoracic aorta through the blood vessels.

The doctors abroad can successfully treat even the most severe cases of aortic aneurysm, when the patient requires replacement of the entire thoracic region, including the ascending and descending aorta, as well as its arch. In such cases, the frozen elephant trunk (FET) procedure is used. It allows the doctors to perform radical replacement of the aortic arch and the ascending aorta, as well as stenting of the descending thoracic aorta using a hybrid prosthesis.

To undergo treatment of aneurysm of the thoracic aorta abroad, please use the Booking Health services. We will help you find the best clinics for the treatment of aortic aneurysm and arrange your trip. On the Booking Health website, you can compare thoracic aortic aneurysm surgery prices and book a medical care program at a favourable price. The cost of treatment for you will be reduced due to the lack of additional coefficients for foreign patients.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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