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Thoracic Aortic Aneurysm - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Thoracic Aortic Aneurysm

Thoracic aortic aneurysm | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for thoracic aortic aneurysm treatment abroad

Leading hospitals

Cost for treatment

Diagnostic tests for thoracic aortic aneurysm
2381
Treatment of thoracic aortic aneurysm with endovascular aortic prosthetics
20278.66
Treatment of thoracic aortic aneurysm with open prosthetics
20501.03
General therapeutic rehabilitation
0.00
According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
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Sana Hospital Duisburg
Sana Hospital Duisburg
Overall rating8.5 / 10
The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital
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According to the reputable Focus magazine, the Hospital Nordwest Frankfurt am Main ranks among the top German medical facilities! The hospital has a reputation of a modern multidisciplinary medical center with excellent quality of services. The medical complex is an academic hospital of the Goethe University Frankfurt, thanks t
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The Hirslanden Clinic Meggen is a modern multidisciplinary medical facility in Switzerland, where the patient receives top-class medical care according to his individual needs and wishes. Since 2014, the clinic has been part of the prestigious Hirslanden Private Hospital Group, which has an excellent reputation in Switzerland an
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The Martha-Maria Hospital Munich is one of the medical facilities of the Martha-Maria Diaconal Enterprise, as well as an academic hospital of Ludwig Maximilian University of Munich. For the patient, this means a combination of advanced medicine with a humane attitude towards the patient's worries and his life situation. The
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Luisenhospital Aachen
Luisenhospital Aachen
Overall rating9.8 / 10
The Luisenhospital Aachen is a modern health facility that offers top-class European-standard service. The medical complex is an academic hospital of RWTH Aachen University, which provides patients with access to innovations in diagnosis and treatment. The hospital first opened its doors to patients in 1967 and has been carrying
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Asan Medical Center is Korea’s largest medical institution, with 1,600 physicians and surgeons, 3,100 nurses, 2,680 beds, and 67 operating rooms, occupying more than four million square feet (about 371,600 square meters). A typical day at AMC sees 2,500 inpatients and 10,000 outpatients treated. The treatment of heart dise
As a member of the Swiss Leading Hospitals, the Multispecialty Hospital Lindberg in Winterthur ranges amongst the leading medical facilities in Switzerland. With more than 100 accredited doctors of various specialties, the Lindberg Hospital offers a broad range of medical services. Focal areas of the Hospital are orthopedics inc
Medical tourism or a trip to another country to relax and solve some health problems, at the same time, enjoys great popularity now. The tourists of this type especially like Switzerland, because it offers a very high level of both rest and medical treatment. Clinique Generale has been servicing the residents of Fribourg for ove
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. The hospital uses innovative technologies and the latest treatments, as
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. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
The Vivantes Am Urban Hospital is an academic clinic at the Charité University Hospital. Many departments of the hospital are recognized for their outstanding medical and patient care services. The hospital also includes the Breast Center, the Tumor Center with the specialization "Gastrointestinal oncology" and
The Eilenriede Clinic Hannover positions itself as one of the best medical complexes in Germany, where patients are provided with highly effective treatment in accordance with European medical standards. The main clinical focuses of the medical facility include general surgery, hand surgery, neurosurgery, plastic and aesthetic s
According to the reputable Focus magazine, the Schoen Clinic Duesseldorf is one of the top medical facilities in North Rhine-Westphalia and is also one of the best Spinal Surgery Centers in Germany. The Schoen Clinic Duesseldorf is recognized as a leading medical facility that provides high-quality medical care with an emphasis
Leech Clinic Graz
Leech Clinic Graz
Overall rating9.2 / 10
Leech Clinic is a surgical clinic and a member of SANLAS Holding GmbH. “We are the Good Mood Clinic” is the slogan of the clinic, so our patients get specialist care and treatment all the way from a to Z in a friendly atmosphere.
The Hirslanden Clinic am Rosenberg Heiden is a leading private medical facility with exceptional competence in the diagnostics and treatment of the entire spectrum of diseases of the musculoskeletal system. The patients can benefit from the services of the highly qualified doctors and attentive nursing staff who are focused on t
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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: 

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:

MedicineNet

Centers for Disease Control and Prevention

Sience Direct