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Treatment of Thoracic Aortic Aneurysm 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

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

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
Diagnostic tests for thoracic aortic aneurysm
1924

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 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
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 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
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, 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
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

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
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
| from Booking Health GmbH

An aortic aneurysm is a local enlargement of the blood vessel. This disease usually progresses. It often leads to life-threatening complications such as aortic dissection and rupture. The aortic rupture causes a massive hemorrhage, and only 5% of patients can be saved. Therefore, it is worth treating the aneurysm on time to avoid complications. In Germany, small aortic aneurysms are treated with the use of the endovascular technique – from the inside of the blood vessels, through an incision in the groin. In complex clinical cases, as well as in large diameters of the enlarged section of the aorta, doctors resort to open surgery with an incision on the thorax.

Content

  1. How is an aneurysm diagnosed?
  2. Conservative therapy
  3. Surgical treatment

Whenever possible, the aneurysm is treated using minimally invasive surgery – endovascular aortic prosthetics. If this is not possible, based on the clinical case, then open surgery is performed.

You can contact the following hospital: University Hospital of the Ludwig Maximilian University of Munich, Charite University Hospital Berlin, University Hospital Frankfurt am Main.
You do not have to organize the treatment yourself. The Booking Health specialists will take care of the organization of your trip. You will be able to get thoracic aortic aneurysm treatment in Germany easier, faster and cheaper.

How is an aneurysm diagnosed?

 

An aneurysm is often detected only with the development of complications since in 75% of cases it does not cause any symptoms. In addition, it can be detected by chance, during examination for another disease.

In 25% of cases, a thoracic aortic aneurysm is accompanied by the following clinical symptoms:

  • palpitations;
  • dyspnea;
  • dizziness;
  • swelling of the head and neck;
  • decreased heart rate;
  • swallowing disorders are possible.

In the case of aortic dissection, pain appears behind the sternum, which is similar to an attack of angina or myocardial infarction.

A doctor may suspect an aneurysm by measuring blood pressure in the upper and lower extremities. It is usually lower in the lower extremities, but in patients with aneurysms, it is the same as in the arms or higher.

Doctors find half of the aneurysms on X-ray scans taken for other conditions, such as pneumonia.

Computed tomography is the most effective examination for the targeted diagnostics of an aneurysm. Doctors can detect enlargements, measure them, and detect vessel wall dissection and blood clots. Every fourth patient has more than one aneurysm.

Other tests that are less commonly used are as follows:

  • echocardiography;
  • angiography;
  • MRI.

Conservative therapy

 

Conservative therapy is conducted only for small aneurysms to reduce the risk of complications and slow down the progression of the disease. It is indicated to patients who have no indications for surgery.

The goal of treatment is to reduce the hemodynamic load on the affected section of the blood vessel. For this purpose, doctors use the following medications:

  • beta-blockers;
  • ACE inhibitors (angiotensin-converting enzyme);
  • calcium channel blockers.

Since atherosclerosis is one of the main causes of aneurysm development, patients receive statins to lower blood cholesterol levels.

Surgical treatment

 

Radical thoracic aortic aneurysm treatment in Germany involves surgical interventions. They are performed not only through an incision in the thorax, but also from the inside of the blood vessels – an endovascular technique. Such surgical interventions are more sparing. They provide a quick recovery, a low risk of complications, and a reduced period of hospital stay.

Indications for surgical treatment of ascending thoracic aortic aneurysm are:

  • Marfan's syndrome and risk factors for complications when the maximum aneurysm diameter is 4,5 cm;
  • bicuspid valve lesion and risk factors – in the aneurysm size of 5 cm;
  • without congenital diseases and risk factors – the operation is indicated for aneurysms from 5,5 cm.

In the case of the aortic arch and its descending part pathology, the operation is performed for an aneurysm from 5,5 cm. If a woman is planning a pregnancy, it is advisable to repair even at a size of 4 cm or more to avoid dissection.

Thoracic endovascular aortic repair (TEVAR) is one of the main treatment methods in Germany. The doctor makes an incision in the leg, inserts a catheter, and performs all the necessary manipulations from the inside of the vessels. The procedure is performed under X-ray guidance. The doctor delivers a stent-graft to the inside of the aorta. This is a cylindrical frame. It looks like a mesh covered with a shell on top. A stent- graft is placed inside the aorta and blood now flows through it. As a result, there is no longer any threat of aortic dissection or aortic rupture. With the proper selection of patients, minimally invasive treatment of the thoracic aorta aneurysm is not inferior in terms of the effectiveness of open surgery. Both immediate and distant results are comparable.

Open prosthetics are surgery performed through an incision in the thorax. It is required if:

  • the patient is admitted to the hospital with complications;
  • the aortic aneurysm is located in an inconvenient place for endovascular prosthetics;
  • the patient has Marfan's syndrome;
  • the diameter of the aneurysm exceeds 6 cm;
  • the endovascular procedure is impossible for technical reasons (lack of equipment and experienced surgeons).

When performing open surgery, the doctor can completely remove the pathologically enlarged section of the blood vessel and replace it with a prosthesis. Less commonly, the aneurysm is wrapped with a mesh prosthesis on the outside. Sometimes the doctor creates an anastomosis – a pathway for blood flow bypassing the area with the aneurysm.

During the operation, surgeons often have to eliminate aneurysms in several parts of the aorta at once. Besides, additional intervention on the brachiocephalic and coronary arteries and the aortic valve may be required.

If you want to find out how much is the diagnostics and treatment of thoracic aortic aneurysm in Germany, you are welcome to use the Booking Health service. You can find the best clinics in Germany on our website and the cost of treatment with the use of different methods. You have the opportunity to compare prices in different hospitals in order to book a medical care program at a favorable price. Please leave your request on our website to get a consultation. The Booking Health specialists will take care of the organization of your trip to Germany for treatment.

 

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




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