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Treatment of Tricuspid Valve Stenosis

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Cost for treatment

Diagnosis of tricuspid valve disease
 from  499
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
 from  10066
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
 from  5084

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
Diagnosis of tricuspid valve disease
1980 help1630
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
26116 help24116
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
26108 help24108

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
Diagnosis of tricuspid valve disease
1956 help1812
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
30361 help27419
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14378

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Cardiac Surgery

The Medipol Mega University Hospital is the leading and the largest medical facility in Turkey where the patients can receive top-class medical services according to the international standards. Thanks to a highly qualified medical team, cutting-edge medical technology and a special atmosphere aimed at recovery, the hospital has
Diagnosis of tricuspid valve disease
881 help781
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
18961 help16662
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
7852.8 help6701

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
Diagnosis of tricuspid valve disease
1849
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
29346
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
15112

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
Diagnosis of tricuspid valve disease
1796
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
27350
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14438

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
Diagnosis of tricuspid valve disease
1906
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
29149
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
15339

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiac 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
Diagnosis of tricuspid valve disease
1873
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
29493
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14944

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
Diagnosis of tricuspid valve disease
1930
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
30789
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16108

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
Diagnosis of tricuspid valve disease
1820
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
27611
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14541

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
Diagnosis of tricuspid valve disease
0
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
0
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
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
Diagnosis of tricuspid valve disease
1943
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
31077
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16122

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
Diagnosis of tricuspid valve disease
2042
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
30594
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16251

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
Diagnosis of tricuspid valve disease
1814
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
27590
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14246

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
Diagnosis of tricuspid valve disease
2032
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
31150
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16319

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
Diagnosis of tricuspid valve disease
2359
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
40620
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
21181

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
Diagnosis of tricuspid valve disease
1930
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
30819
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16364

About the disease

Tricuspid valve stenosis is the narrowing process of the tricuspid valve, when blood flows from the right atrium to the right ventricle is obstructed. During tricuspid valve stenosis right atrium becomes big in size and stretched and a patient may develop heart failure or atrial fibrillation.

Almost all cases of tricuspid valve stenosis are the result of rheumatic fever. It can also be caused by some congenital abnormalities or limited constrictive pericarditis. Patients who are diagnosed with carcinoid syndrome, which is a failure of various organs as a result of the presence in the body carcinoid, can develop tricuspid valve stenosis. Carcinoid is a small tumor, which is usually located in the small or large intestine. Tumor produces active substances, that damage endocardium. People are also in risk group if they have myocarditis, which is an inflammation of heart muscles. Such inflammation leads to the development of stenosis.

If not treated timely  tricuspid valve stenosis can have such complications as pulmonary embolism, cardiac arrhythmias,  atrial fibrillation. endocarditis and atrial fibrillation. The further prognosis mainly depends on the cause of tricuspid stenosis, presence of valvular lesions, success of the surgery and the severity of congestion in internal organs. The duration of life for patients who were diagnosed with tricuspid stenosis can range from a few days to a few decades. Nevertheless, if a patient had a successful operation he can live a long life. The biggest problem is that he can develop other heart defects in future if not observed regularly at the cardiologist`s. Usually people who had the operation of tricuspid valve stenosis are not advised to play sports and to do any physical work, which can intervene with the heart rhythm. There are, though, sports, that are allowed to be taken for patients who had tricuspid valve stenosis. Such sport include swimming and also physical exercises that relax a person. For instance, such exercises include yoga and pilates classes. A patient should also be aware of his heart rhythm and heart pressure. If he has a high blood pressure he may be prescribed with anti-arrhythmic drugs, but they should be taken very carefully, because there is always a chance of developing bradycardia, which is basically a low blood pressure. Dietary salt restrictions must be followed long after the operation, as salt does not agree with the work of arteries, which can narrow again and can cause the main lack of oxygen level in the patient's body.

Symptoms

Symptoms of severe tricuspid valve stenosis include pulsing neck discomfort, tiredness, always cold skin (it happens because of the low cardio output) and discomfort in the upper part of the abdomen (due to enlarged liver). Other symptoms are as follows:

  • Fatigue
  • Breathlessness
  • Irregular heartbeat
  • Heaviness in the stomach

Almost all patients who have tricuspid valve stenosis have a blue coloration of the skin when the disease becomes severe. It is vital to visit the doctor when a person sees that his skin tone is changed, because there may be seizure and a person will not be able to breathe normally. In that case person will need an oxygen mask and some drugs that can widen the arteries and normalize the blood flow.

Diagnosis

Diagnosis of any diseases begins with the analysis of medical history and patient`s complaints. Also a doctor asks if a patient had relatives with heart diseases or any infectious diseases. Genetic history may reveal rheumatoid process, which is the most common cause of tricuspid valve stenosis. During physical examination a doctor checks if the patient has either blue or yellow skin tone which can indicate that there is not enough oxygen in the lungs and body system of a person. Also patients with tricuspid valve stenosis can have swollen neck veins and abdominal enlargement. After physical examination a doctor is likely to listen to the detect if there is cardiac arrhythmias or any murmurs. Analysis of blood and urine can show if there is an inflammatory process. Also blood test determines level of cholesterol, blood sugar and creatinine.

  • Electrocardiography (ECG) evaluates the rhythm of heartbeats. For tricuspid valve stenosis the ECG can identify narrowing in the right atrium.
  • Phonocardiogram in tricuspid stenosis demonstrates the presence of noise in the valve. The noise is usually not overly audible and it is not always easy to detect.
  • Echocardiography is the main method of determining the state of the valve, as it can show the size of the valve and its state. It is difficult to diagnose  tricuspid valve stenosis, because it usually develops with other heart defects, such as tricuspid insufficiency.

Treatment

If the case is not very severe, a patient usually needs to undergo conservative therapy and also follow dietary restrictions. For instance people with tricuspid valve stenosis need to eat no more than 3 gr of salt and drink 2 liters of water per day. Conservative therapy aims to reduce congestion in the organs and excrete excess fluid.

  • Open heart surgery aims to repair leaflets of the tricuspid valve to normalize the blood flow. 
  • Percutaneous balloon valvuloplasty is a procedure during which the narrowed valve is widened with special baloon.
  • Tricuspid valve replacement (artificial or biological)  is implantation of the biological prosthesis or mechanical valve. It is performed if  valve is unable to carry out its functions anymore. After implantation of mechanical prosthesis patient requires constant administration of drugs that reduce blood clotting by blocking the synthesis of liver substances.  Biological prosthesis needs to be changed if it becomes not as effective as it used to be. Usually doctors use the natural prosthesis of such animals as bull, pig or cow. The human implant can also be used for this type of tricuspid valve stenosis surgery. Tricuspid valve stenosis treatment also includes drugs that can stop or prevent the process of narrowing of the arteries.
  • Tricuspid commissurotomy aims to relieve the constriction between the valves, created by stenosis.



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