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HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

HELIOS Cardiosurgery Clinic Karlsruhe (Klinik fur Herzchirurgie Karlsruhe GmbH) specializes in anesthesiology and surgical treatment of different heart diseases using modern equipment and advanced medical methods. A perfect health condition means a good quality of life.

Diagnosis of tricuspid valve disease
1623 help1503
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
25283 help22783
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
25627 help23127
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
13425
location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14239
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificatecertificate

University Hospital Oldenburg

10/10 from 33 Votes

The University Hospital Oldenburg is the Teaching Hospital of the University of Oldenburg. It offers a wide range of medical services that meet the highest medical standards. The hospital has 832 beds.

Diagnosis of tricuspid valve disease
1503
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
22735
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
22830
location_onCountry: Germany
location_searchingCity: Oldenburg

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

The Academic Hospital Sachsenhausen at the Goethe University Frankfurt was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
12395
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
13185
location_onCountry: Germany
location_searchingCity: Munich
certificate certificate

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Diagnosis of tricuspid valve disease
1645
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
26290
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
13979
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
26432
location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Diagnosis of tricuspid valve disease
1660
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
26423
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14088
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
27552
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificate

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16475
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14150
location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Diagnosis of tricuspid valve disease
1675
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
26186
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
14127
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
27544
location_onCountry: Germany
location_searchingCity: Munich
certificate

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
13225
location_onCountry: Germany
location_searchingCity: Munich
certificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnosis of tricuspid valve disease
1572
Surgical treatment of tricuspid valve disease with tricuspid valve replacement
24358
Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
13406
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
24762
location_onCountry: Germany
location_searchingCity: Krefeld

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

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.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
16762
location_onCountry: Germany
location_searchingCity: Berlin

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Hirslanden Klinik Aarau is the largest private hospital in the canton of Aargau in Switzerland and is a first class acute care hospital offering a comprehensive list of personalised medical services.

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
Treatment of tricuspid valve stenosis with tricuspid commissurotomy
0
location_onCountry: Switzerland
location_searchingCity: Aarau
certificatecertificate

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Treatment of tricuspid valve stenosis with percutaneous balloon valvuloplasty
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

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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