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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.

Treatment of ventricular septal defect by surgical repair
20420
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.

Ventricular Septal Defect Diagnosis
1591
Treatment of ventricular septal defect with catheter procedure
14500
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.

Ventricular Septal Defect Diagnosis
2031
Treatment of ventricular septal defect with catheter procedure
18178
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.

Treatment of ventricular septal defect by surgical repair
20214
location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Ventricular Septal Defect Diagnosis
1513
Treatment of ventricular septal defect by surgical repair
21051
Treatment of ventricular septal defect with catheter procedure
13564
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate certificate

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.

Ventricular Septal Defect Diagnosis
1516
Treatment of ventricular septal defect with catheter procedure
13404
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

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.

Ventricular Septal Defect Diagnosis
1602
Treatment of ventricular septal defect by surgical repair
22427
Treatment of ventricular septal defect with catheter procedure
14326
location_onCountry: Germany
location_searchingCity: Krefeld

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.

Ventricular Septal Defect Diagnosis
1594
Treatment of ventricular septal defect with catheter procedure
14479
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.

Ventricular Septal Defect Diagnosis
1681
Treatment of ventricular septal defect by surgical repair
24075
Treatment of ventricular septal defect with catheter procedure
16283
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.

Ventricular Septal Defect Diagnosis
1657
Treatment of ventricular septal defect by surgical repair
24108
Treatment of ventricular septal defect with catheter procedure
16481
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.

Ventricular Septal Defect Diagnosis
2178
Treatment of ventricular septal defect with catheter procedure
18338
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.

Ventricular Septal Defect Diagnosis
1669
Treatment of ventricular septal defect with catheter procedure
16419
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.

Ventricular Septal Defect Diagnosis
1665
Treatment of ventricular septal defect by surgical repair
24059
Treatment of ventricular septal defect with catheter procedure
16418
location_onCountry: Germany
location_searchingCity: Munich
certificate

PAN Clinic Cologne

9/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Ventricular Septal Defect Diagnosis
1666
location_onCountry: Germany
location_searchingCity: Cologne
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.

Ventricular Septal Defect Diagnosis
1564
Treatment of ventricular septal defect with catheter procedure
14416
location_onCountry: Germany
location_searchingCity: Munich
certificate

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Ventricular Septal Defect Diagnosis
2072
location_onCountry: Germany
location_searchingCity: Essen

About the disease

Ventricular septal defect is an inborn heart defect resulting in hole which appears between two opposite ventricles of the heart. Ventricular septal defect is the most frequent congenital heart disease among newborns. Parameters of the hole may vary from 1 or 2 mm to 1 cm. Quite often, ventricular septal defect can be combined with other heart defects. Ventricular septal defect usually forms during the first three or four months of pregnancy. When a child is being in the mother's womb, his blood circulation is carried out by the so-called circle of placenta. However, just right after the birth a newborn develops normal blood flow. If a baby has ventricular septal defect his blood plumps not only from the left ventricle part of the heart into the aorta, but also in the right ventricle, which normally should not be. Thus, baby has an abnormal discharge of blood from left ventricle to the right. This increases the load on the right ventricle of the heart. Also due to abnormal discharge of an additional volume of blood entering the vessels baby develops hypertension resulting in thickened process of the walls of arteries and increased blood pressure.

Usually ventricular septal defect (VSD) is caused by the genetic predisposition of the child. If his relatives had heart disease, it is very likely he can develop it as well. Ventricular septal defect can be acquired during the lifetime, but it happen rarely. A grown-up can develop septal defect if he had a heart attack and hole has formed in the region of the ventricular valve. Ventricular septal defect(VSD) can also be caused by negative environmental factors and by bad habits of pregnant mother, such as alcohol consumption, smoking and harmful dietary habits. It can also develop in combination with other common heart defects, such as valve stenosis. Usually women who already had ventricular septal defect repair and who had it earlier in their lives can get pregnant in case actual size of the opening in the heart was not too big and they were able to develop normally. Risk that their child will also have septal defect is high, however, if size is small, child will not have many complications or he can not have defect at all. If a women has an Eisenmenger syndrome, she is usually not advised to get pregnant, because it can harm baby.

Symptoms

Little defects of ventricular valve do not impose a significant impact on child's development and there are usually no symptoms. If defect is moderate already in the first 5-7 days after the birth there moderate murmur is present. This murmur is usually the only manifestation of muscular ventricular septal defect. In case defect is severe the symptoms of the disease usually occur not immediately after childbirth but 12 months later. Parents begin to have difficulties feeding the child: he has a shortness of breath, he needs to pause and breathe. Sometimes he can not get enough amount of food because of the problems with respiratory system and then he can develop anxiety.  That`s why children with septal defect who were born with normal weight can lag behind in their physical development later due to malnutrition and a significant decrease in the large circle of blood circulation. Other symptoms that can appear at that time are:

  •  Sweating
  •  Paleness
  •  Blue coloration of skin
  •  Rapid breathing
  •  Cough

Because of the constant cough child may develop recurrent pneumonia (pneumonia). With age the health and condition of many children improves.

Diagnosis

  • Electrocardiography (ECG) can not detect small-sized ventricular septal defect, because it has only several mm in its size. If the septal defect is significant, it can be reflected by electrocardiography. Electrocardiogram also reveals signs of increased muscle size of the left ventricle. Cardiac arrhythmias, which are easier to diagnose, occur infrequently, usually among adult patients.
  • Phonocardiography can record the noise and murmur of the heart.  Echocardiography, which is practically basic diagnostic methods for defects, can detect direct signs of birth defects right after the birth of the baby. It can also ascertain the location, number and size of defects.
  • Thorough X-ray of heart and lungs determines pathological changes, which were caused by septal defect. During this subtype of defect lungs can become somewhat enlarged.
  • Cardio catheterization measures cavity pressure in main artery and to determine the level of blood oxygen level.

Treatment

If a patient has a little heart hole, there are usually no signs or symptoms of hypertension and complete failure of the heart. In that case it is possible to refrain from ventricular septal defect surgery.

  • Patients need to undergo surgery if they experience fatigue, pneumonia, heart failure and if the parameter of the hole exceeds 1 cm. Operative intervention aims to reduce size of the hole. Operation is performed using a machine which is called heart-lung device. It can make a closure of the hole. Such type of surgery can be performed if an infant is older than 3 years, because this type of surgical incision can be dangerous. Open radical surgery is carried out in two main stages. First a surgeon places a special cuff on the artery, which increases overall resistance of the release of the right ventricle. After that a surgeon reduces size and parameter of the hole.
  • Catheter procedure also reduces the size of the hole, but it is overall less invasive than open heart surgery.
  • Septal defect repair is usually done during the first three or four years of life. It is very rare that this kind of operation is required after the first three months of baby`s life, because it does not often present a life-threatening complication and it develops slowly. that`s why children with ventricular septal defect vsd are often operated on when they are 5 or 6 years old, so the doctors are sure that their hearts will be able to stand and survive this kind of operation.



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