The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- thyroid function test (TSH-basal, fT3, fT4)
- mineral metabolism analysis (Na, K, Ca, Mg)
- lipid metabolism (HDL/LDL, cholesterol, triglycerides,
Lip(a), homocysteine) - iron content (ferritin, iron)
- blood coagulation analysis (aPTT, PT, INR)
- metabolic status (uric acid, total glucose, HbA1c)
- inflammatory parameters (CRP, ESR)
- cardiovascular disease risk markers
- lung function test (Spirometry)
- resting and exercise ECG
- Holter monitoring (24h)
- color doppler echocardiography
- transesophageal echocardiography (tee)
- color doppler sonography of cerebral vessels
- heart catheterization
- preparation according to preoperative standard
- coronary artery bypass surgery (CABG) and valve replacement
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
- written statement
Required documents
- Medical records
- ECG (if available)
- Echocardiography (if available)
Service
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About the department
The Department of Adult and Pediatric Cardiac Surgery at the HELIOS Clinic Krefeld offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure. The department has the very latest diagnostic and therapeutic methods that ensure optimal treatment results. The department is headed by Prof. Dr. med. Jürgen Ennker.
For the treatment of heart valves, there is offered implantation of modern mechanical bicuspid prostheses or biological heart valves. In addition, the department is one of the few in Germany performing the Ross procedure – a technically difficult intervention to replace the aortic valve. The advantages of this operation include optimal restoration of normal blood circulation and patient’s physical condition, long-term results of the operation, absence of restrictions in the way of life and trouble-free recovery of working capacity. The surgeons of the department have already performed more than 500 such interventions in adults and children, while the death rate after surgery accounts for less than 1%. Aortic valve reconstruction by David procedure is also included in the department’s range of services and provides positive long-term results.
It should be noted that aortic valve surgery (most often replacement) and mitral valve reconstruction are performed minimally invasively with the use of video monitoring. Since 2010, transcatheter aortic valve implantation has been performed here, which is ideal for the treatment of seriously ill patients who, due to concomitant diseases or elderly age, will not be able to tolerate open interventions.
The medical team of the department has an extensive experience in the treatment of coronary heart disease. Coronary artery bypass grafting is the major treatment method in this are. Also, the department offers many innovative methods for treating coronary diseases:
- Total arterial myocardial revascularization
- Coronary artery bypass grafting with the use of minimized extracorporeal circulation (with a modern sparing apparatus for cardiopulmonary resuscitation)
- Off-pump coronary artery bypass (without artificial circulation)
- Minimally invasive direct coronary artery bypass grafting
- Other surgical interventions
The department's scope of tasks include treatment of heart failure. One of the most effective methods is cardiac resynchronization therapy, which gives excellent results in severe chronic heart failure in patients with low ejection fraction (<35%) and impaired myocardial stimulation, if the patient's condition does not improve in case of drug treatment.
Another alternative is pacemaker implantation (single- and double-chamber) and its replacement. The operation is performed under local anesthesia and with the us of the most advanced monitoring systems.
The spectrum of therapeutic services for the treatment of heart failure also encompasses mechanical support for blood circulation and heart transplantation. When choosing a treatment method, all risks and benefits should be considered. There is close cooperation with many specialized cardiological clinics.
In addition, the department offers surgical treatment of the thoracic aorta by either installing hybrid endoprostheses or combining conventional vascular reconstruction and implantation of a self-expanding stent.
The medical team of the department specializes not only in performing primary operations, but also in repeated interventions of high complexity.
Curriculum vitae
Prof. Jürgen Ennker studied medicine at the Universities of Hanover, Cape Town and Freiburg. He passed medical examination in 1979 and was admitted to medical practice at the Hannover Medical School. In the same year, he defended his doctoral thesis with honors, and in 1982 passed the United States Medical Licensing Examination (Education Commission for Foreign Medical Graduates (ECFMG)).
After completing the professional training for the title of Medical Specialist in the Department of Surgery at the Hannover Medical School (under the supervision of Hans Georg Borst, Rudolf Pichlmayr and Harald Tscherne) in 1986, he returned to Berlin, where he became Senior Physician at the German Heart Centre.
The qualifications of Dr. Ennker include board certification in Surgery (1986), board certification in Cardiothoracic Surgery (1988), and board certification in Cardiac Surgery and Vascular Surgery (1991). In 1994, he had his habilitation at the Free University of Berlin. In 1996, he became a certified Medical Specialist in Special Cardiac Surgical Intensive Care from the Medical Association for South Baden. Since 2009, he has been a Professor at the Witten/Herdecke University.
In 1994, Dr. Ennker founded the MediClin Heart Institute Lahr/Baden (Baden-Württemberg), which today is part of the MediClin AG Group.
From April 2015 till the end of March 2017, Jürgen Ennker worked as a Senior Physician in the Department of Cardiac Surgery at the HELIOS Clinic Siegburg.
From April 2017 till the end of April 2019, the doctor worked as an Acting Head of the Department of Cardiac Surgery at the University Hospital Oldenburg.
Since May 2019, the professor has headed the Department of Adult and Pediatric Cardiac Surgery at the HELIOS Clinic Krefeld.
Dr. Jürgen Ennker specializes in practical and scientific researches in the field of coronary artery bypass grafting without the use of a heart-lung machine and mitral valve reconstruction.
Photo of the doctor: (c) Helios Klinikum Krefeld
About hospital
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. Having crossed the threshold of the clinic, you will feel the home-like cozy and modern atmosphere. Perhaps you will even forget that you are in the clinic.
As a maximum care medical center, the clinic covers practically all areas of medicine: cardiology, gastroenterology, oncology and hepatology, nephrology, diabetology and rheumatology, general, abdominal and minimally invasive surgery, dermatology and venereology, angiology, cardiac surgery and other medical fields.
Thanks to a continuous fruitful cooperation with the world’s leading universities, research and medical centers, the clinic provides the highest treatment standards.
The doctors of the clinic take up the treatment of the most severe cases, including serious spinal injuries and diseases related to the disorders of the central nervous system. The nursing staff of the clinic regularly undergoes both advanced and special trainings, which contributes to a high-quality, professional patient care at all stages of treatment.
The clinic adheres to a strict quality management system. Not only the patient care, but also the entire treatment process (including monitoring and patient care after the operation) are subject to the quality certification.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the HELIOS Clinic Krefeld live in comfortable single and double rooms. Each room has a bathroom with a toilet and shower. The room is furnished with a comfortable bed, bedside table, TV, radio and telephone. Each room has access to the Internet, which can be used at extra charge.
The clinic offers an excellent infrastructure: a beautiful park with playgrounds for children, a cafeteria, a chapel, which regularly hosts church services, a prayer room for Muslims, a beauty salon, a shop with a large selection of magazines, drinks and personal hygiene items, an ATM and a large parking lot.
Meals and Menus
The restaurant of the clinic offers three meals a day. For breakfast, lunch and dinner, it serves a large selection of dishes that will please even spoiled gourmets. Every day, the menu features vegetarian and dietary dishes. It is possible to order any dish without leaving the room. In addition, the clinic has a cafeteria where one can always have a cup of aromatic coffee, hot tea or enjoy an exquisite refreshing drink. Also, the cafeteria menu offers many tasty snacks and dishes.
Further details
Standard rooms include: