Treatment of cardiovascular disease with angina with cardiac catheterization and coronary bypass surgery (CABG) (program ID: 50027)
HELIOS Heart Surgery Clinic Karlsruhe
Uwe MehlhornSpecialized in: cardiac surgery
Department of Cardiac Surgery
The Department of Cardiac Surgery annually performs more than 690 coronary artery bypass grafts in patients with ischemic heart disease (CHD), in particular, in those with angina pectoris. The "hybrid" operating room, which is part of the department, makes it possible to perform this technically complex operation under the control of coronary angiography. The department under the direction of Prof. Dr. med. U. Mehlhorn has more than 15 years of experience in performing such surgical procedures.
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,
- 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
- vascular system assessment
- lung function test (Spirometry)
- resting and exercise ECG
- vessel elasticity measurement
- holter monitoring (24h)
- body fat and water examination
- color doppler echocardiography
- color doppler sonography of cerebral vessels
- cardiac catheterization
- preparation according to preoperative standard
- coronary bypass surgery (CABG) up to 2 wassels
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
- Medical records
- ECG (if available)
- Echocardiography (if available)
- Coronary angiography (if available)
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About the department
The Department of Cardiac Surgery at the HELIOS Heart Surgery Clinic Karlsruhe offers the full range of modern cardiovascular interventions for adult patients, with the exception of heart and lung transplantation. The department specializes in transcatheter aortic valve implantation (TAVI), heart valve reconstruction and replacement surgery, interventions for heart rhythm disturbances, aortic diseases, coronary artery bypass grafting and other surgical procedures. The department is a certified Center of Transcatheter Aortic Valve Implantation of the German Cardiac Society (DKG). Whenever possible, cardiac surgeons prefer sparing minimally invasive interventions, which are performed without thoracotomy. The department has five excellently equipped operating rooms, including a hybrid operating room. The team of the department's surgeons works in accordance with the current clinical protocols and observes modern hygiene and safety standards. In addition, the specialists of the medical facility take care of the maximum comfort of patients during the entire therapeutic process and devote enough time to personal communication with the patients and their relatives.
The department is headed by Prof. Dr. med. Uwe Mehlhorn. The specialist enjoys a reputation as one of the leading cardiac surgeons in Germany. He has long clinical experience and thousands of saved human lives. He is rightfully proud of many successful research projects and is regularly honored to speak at prestigious national and international conferences.
Of particular interest for the team of the department's cardiac surgeons is minimally invasive surgery. The range of surgical services in this field includes transcatheter aortic valve implantation (TAVI), minimally invasive interventions on the aortic, mitral and tricuspid valves, minimally invasive direct coronary artery bypass grafting and hybrid myocardial revascularization combined with percutaneous coronary angioplasty. Such operations are characterized by minimal trauma to the healthy tissues, since they eliminate the need for thoracotomy. The doctors use surgical access through a small incision in the groin or in the left side of the sternum. Minimally invasive interventions are an excellent alternative to classical cardiac surgery for high-risk patients (for example, elderly patients or patients with severe concomitant diseases). The operations are performed in a state-of-the-art hybrid operating room specially adapted for this type of intervention.
The department is often visited by patients with heart rhythm disturbances (arrhythmias). The first-line treatment is drug therapy, but if it does not ensure the desired result, the only option for the patient is surgery. Depending on the particular diagnosis and clinical indications, the surgeons implant a pacemaker or defibrillator. The specialists perform operations to implant classic pacemakers in patients with a low heart rate (bradycardia), pacemakers that synchronize the contraction of individual heart chambers (cardiac resynchronization therapy) and implantable cardioverter-defibrillators for ventricular fibrillation.
In addition, the department's cardiac surgeons have long experience in the surgical treatment of aortic aneurysms. They offer all modern methods for the treatment of this pathology. If the aneurysm is in the aortic arch, prosthetics (replacement of a part of the aorta) will be performed. If the aneurysm is in the abdominal or thoracic aorta, the department's surgeons mostly implant a hollow tube prosthesis (a stent). Aortic aneurysm surgery is performed using a heart-lung machine.
Other department's focuses are surgical treatment of congenital heart defects, heart valve reconstruction and replacement surgery, artificial heart (ventricular assist device) implantation for heart failure, coronary artery bypass grafting to restore normal blood flow in the coronary arteries, surgery to remove cardiac tumors (for example, atrial myxoma), etc.
For more than 25 years, the medical facility has been providing treatment to the patients, including those from other countries, providing them with the highest quality of medical services. The main task of the department's doctors is to offer each patient an individual and most sparing treatment. The cardiac surgeons use in their clinical practice only modern surgical techniques, which effectively eliminate heart dysfunctions.
The department's range of surgical services includes:
- Minimally invasive surgical interventions
- Transfemoral and transapical catheter aortic valve implantation (TAVI)
- Minimally invasive aortic valve surgery
- Minimally invasive mitral and tricuspid valve surgery
- Minimally invasive direct coronary artery bypass grafting
- Hybrid myocardial revascularization combined with percutaneous coronary angioplasty
- Coronary artery bypass grafting
- Total coronary artery bypass grafting using both internal thoracic arteries
- Off-pump coronary artery bypass surgery (OPCAB)
- Comprehensive coronary artery bypass grafting in recurrent coronary heart disease after previous surgery
- Heart valve surgery
- Surgical repair of the mitral and tricuspid valve, including in the form of combined surgical interventions with coronary artery bypass grafting and simultaneous operations on several valves
- Surgical aortic valve repair in combination with surgical treatment of aortic aneurysm (type A acute aortic dissection, Bentall procedure, David procedure)
- Replacement of all heart valves using biological and mechanical prostheses, including in acute/chronic endocarditis
- Surgery for heart failure and heart rhythm disturbances
- Implantation of pacemakers, implantable cardioverter-defibrillators (ICD), event recorders (heart rate recorders)
- Cardiac resynchronization therapy (CRT)
- Comprehensive revision interventions after implantation, including sepsis, with laser removal of electrodes
- Implantation of devices for mechanical support of blood circulation (artificial heart ventricles – LVAD, RVAD, BiVAD) as a temporary measure prior to heart transplantation or as a permanent therapy
- Round-the-clock extracorporeal life support (ECLS) and extracorporeal membrane oxygenation (ECMO) with mobile mini-devices of the artificial heart and lungs for the use out of the hospital in the patients with cardiogenic shock
- Thoracic aortic aneurysm surgery
- Aortic aneurysm surgery (for example, supracommissural replacement of the ascending aorta, Bentall procedure, David procedure), also in combination with aortic valve reconstruction
- Surgical treatment of acute aortic dissection type A (AADA)
- Hybrid aortic arch surgery
- Surgical correction of heart defects in adults
- Minimally invasive closure of persistent foramen ovale or atrial septal defect
- Postinfarction ventricular septal defect closure
- Surgical removal of cardiac tumors
- Removal of cardiac tumors (for example, atrial myxoma), including minimally invasive surgery
- Atrial and pulmonary vein catheter ablation, including minimally invasive surgery
- Other medical services
Education and Professional Experience
- Study of Human Medicine at the University of Goettingen.
- 01.1991 - 06.1992 Postdoctoral Fellow and Research Fellow, Department of Cardiothoracic Surgery at the University Hospital Cologne.
- 07.1992 - 06.1993 Research Fellow, Department of Cardiothoracic Surgery at the University Hospital Cologne.
- 10.1992 Doctoral thesis defense.
- 07.1993 - 07.1995 Internship Program of the German Research Foundation at the Houston Medical School of the University of Texas.
- 07.1995 - 12.1997 Research Fellow at the Center for Microvascular and Lymphatic Research at the Houston Medical School of the University of Texas, with financial support from the University of Texas.
- 01.1996 - 05.1998 Intern in the Department of Cardiothoracic Surgery at the University Hospital Cologne.
- 10.1996 United States Medical Licensing Examination (USMLE), Step 1.
- 08.1997 United States Medical Licensing Examination (USMLE), Step 2.
- 08.1998 Surgeon in the Department of Cardiothoracic Surgery at the University Hospital Cologne.
- 01.1999 Habilitation.
- 06.1999 Deputy Head of the Department of Cardiothoracic Surgery at the University Hospital Cologne.
- 04.2001 (C3) Professor of Cardiac Surgery, Department of Cardiothoracic Surgery at the University of Cologne.
- 02.2003 Board Member of the German Society for Thoracic and Cardiovascular Surgery (re-election 02.2005 - 02.2007).
- 11.2004 Member (by invitation) of the Program Committee of the European Association for Cardio-Thoracic Surgery (EACTS).
- 02.2005 Deputy Director of the Working Committee "Extracorporeal circulation (mechanical blood circulation support)" of the German Society for Thoracic and Cardiovascular Surgery.
- 05.2005 Doctor Honoris Causa, Rostov State Medical University, Russia.
- 11.2005 Medical Specialist (by invitation) at the Institute of Cardiac Surgery and Biomedical Devices, University of Texas, Texas, USA.
- 01.2006 Member of the International Relations Commission (by invitation) of the Society of Thoracic Surgeons (STS), USA.
- 03.2006 Secretary of the Commission for Training, Postgraduate Education and Advanced Training of the New Medical Staff of the German Society for Thoracic and Cardiovascular Surgery.
- 08.2006 Optional advanced training courses in special cardiac surgical intensive care.
- 05.2007 Honorary Member of the Russian Surgical Society.
- 06.2007 Surgeon, Department of Cardiothoracic and Vascular Surgery, University Hospital Mainz.
- 03.2011 - 02.2015 Deputy Head of the Department of Department of Cardiothoracic and Vascular Surgery, University Hospital Mainz.
- Since 03.2015 Chief Physician of the Department of Cardiac Surgery at the HELIOS Heart Surgery Clinic Karlsruhe.
- 1997 Ernst Derra Award of the German Society for Thoracic and Cardiovascular Surgery.
- 2003 Hans Jürgen Bretschneider Award (second place) of the German Society of Cardiology, Heart and Blood Circulation Research (GSC) at the 27th conference in Muenster.
- 2004 Franz Köhler Award of the German Society for Thoracic and Cardiovascular Surgery.
Inventions and Patents
- 01.2004 "Devices and methods of liquid control in extracorporeal devices for assisted circulation" (German patent service CE02A31/P-DE).
Memberships in Professional Societies
- German Society for Thoracic and Cardiovascular Surgery (GSTCVS).
- American Physiological Society (APS).
- German Society of Cardiology, Heart and Blood Circulation Research (GSC).
- Society of Thoracic Surgeons (STS).
- International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS).
- European Society of Cardiology (ESC).
- German-Greek Academy of Biological and Medical Research.
- German Society for Quality (GSQ).
Reviews in Scientific Journals
- American Journal of Physiology.
- Journal of Thoracic and Cardiovascular Surgery.
- Annals of Thoracic Surgery.
- Thoracic and Cardiovascular Surgeon.
- Journal of Cardio-Thoracic Surgery.
- European Journal of Cardio-Thoracic Surgery.
- Inflammation Research.
- Journal of Applied Physiology.
- Pharmacological Research.
- Journal for Cardiology.
- German Research Foundation (DFG).
- German Society for Thoracic and Cardiovascular Surgery (GSTCVS).
- European Association for Cardio-Thoracic Surgery (EACTS).
- German Society for Cardiology, Heart and Blood Circulation Research (GSC).
Photo of the doctor: (c) Helios Klinik für Herzchirurgie Karlsruhe
Accommodation in hospital
- Program [Description]
Treatment of cardiovascular disease with angina with cardiac catheterization and coronary bypass surgery (CABG)
- Hospital: HELIOS Heart Surgery Clinic Karlsruhe
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