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Bypass Graft Repair for Aortic Coarctation treatment in Germany

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Cardiothoracic Surgery

According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top German medical facilities specializing in the surgical treatment of diseases of the cardiovascular system and lung cancer! The department offers the full range of surgical services for the treatment of diseases of the cardiovascular system, respiratory tract, including heart and lung transplantation, artificial heart implantation. The therapeutic options include aortic surgery, coronary artery bypass grafting, transplantation surgery, surgical treatment of heart rhythm disorders (arrhythmias), minimally invasive surgery, surgical treatment of the heart valves, including reconstructive interventions. All operations are performed using state-of-the-art technology and in accordance with the current recommendations of professional societies.

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Hospital directly29342.89
BookingHealth26636.89error
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University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

Department of Cardiac Surgery

According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German medical facilities specializing in the surgical treatment of diseases of the cardiovascular system! The department offers the full range of services in this ​​medical field. Many heart surgeries are performed using minimally invasive technique, which has a positive effect on the healing of an operative wound. The patient also experiences less pain and the hospitalization period is significantly reduced. Thanks to long experience of doctors and modern equipment, the department provides excellent results in the treatment of heart pathologies.

Hospital directly24767.08
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University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Cardiothoracic Surgery

The Department of Cardiothoracic Surgery offers the full range of surgical treatment of diseases of the heart, lungs, thoracic organs and blood vessels. Medical care is provided 24 hours a day. The doctors of the department prefer an individual approach to each patient and take into account all his needs and wishes. In clinical practice, doctors apply both classic and innovative surgical techniques in order to achieve the best therapeutic results.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Cardiothoracic Surgery

According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top German medical institutions specializing in the surgical treatment of heart diseases! The department offers the full range of first-class medical care for patients with diseases of the heart and thoracic organs that require surgical treatment. The availability in the department of advanced technical base allows for the most sparing treatment and minimally invasive surgery. The main focuses of clinical practice include coronary artery bypass grafting, modern procedures for heart valve reconstruction and replacement, treatment of diseases of the thoracic aorta, as well as treatment of heart failure by implanting an artificial heart.

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Cardiothoracic Surgery

According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery is included in the ranking of the top German departments specializing in the surgical treatment of cardiovascular diseases! The department offers the full range of treatment of various diseases of the heart, blood vessels, organs of the respiratory system in adults and children. As part of the German Heart Competence Centre Tuebingen, the department is distinguished by the outstanding quality of medical care, competent specialists, as well as high-tech equipment of the latest generation.

University Hospital RWTH Aachen

9.5/10
location_onGermany, Aachen

Department of Cardiothoracic Surgery

According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top medical facilities in the field of its ​​specialization! The department offers all options of modern surgery for the treatment of diseases of the cardiovascular system and thoracic organs. The department widely uses modern minimally invasive techniques, which are considered the gold standard of surgery. Since its founding in 1976, the department has performed more than 40,000 open heart interventions. The department's surgeons also have vast experience in the field of implantation of the artificial heart and mechanical heart support systems. All operations are carried out in strict accordance with the protocols of professional societies.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Cardiac Surgery

According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German departments specializing in cardiac surgery! The department offers the full range of surgical interventions for the treatment of cardiac pathologies. The main priorities of the department include aortic surgery, heart transplantation, minimally invasive bypass grafting and heart valve surgery. It performs more than 2,500 surgical interventions every year. In especially complex clinical cases, all necessary specialists from the related fields are involved.

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Cardiac Surgery

According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German departments specializing in the surgical treatment of heart diseases! The department offers the full range of modern surgical interventions for the treatment of diseases of the heart, coronary vessels and thoracic aorta (with the exception of transplantation of the thoracic organs). An excellently trained team of specialists and state-of-the-art technologies guarantee the best medical care adapted to the individual needs and wishes of patients.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Cardiothoracic Surgery

According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery is included in the ranking of the top departments in Germany specializing in the surgical treatment of diseases of the cardiovascular system! The department offers the surgical treatment of all congenital and acquired heart diseases in adulthood, including heart transplantation, as well as the treatment of respiratory diseases in adults and children. It performs more than 2,000 interventions on the heart and about 600 operations on the lungs every year.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Cardiac Surgery and Heart Transplantation

According to the Focus magazine, the Department of Cardiac Surgery and Heart Transplantation ranks among the top German departments specializing in heart interventions! The department offers the full range of surgical treatment for cardiac pathologies of varying severity. A large number of the operations performed in the department are coronary artery bypass grafting and heart valve interventions, which are most often performed using minimally invasive techniques. The team of the department's surgeons is proud of their high success rates in surgical treatment and the prestigious quality certificates of the German Cardiac Society in the field of transcatheter aortic valve implantation (TAVI) and heart failure treatment. In addition, the medical facility enjoys the status of one of the best in the international medical arena for heart transplantation and the implantation of mechanical hemodynamic heart support systems. The department provides medical care in accordance with the very latest standards and offers the highest possible safety for patients. The surgical treatment is accurately planned and, if possible, operations are performed using sparing surgical techniques, without thoracotomy.

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Cardiothoracic Surgery

According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top medical facilities of this kind in Germany! The department offers the full range of surgical treatment of diseases of the cardiovascular system and thoracic organs in adults. Of particular interest is sparing minimally invasive surgery, particularly, heart valve interventions and coronary artery bypass grafting. Such interventions are carried out using the innovative da Vinci surgical system. The video-assisted thoracic surgical methods are widely used in the surgical treatment of thoracic diseases as well. All the department's specialists have excellent qualifications and vast clinical experience, which in combination with the cutting-edge technologies allows doctors to achieve the outstanding treatment results.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Cardiothoracic Surgery

The Department of Cardiothoracic Surgery covers the entire range of top-class medical services in this field. Special attention is paid to minimally invasive operations, which, along with the optimal functional result, ensure minimal traumatization, fast recovery and the absence of a cosmetic defect. The optimal type of therapy is selected in collaboration with the specialists from all the necessary related disciplines and adapts to the specific clinical indications of the patient.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Cardiac Surgery

According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German medical facilities specializing in the surgical treatment of cardiovascular diseases! The department offers the full service range in the field of cardiac surgery. Despite the fact that the department has long traditions, it has the reputation of one of the most high-tech Cardiology Centers in Europe. The clinical practice involves the use of achievements of modern surgery, particularly, minimally invasive and catheter techniques. Thus, cardiac surgeons achieve excellent results and at the same time guarantee the most sparing treatment and fast recovery for the patient.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Cardiothoracic Surgery

According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery ranks among the top German departments specializing in the surgical treatment of diseases of the cardiovascular system! The department offers the full range of surgical treatment of diseases of the heart, lungs, and other thoracic organs. The department has a long and successful history. It has performed more than 50,000 heart surgeries since 1938. The first open-heart surgery under hypothermia, the first heart valve replacement surgery, as well as the first pacemaker and cardioverter-defibrillator implantations in Germany should be mentioned among the department’s achievements.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Cardiac Surgery

The Department of Adult and Pediatric Cardiac Surgery offers all the possibilities of modern surgery for treating heart disease, including a heart transplant. The department's team of surgeons admits both adult patients and children. The department annually performs more than 3,500 operations, including minimally invasive ones. The most common diseases in the clinical practice of cardiac surgeons include heart failure, coronary artery disease, heart arrhythmias, and heart valve and aortic pathologies. The department's operating rooms have all the resources for efficient and safe heart surgery. The patients' health is in the safe hands of a highly qualified team of doctors and nursing staff, numbering more than 155 employees. The main task of surgeons is to provide an optimal treatment based on the very latest advances in modern medicine. At the same time, the specialists always show a humane attitude towards a patient, considering his individual needs and wishes.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Congenital and Acquired Heart Defects, Heart Valve Diseases

The Department of Congenital and Acquired Heart Defects, Heart Valve Diseases offers the full range of diagnostics, outpatient and inpatient treatment of these diseases. The department became the first Center of Excellence in Germany in the field of its specialization and annually treats a large number of native patients and patients from other countries of the world. The department has a wide range of diagnostic options, as well as doctors have vast experience in catheter interventions. The department's medical team makes every effort in order to provide the first-class medical care adapted to individual needs. At the same time, important attention is paid to the psychosocial support of patients.

Many patients from around the world come to German hospitals to treat heart disease. Hospitals in Germany are well equipped, employ highly qualified cardiac surgeons, and practice modern types of surgical interventions. You can travel to Germany to undergo treatment of aortic coarctation. Several types of operations are performed in German hospitals, including aorto-aortic vascular graft placement, which is indicated for recurrent aortic coarctation after previous surgical repair. You are welcome to visit the Booking Health website if you want to undergo your treatment in Germany. On our website, you can find out the cost of treatment in Germany, compare prices in different German hospitals, and find a medical care program at a favorable price.

Content

  1. The essence of bypass grafting for aortic coarctation
  2. Who may be a candidate for bypass grafting for aortic coarctation?
  3. How is bypass grafting for aortic coarctation performed?
  4. Benefits of bypass grafting for aortic coarctation
  5. Where to undergo your bypass grafting for aortic coarctation repair?

The essence of bypass grafting for aortic coarctation

 

In 1973, C. Weldon first described the method of forming a bypass graft for the thoracic aorta during its coarctation. Although several operations already existed at that time, the goal of developing a new treatment method was to reduce the risk of complications.

Bypass grafting involves the formation of a bypass graft, which is a new path for the movement of blood around the narrowed site. This means that doctors create an additional blood vessel (a graft) into which blood enters above the narrowing of the aorta and from which it returns to the aorta below the narrowing. This type of bypass grafting is called an aorto-aortic bypass. The original technique involved the formation of a bypass graft between the aortic arch and the descending aorta.

Who may be a candidate for bypass grafting for aortic coarctation?

 

Bypass grafting is a rare type of surgery to repair coarctation. The main treatment methods are the removal of the narrowed area with an end-to-end anastomosis or with aorta replacement surgery, plastic repair with synthetic flaps or subclavian flaps, as well as balloon angioplasty, which is a minimally invasive procedure performed from inside the blood vessels.

Surgical repair with bypass grafting may be indicated in the following cases:

  • aortic coarctation repair after a previously performed operation (recoarctation) in adult patients;
  • a significant length of the narrowed area of the isthmus and the distal aortic arch;
  • a low resistance of the brain to a lack of blood supply, which makes it impossible to clamp the carotid arteries;
  • a significant adhesive process (usually caused by previous operations) that prevents standard interventions for the treatment of aortic coarctation from being performed.

How is bypass grafting for aortic coarctation performed?

 

Surgical restoration of blood flow through the aorta by forming a bypass graft is performed under general anesthesia. A sternotomy and a right- or left-sided thoracotomy can be used as a surgical approach. The operation can be performed with or without connecting the patient to a heart-lung machine. Basically, doctors perform a right-sided thoracotomy and do not connect the patient to a heart-lung machine, which reduces the risk of complications.

During the operation, a doctor makes an incision in the fifth intercostal space, opens the pleural cavity, retracts the right lung up and forward, and isolates the thoracic segment of the aorta for up to 10 cm. The right intercostal arteries are ligated. A prosthesis about 20 cm long is sutured with its lower end to the descending aorta. The lung is then retracted back and down, the pericardium is dissected, and the ascending aorta is isolated. The upper end of the artificial graft is placed, and its tightness is checked.

At the end of each stage of the operation, the tightness of the implanted vascular graft is checked. The blood flow through the aorta is then restored. Patients require pleural and pericardial drainages (tubes remain in the thorax for some time to drain fluid).

Benefits of bypass grafting for aortic coarctation

 

The benefits of this surgical treatment for patients lie mainly in the safety of the surgical repair. During the operation:

  • there is no risk of damage to the lung, intercostal arteries, aorta, or the recurrent laryngeal nerve;
  • there is no need to clamp the aorta in the area of degenerative changes of the walls;
  • the method of parietal aortal pressing is used, which significantly reduces the risk of brain complications due to circulatory failure;
  • the risk of developing spinal complications is almost zero;
  • there is no need for hypothermia (cooling) or connection to a heart-lung machine;
  • a less traumatic single-pleural thoracotomy is performed, which allows patients to reduce their recovery period after surgery;
  • tracheal and esophageal compression can be simultaneously eliminated by dissecting the compressing structures.

Where to undergo your bypass grafting for aortic coarctation repair?

 

You can undergo your diagnostics, surgical treatment for aortic coarctation repair, and follow-up recovery in one of the German hospitals. In Germany, you will find effective and safe treatment, comprehensive recovery, and high-quality care after surgery. Bypass grafting is performed with a minimal risk of complications. This operation is usually performed without connecting the patient to a heart-lung machine.

If you want to receive medical care in one of the German hospitals, you can go to the Booking Health website. On our website, you can find out the cost of treatment in Germany using various procedures. Prices in German hospitals will be lower for you due to the lack of high taxes for foreign patients.

When you choose medical services in hospitals abroad through the Booking Health service, you will receive insurance that protects you against expenses unforeseen by your medical care program. The cost of treatment in Germany will not increase for you, even if there is a need for additional procedures, as the insurance will cover any unforeseen costs.

When you make your treatment appointment through Booking Health, you will be provided with travel arrangements. Our experts will assist you in selecting a hospital and scheduling an appointment on your preferred dates. They will also book a hotel room and airline tickets, meet you at the airport, and take you to the German hospital by car.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

ECR - European Cardiology Review

American College of Cardiology

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