Bypass Graft Repair for Aortic Coarctation treatment in Germany
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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.
Department of Cardiac Surgery
The Department of Cardiac Surgery provides a full range of surgical treatment in its area of specialization. Special emphasis is placed on heart valve repair and replacement surgery, coronary artery bypass grafting, thoracic aortic surgery, adult congenital and acquired heart disease surgery, pacemaker and defibrillator implantation, and artificial heart implantation for severe heart failure. Many heart operations are performed using minimally invasive techniques, which has a positive effect on the healing of the surgical wound. Minimally invasive cardiac procedures also reduce surgical risks and contribute to a rapid recovery of the patient in the postoperative period. Surgical treatment of cardiac pathologies is performed in advanced operating rooms equipped with the latest technology. The cardiac surgeons of the department successfully perform routine and complex surgical procedures, saving the lives of thousands of patients. The specialists work in accordance with current clinical protocols and follow the recommendations of the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
Department of Cardiothoracic Surgery and Vascular Surgery
The Department of Cardiothoracic Surgery and Vascular Surgery provides effective surgical treatment for diseases of the heart, respiratory system, and blood vessels. The team of cardiac surgeons operates on patients with heart valve pathologies, coronary heart disease, heart failure, and heart rhythm disturbances. In the field of thoracic surgery, the key focus is on the surgical removal of lung tumors and lung metastases. The specialists in this area also perform surgery to repair chest wall deformities. In the field of vascular surgery, interventions for abdominal and thoracic aortic aneurysms are most often performed here. The department's vascular surgeons are also exceptionally competent in the treatment of peripheral occlusive arterial disease. A great advantage for the department's patients is that almost all surgical interventions are performed using minimally invasive techniques, so there is no need for a long postoperative recovery. The department's operating rooms are equipped with state-of-the-art technology. This allows for effective and safe treatment. The priority is always personalized medical care for patients.
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.
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.
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.
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.
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.
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.
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.
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.
Department of Cardiac Surgery
The Department of Cardiac Surgery specializes in a full range of cardiac surgical procedures. The medical facility performs operations for ischemic heart disease, valvular heart disease, arrhythmias, heart failure, aortic aneurysms, and aortic dissections. The department's cardiac surgeons have successful experience implanting mechanical circulatory support systems in patients with heart failure: Impella®, ProtekDuo®, and LVAD devices are implanted here. Of particular interest is minimally invasive surgery, which, in addition to an optimal functional outcome, ensures minimal trauma rate, rapid recovery, and the absence of cosmetic defects. In cooperation with interventional cardiologists, the department's surgeons also perform hybrid heart operations, combining catheter-based and classical surgical techniques. The department has the prestigious DIN EN ISO 9001:2015 certificate, given only to the best clinics with exceptional quality of medical services. The department also has the status of a national Heart Failure Center, certified by the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
Department of Cardiac Surgery
According to the Focus magazine, the Department of Cardiac Surgery is one of the best medical facilities in Germany specializing in the surgical treatment of cardiovascular disease! The department offers the full range of modern surgical interventions on the heart with a special emphasis on heart valve repair and replacement, aortic surgery, coronary artery bypass grafting, pacemaker and defibrillator placement, and artificial heart system implantation. The healthcare facility performs more than 3,500 surgical procedures annually, most of which are complex, earning the department the status of one of the largest heart surgery centers in Germany with world-class medical services. In addition, the department has exceptional experience in performing heart-lung transplants and occupies a leading position among clinics specializing in this area in the international healthcare system. The department is proud of its high-tech equipment, which contributes to the high efficiency and safety of surgical treatment of cardiac pathologies. In their daily clinical practice, the department's surgeons make extensive use of the achievements of modern cardiac surgery, especially minimally invasive and catheter-based techniques. The professional skills of the department's cardiac surgeons deserve special attention – some of the best specialists in Europe, trained in top hospitals in Germany, other European countries and the USA, take care of the heart health of the patients in the department.
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.
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.
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
- The essence of bypass grafting for aortic coarctation
- Who may be a candidate for bypass grafting for aortic coarctation?
- How is bypass grafting for aortic coarctation performed?
- Benefits of bypass grafting for aortic coarctation
- 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
