Patch Aortoplasty for Aortic Coarctation treatment
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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 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.
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.
Aortic coarctation is a congenital heart disease characterized by narrowing of the thoracic aorta. Many different techniques are used to treat the disease, including patch aortoplasty. If you need help with aortic coarctation, you can have your treatment abroad. On the Booking Health website, you can find out prices, compare the cost of treatment in different hospitals, and choose the best option.
Content
- Principles of patch aortoplasty for aortic coarctation
- How is patch aortoplasty performed?
- Advantages and disadvantages of patch aortoplasty for aortic coarctation
- Benefits of aortic coarctation treatment abroad
- Organization of aortic coarctation treatment abroad using patch aortoplasty
Principles of patch aortoplasty for aortic coarctation
Aortic coarctation can only be treated with surgery. In most cases, this is a severe malformation that is diagnosed immediately after birth, as it causes severe symptoms. Less commonly, aortic coarctation is diagnosed in adults. The defect is manifested by underdevelopment of the lower limbs and severe arterial hypertension, which is poorly controlled by drugs.
Hemodynamics in aortic coarctation can be restored using various methods, and all of them are surgical. Doctors can:
- remove the narrowed area and suture the ends of the artery;
- remove the narrowed area of great length and suture the prosthesis to both ends of the artery (prosthetic repair surgery);
- form a bypass for the movement of blood around the narrowed area (bypass grafting);
- place a tube inside the narrowed section of the artery (stent implantation);
- dilate the narrowed section of the artery by making an incision in the wall and implanting a synthetic patch, a subclavian flap, or, less frequently, a flap from the pericardium or other autologous tissues.
How is patch aortoplasty performed?
The operation is performed under general anesthesia. The operation is aimed at expanding the narrowed section of the aorta without its total removal. With such an approach, doctors manage to cope even with large areas of coarctation.
When performing surgery, doctors dissect the aorta. As a result, the lumen of the blood vessel increases, but a defect forms on its wall. The defect can be closed with various synthetic materials. Following hermetic suturing, the diameter of the aorta in the area of coarctation remains normal, and hemodynamics are restored.
Advantages and disadvantages of patch aortoplasty for aortic coarctation
Nowadays, doctors in developed countries use patch aortoplasty very rarely. The specialists prefer to use other methods since patch aortoplasty has more disadvantages than advantages.
The advantages of this technique are the following:
- minimum aortic clamping time;
- low invasiveness of the intervention, since it is not necessary to isolate a large segment of the aorta;
- no tissue tension;
- there is no need for a continuous circular twisting suture, so strictures (narrowings) do not appear in this place;
- it is possible to eliminate longer length coarctation;
- a low risk of immediate complications, including those caused by cerebral circulation disorders.
At the same time, the treatment method causes many complications over the long term. The material from which synthetic patches are made is stiffer than a normal aorta. It does not stretch, which means it increases the load on the opposite wall of the blood vessel. As a result, an aortic aneurysm may develop in the area of the operation after many years.
Patients who underwent patch aortoplasty are still at a higher risk of developing arterial hypertension. It reaches 50% in the long-term follow-up.
The patch cannot grow with a child. Accordingly, as the aorta grows, its tension increases, and recurrent aortic narrowing is possible. The technique is therefore not suitable for the treatment of children. It can be used in adult patients whose aorta size remains stable, but there are other more effective and safer treatment options for this group of patients, such as balloon plastic surgery and stent implantation (an endovascular procedure without any chest incisions).
Due to these shortcomings, the number of patch aortoplasty procedures among other operations for the treatment of aortic coarctation is constantly decreasing. Already at the beginning of the 21st century, this treatment method was preferred in less than 10% of cases, and today, these surgeries account for less than 5% of the total. This surgical treatment option has almost entirely been abandoned in developed countries.
Benefits of aortic coarctation treatment abroad
You can go abroad for high-quality aortoplasty for your aortic coarctation to receive reliable, safe, and good long-term results. Doctors in developed countries successfully deal with even the most severe heart disease. Cardiac surgeons from the world's best medical centers perform the most complex operations on children of any age.
Treatment abroad offers the following benefits:
- different types of operations are performed, and the best treatment option for aortic coarctation is selected for each patient;
- reliable results that do not deteriorate even after many years;
- a low risk of needing any revision surgery;
- successful repair of aortic coarctation even in newborns, including preterm infants;
- possible treatment of aortic coarctation in combination with other heart diseases;
- a low risk of complications;
- high-quality care after surgery, symptomatic treatment, and rehabilitation of patients.
Organization of aortic coarctation treatment abroad using patch aortoplasty
You are welcome to use the Booking Health service to undergo your aortic coarctation treatment abroad. On our website, you can find out the cost of treatment by comparing prices at different hospitals. You can use the sorting of hospitals by rating, reviews, cost of treatment, or the nearest available date of admission to select the best medical center.
If you cannot make a choice, the specialists at the Booking Health company will help you. Please leave your request on our website, attach medical documents, and you will be contacted on the same day. Our experts will help you select the most suitable hospital that specializes in the treatment of aortic coarctation and demonstrates the best results. We will make an appointment on your preferred dates and provide you with travel arrangement services. When you make your appointment through Booking Health, the cost of treatment will be lower than when you contact the hospital directly. The prices will be reduced due to the lack of increased coefficients for foreign patients.
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
