Patch Aortoplasty 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.
Aortic coarctation is one of the most common congenital heart defects. This disease causes narrowing of a part of the aorta, as a result of which little blood passes through it. There are different anatomical types of this heart disease as the aorta can be narrowed in different sites, to different degrees, and at a different length. This is usually a severe heart defect that requires repair in the first year of life. Less commonly, the condition may progress relatively mildly and be detected in adulthood. In any case, heart disease is treated using surgical techniques because it leads to arterial hypertension and heart failure. Symptoms can be controlled with medicines, but without surgery, patients' life expectancy will be greatly reduced. You can have your surgical treatment in one of the German hospitals. You can use the Booking Health service to find out the cost of treatment in Germany and get medical services at the best price.
Content
- Principles of aortic coarctation treatment
- What is patch aortoplasty?
- Advantages and disadvantages of patch aortoplasty for aortic coarctation
- Where to undergo your surgical treatment for aortic coarctation?
Principles of aortic coarctation treatment
Aortic coarctation treatment can only be surgical. There are no medicines that can widen a narrowed section of the blood vessel. Medicines can only be used to maintain hemodynamics while waiting for surgery. In adult patients, medicines may be used to reduce symptoms. Many patients also require medicines to control blood pressure because it can remain elevated even after heart disease has been repaired using surgical techniques.
Surgical treatment for aortic coarctation is performed using different techniques in different patients. Many types of operations and a huge number of their modifications have been developed, which restore hemodynamics by dilating the narrowed section of the aorta, removing it, or creating a bypass for blood flow.
The main treatment options for aortic coarctation include the following:
- resection of the aorta in the area of coarctation with end-to-end anastomosis;
- balloon angioplasty and stenting is an endovascular procedure that involves implanting a stent (tube) inside the narrowed section of the aorta.
The following operations are rarely used in a small number of patients with coarctation:
- resection of the aorta with its replacement;
- end-to-side anastomosis;
- patch aortoplasty;
- subclavian flap aortoplasty, less often aortoplasty with other flaps from the patient's own tissues, for example, the pericardium;
- bypass grafting that involves the formation of an additional path for the movement of blood, bypassing the area of the coarctation.
What is patch aortoplasty?
Surgical treatment for coarctation is aimed at expanding the narrowed section of the patient's aorta. Doctors make an incision in the artery wall in the area of the coarctation. In this case, the diameter of the patient's blood vessel expands, but a defect in its wall is formed. A synthetic patch is used to close the defect, which is sutured to the aorta.
The treatment method is considered outdated. While it has many advantages, the disadvantages outweigh them. Patch aortoplasty has almost never been used in developed countries since the end of the twentieth century. It causes a large number of long-term complications in patients that require revision surgical interventions.
Advantages and disadvantages of patch aortoplasty for aortic coarctation
Patch aortoplasty to eliminate coarctation has many advantages, due to which the technique became widely used in the second half of the 20th century. Its main advantages are the following:
- clamping of the aorta only for a short time;
- a low risk of developing complications from the central nervous system;
- a small area of aortic mobilization;
- virtually zero risk of damage to the lung or spinal cord;
- tissues are sutured together without any tension;
- there is no circular suture, as with end-to-end anastomosis (this is a potential area for the formation of a stricture, which is cicatricial narrowing of the aorta);
- aortic coarctation of considerable length can be eliminated without the use of any vascular prostheses.
The technique of surgical treatment for aortic coarctation, however, has its drawbacks. As a result, it is only used in a small number of patients suffering from this heart disease. In children, the aorta increases over the years, and the synthetic patch remains the same size. As a result, aortic stenosis may develop. In adult patients, minimally invasive balloon angioplasty can be performed instead of heart surgery. If doctors believe that a patient needs open surgery, preference will be given to other options for surgical treatment of heart disease, since aneurysms often occur after the placement of the patch. This is due to the fact that synthetic materials have a higher rigidity as compared to the patient's aortic wall. Artificial tissue does not stretch well, overloading the opposite wall of the blood vessel. In the case of an aneurysm, a patient will need revision surgery to repair it.
Where to undergo your surgical treatment for aortic coarctation?
More and more patients from all over the world prefer to undergo their surgical treatment for aortic coarctation abroad. You can seek medical attention at one of the German hospitals specializing in heart surgery. German doctors successfully treat cardiovascular malformations in patients of any age.
Even if a patient is in a serious condition, doctors in German hospitals can stabilize their condition with medicines or perform a palliative procedure to improve blood circulation. The next stage of treatment is heart surgery, which normalizes hemodynamics. German specialists in the field of cardiovascular surgery successfully deal with any type of coarctation, including a large length of the constriction area, aortic underdevelopment, and a combination of coarctation with other heart diseases.
You are welcome to use the Booking Health website to find out the cost of treatment in Germany, compare prices, and make an appointment for your treatment in Germany. Our website presents the best Departments of Cardiovascular Surgery in German hospitals.
Please leave your request on the Booking Health website to get counseling from specialists in the field of medical tourism. We will find a Heart Surgery Center in Germany, whose doctors specialize in the elimination of aortic coarctation, use innovations, and achieve the best results.
When you make your appointment through Booking Health, the cost of treatment in Germany will be lower for you than when you contact a German hospital directly. The price for the treatment of aortic coarctation in Germany will be reduced due to the lack of additional taxes for foreign patients. Our specialists will make an appointment for you in a German hospital on your preferred dates, arrange your trip, and provide support while you are abroad. The initial cost of treatment in Germany will not increase for you because you will receive health insurance. After the completion of your treatment, we will take care of buying the necessary medicines and forwarding them to your native country. We will also arrange consultations for patients with their attending physician within 3 months after heart surgery, whenever required.
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
