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Cardiosurgery: Aortic valve insufficiency (avi) — Aortic valve replacement. Treatment

Aortic valve insufficiency (AVI) is one of the most frequent heart diseases characterized by insufficient closing of the aortic valve leaflets, which results in the blood outflow from aorta into the left side of the heart. In 60% patients, the failure is combines with stenosis.

The most common cause of AVI is a rheumatic heart disease. Less frequently, this defect is formed in utero or after birth under the influence of infectious agents, atherosclerosis, and systemic diseases affecting the connective tissue.

Conservative Treatment of Aortic Insufficiency

In some cases, AVI is identified by accident during examination. These patients do not report any complaint and do not require special treatment. In this case, the regular check-ups by a cardiologist and lifestyle with moderate limitation of physical activity is recommended.

For mild symptoms of decompensation, the treatment regimen, moderate exercises and drug therapy aimed at maintaining the cardiac activity is prescribed, namely:

  • cardiac glycosides;
  • diuretics;
  • metabolic drugs;
  • ACE inhibitors;
  • antitromoboticheskie funds;
  • beta-blockers.

Surgeries for Aortic Insufficiency

The surgical defect correction is indicated for symptomatic severe aortic insufficiency. After a comprehensive examination and determination of the degree of hemodynamic disorders, the cardiac surgeon selects the optimum method of surgery, taking into account the minimal trauma and the best expected outcome.

  1. Ross surgery is performed by open access to replace the aortic valve with the pulmonary one. The surgery requires a high qualifications and vast experience of a surgeon, as well as accuracy and coherence of the surgical team.
  2. Valve plastics implies access via sternotomy and the use of cardiopulmonary bypass. This surgery is possible subject to sufficient preservation of valve structures. The insufficiency is eliminated by suturing, strengthening of annulus with supporting structures or creation of suspending compounds.
  3. Traditional prosthetics means implantation of a biological or mechanical prosthetic valve and is conducted using the cardiopulmonary bypass.
  4. Minimally invasive prosthetics can significantly reduce the risk and the rehabilitation period. The prosthesis is installed through a small incision in the apex of the heart or through the femoral artery catheterization.

The good long-term results are shown by more than 80% patients operated for aortic insufficiency in the modernly equipped cardiology centers.

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University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #78151

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #50047

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #361507

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #74737

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Cardiology

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #356964

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #154653

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #139923

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #89861

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #245217

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #327458

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #292045

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #106293

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #82693

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #88303

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #137441

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Tuebingen
certificate

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #255309

The Department of Сardiac Surgery at the University Hospital Erlangen specializes in the surgical treatment of end-stage heart failure, treatment with the use of mechanical hemodynamic support systems and heart transplant. The Department annually performs about 1,600 operations on heart and adjacent vessels.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate




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