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

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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Age: 15 years or older

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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

Price 24603.00

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

Price 29215.00

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

Price 29585.00

University Hospital Frankfurt

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

Price 34228.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiovascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #106773

The Department of Cardiovascular Surgery at the University Hospital Charite is located at the Campus Charite Mitte. It offers treatment of all congenital and acquired cardiovascular diseases.


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

Price 41672.00

University Hospital Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #227461

The Department of Thoracic and Cardiovascular Surgery offers surgical treatment of all congenital and acquired heart and lung diseases in adulthood.


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

Price 29585.00

Hirslanden Multispecialty 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

Price 29354.00

Essen University Hospital

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

Price 29174.00

University Hospital Düsseldorf

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

Price 34414.00

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

Price 34264.00

University Hospital Tubingen

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

Price 29577.00

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Cardiac Surgery

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

The department of cardiac surgery treats patients with congenital or acquired heart defects and with heart tumors or diseases of the aorta, such as aortic aneurysm or laceration of the aortic wall. The specialization of the departement is coronary bypass operations using both internal thoracic arteries.


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

Price 29060.00

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

Price 29542.00

Hirslanden Clinic St. Anna

9/10 from 3 Votes

Department of Cardiology

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #95937

The St. Anna acute hospital and its team of cardiologists are reorganising its range of services about cardiovascular diseases, and its new cardiac centre now offers a modern interdisciplinary network with a full range of cardiology facilities - including emergency treatment and a 24-hour catheter l...


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

University Hospital Jena

8.9/10 from 69 Votes

Department of Cardiothoracic Surgery

Treatment of aortic valve insufficiency with replacement (homograft or mechanical) #273254

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery ranks among the best Heart Surgery Centers in Germany! It offers the entire spectrum of adult cardiac surgery.


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

Price 33969.00


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