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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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

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

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

Price 26168.00

University Hospital Cologne

8.3/10 from 82 Votes

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

The Department of Cardiothoracic Surgery of the Heart Center of Cologne at the University Hospital Cologne under the direction of Univ. -Prof. Dr. Thorsten Wahlers performs over 2,800 operations every year. 1,700 of them are performed with the use of the cardiopulmonary bypass.


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

Price 31614.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

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

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

Price 31779.00

University Hospital Frankfurt

7.5/10 from 97 Votes

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

The Department of Thoracic, Cardiac and Thoracic Vascular Surgery at the University Hospital Frankfurt is a distinguished institution in this field of medicine. The Department specializes in coronary artery bypass syrgery, heart valve surgery, aortic surgery, lung surgery and transplant surgery.


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

Price 36966.00

University Hospital Heidelberg

9/10 from 57 Votes

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

The Department of Cardiac Surgery at the Heidelberg University Hospital offers an excellent university medicine. The Department provides treatment and aftercare to more than 2,500 patients every year.


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

Price 36692.00

Charite University Hospital Berlin

9/10 from 95 Votes

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

The Department of Cardiovascular Surgery at the University Hospital Charite Berlin is located at the Charite Mitte Campus. It is a state-of-the-art clinic with a long history. All congenital and acquired diseases of the heart and surrounding vessels are operated on here.


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

Price 44703.00

University Hospital Wurzburg

9.2/10 from 38 Votes

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

The Clinic of Thoracic Surgery, Cardiac Surgery and Vascular Surgery offers surgical treatment of all congenital and acquired diseases of the heart and lungs in adulthood, including the heart transplantation.


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

Price 31471.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

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

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, MHH

9.8/10 from 43 Votes

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

Department of Thoracic, Transplant, Vascular and Cardiosurgery is one of the excellent clinics of the Medical University of Hannover.


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

Price 31870.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

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

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 36726.00

University Hospital Halle (Saale)

9.5/10 from 78 Votes

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

Department of Cardiac and Thoracic Surgery at the University Hospital of Halle (Saale) is a partner of the German Foundation for Heart Disease and has a long-lasting experience in treatment of senior patients which sustained a cardiac surgery.


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

Price 31545.00

University Hospital Tubingen

9.2/10 from 55 Votes

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

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

Price 31461.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

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

The department of cardiosurgery 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. Specialization of the clinic is coronary bypass operations using both internal thoracic arteries.


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

Price 29212.00

University Hospital Erlangen

9/10 from 51 Votes

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

Cardiac Surgery Clinic at Erlangen University Clinic performs about 1,600 surgeries on the heart and vessels close to it annually, including approximately 1,100 surgeries using a heart-lung machine, performed in the open heart. The operational capacity includes 3 operating rooms at Erlangen University Clinic.


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

Price 37028.00

St. Anna Hospital

9/10 from 3 Votes

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

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

Clinique La Colline

8.9/10 from 43 Votes

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

Cardiovascular Surgery Centre in Clinique La Colline welcomes the patients with heart disease, cardiac / vascular trauma. Services provided by Dr Aristote Panos in the La Colline Cardiovascular Surgery Centre include: Video-assisted & Robotic Cardiac Surgery Robotic Thymectomy Cardiac Valve Repair etc.


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