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Cardiosurgery: Aortic valve stenosis — Aortic valve replacement. Treatment abroad

Aortic valve stenosis (AVS) is one of the most common heart diseases characterized by a decrease in diameter of the aortic orifice, resulting in increased resistance to the blood flow from the left ventricle into the aorta. The AVS prevalence rate is about 25% of all heart defects, but it is usually accompanied by the other valve defects.

Conservative Treatment of Aortic Stenosis

Upon asymptomatic progression, the special treatment is usually not required. The patient is recommended to pass regular check-ups by a cardiologist and adjust his/her lifestyle. Upon moderate AVS decompensation, the drugs supporting the heart work and metabolism are prescribed:

  • diuretics;
  • cardiac glycosides;
  • antiarrhythmics;
  • antithrombotic agents;
  • metabolic drugs;
  • beta-blockers.

Surgical Correction of Aortic Stenosis

The indications for AVS surgical treatment are determined individually, taking into account the intensity of symptoms and stenosis progression. In the preoperative period, the patient is prescribed a course of conservative therapy for prevention of operative and post-operative complications.

There are several methods of surgical correction of the aortic stenosis. The best option is chosen depending on severity of the clinical picture and preservation of the valve structures.

  • Balloon dilatation is performed via a minimally invasive access through the femoral artery. A special probe is advanced through the vessels to the valve, which is expanded due to baloon inflation. The surgeon’s actions are controlled by X-ray methods and echocardiography.
  • Valve plastics is indicated in the absence of gross structural abnormalities in the valve. The surgery requires an open access and use of cardiopulmonary bypass.
  • Aortic valve replacement is the most common surgery for aortic stenosis. The surgery involves removal of the valve components and prosthesis implantation. Traditional prosthetics involves sternotomy and cardiopulmonary bypass connection.
  • Transcatheter aortic valve replacement is a new technique, which allows implanting the prosthesis with a minimal trauma. In European clinics, the combined prostheses made of materials of biological and synthetic origin are used. A special implanting system has a self-expanding structure, due to which the prosthesis is firmly fixed in the right place.

Subject to adequate preparation and selection of the optimal surgical technique, the long-term positive results are observed in 80-85% of the operated patients.

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HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #50049

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 24688.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiosurgery and Thoracic Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #78153

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Price 29404.00

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #106295

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Price 29540.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiosurgery, Thoracic and Vascular Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #74739

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

Price 33975.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #101013

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificate

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiovascular Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #106775

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 41786.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #227463

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 29571.00

Hirslanden Multispecialty Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #89863

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 13 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau

Hannover Medical School

9.8/10 from 43 Votes

Department of Thoracic, Transplant, Vascular and Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #245219

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 29523.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #292046

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 29574.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #82695

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 34388.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #137443

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Tuebingen
certificate

Price 29184.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #88305

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 34279.00

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Cardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #154655

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 29037.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiosurgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #255311

The Department of Сardiosurgery 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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

Price 29177.00

Hirslanden Clinic St. Anna

9/10 from 3 Votes

Department of Cardiology

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #95939

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 13 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Lucerne

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