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Cardiosurgery: Aortic valve stenosis — Aortic valve replacement. Treatment

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 Cardiac Surgery

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

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

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

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

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

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

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

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

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

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 is located at the Campus Charite Mitte. It offers treatment of all congenital and acquired cardiovascular diseases.


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

University Hospital 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

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 Cardiac, Thoracic, Transplantation and Vascular Surgery

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

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

Rambam Health Care Campus

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of aortic valve stenosis with valve replacement (biological or mechanical) #327459

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: 13 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 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

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

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

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

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

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Cardiac Surgery

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

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

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

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

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

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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