Reconstruction Surgery of Atrial Septal Defect (ASD) in Germany
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Department of Cardiothoracic Surgery
According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top German medical facilities specializing in the surgical treatment of diseases of the cardiovascular system and lung cancer! The department offers the full range of surgical services for the treatment of diseases of the cardiovascular system, respiratory tract, including heart and lung transplantation, artificial heart implantation. The therapeutic options include aortic surgery, coronary artery bypass grafting, transplantation surgery, surgical treatment of heart rhythm disorders (arrhythmias), minimally invasive surgery, surgical treatment of the heart valves, including reconstructive interventions. All operations are performed using state-of-the-art technology and in accordance with the current recommendations of professional societies.
Department of Cardiac Surgery
The Department of Cardiac Surgery provides a full range of surgical treatment in its area of specialization. Special emphasis is placed on heart valve repair and replacement surgery, coronary artery bypass grafting, thoracic aortic surgery, adult congenital and acquired heart disease surgery, pacemaker and defibrillator implantation, and artificial heart implantation for severe heart failure. Many heart operations are performed using minimally invasive techniques, which has a positive effect on the healing of the surgical wound. Minimally invasive cardiac procedures also reduce surgical risks and contribute to a rapid recovery of the patient in the postoperative period. Surgical treatment of cardiac pathologies is performed in advanced operating rooms equipped with the latest technology. The cardiac surgeons of the department successfully perform routine and complex surgical procedures, saving the lives of thousands of patients. The specialists work in accordance with current clinical protocols and follow the recommendations of the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
Department of Cardiothoracic Surgery and Vascular Surgery
The Department of Cardiothoracic Surgery and Vascular Surgery provides effective surgical treatment for diseases of the heart, respiratory system, and blood vessels. The team of cardiac surgeons operates on patients with heart valve pathologies, coronary heart disease, heart failure, and heart rhythm disturbances. In the field of thoracic surgery, the key focus is on the surgical removal of lung tumors and lung metastases. The specialists in this area also perform surgery to repair chest wall deformities. In the field of vascular surgery, interventions for abdominal and thoracic aortic aneurysms are most often performed here. The department's vascular surgeons are also exceptionally competent in the treatment of peripheral occlusive arterial disease. A great advantage for the department's patients is that almost all surgical interventions are performed using minimally invasive techniques, so there is no need for a long postoperative recovery. The department's operating rooms are equipped with state-of-the-art technology. This allows for effective and safe treatment. The priority is always personalized medical care for patients.
Department of Cardiothoracic Surgery
According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top German medical institutions specializing in the surgical treatment of heart diseases! The department offers the full range of first-class medical care for patients with diseases of the heart and thoracic organs that require surgical treatment. The availability in the department of advanced technical base allows for the most sparing treatment and minimally invasive surgery. The main focuses of clinical practice include coronary artery bypass grafting, modern procedures for heart valve reconstruction and replacement, treatment of diseases of the thoracic aorta, as well as treatment of heart failure by implanting an artificial heart.
Department of Adult and Pediatric Cardiothoracic Surgery
According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery is included in the ranking of the top German departments specializing in the surgical treatment of cardiovascular diseases! The department offers the full range of treatment of various diseases of the heart, blood vessels, organs of the respiratory system in adults and children. As part of the German Heart Competence Centre Tuebingen, the department is distinguished by the outstanding quality of medical care, competent specialists, as well as high-tech equipment of the latest generation.
Department of Cardiac Surgery and Heart Transplantation
According to the Focus magazine, the Department of Cardiac Surgery and Heart Transplantation ranks among the top German departments specializing in heart interventions! The department offers the full range of surgical treatment for cardiac pathologies of varying severity. A large number of the operations performed in the department are coronary artery bypass grafting and heart valve interventions, which are most often performed using minimally invasive techniques. The team of the department's surgeons is proud of their high success rates in surgical treatment and the prestigious quality certificates of the German Cardiac Society in the field of transcatheter aortic valve implantation (TAVI) and heart failure treatment. In addition, the medical facility enjoys the status of one of the best in the international medical arena for heart transplantation and the implantation of mechanical hemodynamic heart support systems. The department provides medical care in accordance with the very latest standards and offers the highest possible safety for patients. The surgical treatment is accurately planned and, if possible, operations are performed using sparing surgical techniques, without thoracotomy.
Department of Cardiothoracic Surgery
According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top medical facilities in the field of its specialization! The department offers all options of modern surgery for the treatment of diseases of the cardiovascular system and thoracic organs. The department widely uses modern minimally invasive techniques, which are considered the gold standard of surgery. Since its founding in 1976, the department has performed more than 40,000 open heart interventions. The department's surgeons also have vast experience in the field of implantation of the artificial heart and mechanical heart support systems. All operations are carried out in strict accordance with the protocols of professional societies.
Department of Cardiac Surgery
According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German departments specializing in cardiac surgery! The department offers the full range of surgical interventions for the treatment of cardiac pathologies. The main priorities of the department include aortic surgery, heart transplantation, minimally invasive bypass grafting and heart valve surgery. It performs more than 2,500 surgical interventions every year. In especially complex clinical cases, all necessary specialists from the related fields are involved.
Department of Cardiac Surgery
According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German departments specializing in the surgical treatment of heart diseases! The department offers the full range of modern surgical interventions for the treatment of diseases of the heart, coronary vessels and thoracic aorta (with the exception of transplantation of the thoracic organs). An excellently trained team of specialists and state-of-the-art technologies guarantee the best medical care adapted to the individual needs and wishes of patients.
Department of Adult and Pediatric Cardiothoracic Surgery
According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery is included in the ranking of the top departments in Germany specializing in the surgical treatment of diseases of the cardiovascular system! The department offers the surgical treatment of all congenital and acquired heart diseases in adulthood, including heart transplantation, as well as the treatment of respiratory diseases in adults and children. It performs more than 2,000 interventions on the heart and about 600 operations on the lungs every year.
Department of Cardiothoracic Surgery
According to the Focus magazine, the Department of Cardiothoracic Surgery ranks among the top medical facilities of this kind in Germany! The department offers the full range of surgical treatment of diseases of the cardiovascular system and thoracic organs in adults. Of particular interest is sparing minimally invasive surgery, particularly, heart valve interventions and coronary artery bypass grafting. Such interventions are carried out using the innovative da Vinci surgical system. The video-assisted thoracic surgical methods are widely used in the surgical treatment of thoracic diseases as well. All the department's specialists have excellent qualifications and vast clinical experience, which in combination with the cutting-edge technologies allows doctors to achieve the outstanding treatment results.
Department of Cardiac Surgery
The Department of Cardiac Surgery specializes in a full range of cardiac surgical procedures. The medical facility performs operations for ischemic heart disease, valvular heart disease, arrhythmias, heart failure, aortic aneurysms, and aortic dissections. The department's cardiac surgeons have successful experience implanting mechanical circulatory support systems in patients with heart failure: Impella®, ProtekDuo®, and LVAD devices are implanted here. Of particular interest is minimally invasive surgery, which, in addition to an optimal functional outcome, ensures minimal trauma rate, rapid recovery, and the absence of cosmetic defects. In cooperation with interventional cardiologists, the department's surgeons also perform hybrid heart operations, combining catheter-based and classical surgical techniques. The department has the prestigious DIN EN ISO 9001:2015 certificate, given only to the best clinics with exceptional quality of medical services. The department also has the status of a national Heart Failure Center, certified by the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
Department of Cardiac Surgery
According to the Focus magazine, the Department of Cardiac Surgery ranks among the top German medical facilities specializing in the surgical treatment of cardiovascular diseases! The department offers the full service range in the field of cardiac surgery. Despite the fact that the department has long traditions, it has the reputation of one of the most high-tech Cardiology Centers in Europe. The clinical practice involves the use of achievements of modern surgery, particularly, minimally invasive and catheter techniques. Thus, cardiac surgeons achieve excellent results and at the same time guarantee the most sparing treatment and fast recovery for the patient.
Department of Adult and Pediatric Cardiothoracic Surgery
According to the Focus magazine, the Department of Adult and Pediatric Cardiothoracic Surgery ranks among the top German departments specializing in the surgical treatment of diseases of the cardiovascular system! The department offers the full range of surgical treatment of diseases of the heart, lungs, and other thoracic organs. The department has a long and successful history. It has performed more than 50,000 heart surgeries since 1938. The first open-heart surgery under hypothermia, the first heart valve replacement surgery, as well as the first pacemaker and cardioverter-defibrillator implantations in Germany should be mentioned among the department’s achievements.
Department of Adult and Pediatric Cardiac Surgery
The Department of Adult and Pediatric Cardiac Surgery offers all the possibilities of modern surgery for treating heart disease, including a heart transplant. The department's team of surgeons admits both adult patients and children. The department annually performs more than 3,500 operations, including minimally invasive ones. The most common diseases in the clinical practice of cardiac surgeons include heart failure, coronary artery disease, heart arrhythmias, and heart valve and aortic pathologies. The department's operating rooms have all the resources for efficient and safe heart surgery. The patients' health is in the safe hands of a highly qualified team of doctors and nursing staff, numbering more than 155 employees. The main task of surgeons is to provide an optimal treatment based on the very latest advances in modern medicine. At the same time, the specialists always show a humane attitude towards a patient, considering his individual needs and wishes.
Department of Congenital and Acquired Heart Defects, Heart Valve Diseases
The Department of Congenital and Acquired Heart Defects, Heart Valve Diseases offers the full range of diagnostics, outpatient and inpatient treatment of these diseases. The department became the first Center of Excellence in Germany in the field of its specialization and annually treats a large number of native patients and patients from other countries of the world. The department has a wide range of diagnostic options, as well as doctors have vast experience in catheter interventions. The department's medical team makes every effort in order to provide the first-class medical care adapted to individual needs. At the same time, important attention is paid to the psychosocial support of patients.
An atrial septal defect (ASD) is a common congenital heart disease that does not always require treatment. The treatment is most often performed using endovascular techniques whenever possible. However, in some cases, an atrial septal defect cannot be eliminated in this way. Cardiac surgeons then perform open-heart surgery to cure an atrial septal defect (ASD). If you need surgical treatment, you can go to Germany. You are welcome to use the Booking Health website to find out the cost of treatment in Germany and compare prices at different hospitals.
Content
- What is an atrial septal defect (ASD)?
- When is surgery for an atrial septal defect (ASD) required?
- How is surgery for an atrial septal defect (ASD) performed?
- Where to undergo your treatment for an atrial septal defect (ASD)?
What is an atrial septal defect (ASD)?
An atrial septal defect is a communication between the left and right atrium, that is, between the arterial and venous parts of the heart. There are five types of atrial septal defects (ASDs): primary and secondary ASDs, patent foramen ovale, and coronary and venous sinus defects. More often than not, it is an isolated heart disease, but it can also be combined with other cardiac pathologies.
Symptoms manifest themselves only in large atrial septal defects (ASD). The main complaints of patients include the following:
- exercise intolerance;
- heart rhythm disorders;
- rapid pulse;
- dyspnea.
Echocardiography (heart ultrasound) is used to diagnose the disease. The examination is usually carried out through the chest, while the placement of the sensor in the esophagus during ultrasound scanning is uncommon. Whenever required, doctors may refer the patient to have a cardiac CT or MRI scan, but these examinations are usually not required.
When is surgery for an atrial septal defect (ASD) required?
Not all patients with atrial defects require treatment. If the defect is small, that is, up to 5 mm, it usually closes on its own. In addition, such small defects do not affect hemodynamics and are usually not treated.
Patients with atrial septal defects (ASDs) ranging in size from 5 to 10 mm are monitored in dynamics. If there are no health problems, treatment is not required. It is, however, carried out in the case of arrhythmias, signs of right ventricular heart failure, a hemodynamically significant discharge of blood through the hole (1.5:1), or low blood oxygen saturation.
If an atrial septal defect (ASD) is larger than 1 cm, surgery or a minimally invasive procedure to close it is performed immediately, regardless of the presence of symptoms or complications. Such defects do not close themselves and pose a threat to the health of the patient.
The reconstruction of septal defects is the classic treatment, but it is not currently used as a first choice. Operations have been superseded by minimally invasive endovascular procedures.
However, in some cases, surgical reconstruction of septal defects may still be required. It may be performed in the following cases:
- a primary ASD (located in the lower part, at the level of the fibrous ring of the atrioventricular valves);
- a venous sinus defect;
- a coronary sinus defect;
- large defects of any localization with a diameter of 2 cm;
- combination of the ASD with other heart diseases that require surgical treatment.
How is surgery for an atrial septal defect (ASD) performed?
An atrial septal defect (ASD) is not only the first heart defect but also the first disease in the world to be treated using a heart-lung machine. Until the end of the 20th century, this treatment method remained the main one. Doctors made an incision in the center of the sternum, opened the right ventricle, and closed the defect with a patch, while functions of the patient's heart and lung were performed by a heart-lung machine.
Today, this operation is performed much less frequently due to the advent of endovascular technology. However, if the intervention is carried out, it is similar to a standard operation. Still, surgeons often make an incision in the center of the chest. A large incision on the side between the ribs is less commonly used.
In addition, the best German hospitals began to use robot-assisted surgical systems in the 21st century. With the help of a robotic system, doctors are able to perform endoscopic reconstruction of the heart septum. The intervention is performed through four incisions, namely, three short and one slightly larger, up to 5-6 cm, to connect the heart-lung machine.
Robot-assisted operations are safer and are accompanied by less blood loss. There is much less trauma to the patient as no incision is required in the center of the sternum. The tissues heal faster, and the postoperative period is easier. A person can recover faster and return to their usual way of life after surgery.
Where to undergo your treatment for an atrial septal defect (ASD)?
If you want to undergo your treatment in Germany, please visit the Booking Health website to choose the best Cardiosurgery Center, find out the cost of treatment in Germany, and find a medical care program at the best price. Our website presents direct hospital prices. When you make an appointment through our service, the cost of treatment in Germany will be lower for you than when you directly contact the Cardiosurgery Center. Prices are reduced due to the absence of high taxes for foreign patients. After the start of your medical care program, the cost of treatment in Germany will not increase because you will receive insurance.
There are a few reasons for you to have your treatment in Germany. These are the following:
- operations are performed by highly qualified cardiac surgeons who have a perfect reputation far beyond the borders of Germany;
- German hospitals have state-of-the-art equipment;
- modern modifications of operations for the reconstruction of septal defects;
- some hospitals perform robot-assisted surgery;
- in one operation, several defects or other heart diseases can be repaired at the same time;
- comprehensive care, symptomatic treatment, and rehabilitation following heart surgery.
The Booking Health specialists will help you find the hospital that achieves the best results in the treatment of atrial septal defects (ASD) and arrange your trip. We will contact the hospital administration, make an appointment for your preferred dates, and take care of the translation of your medical records. Our company's employees will meet you at the airport and take you to the hospital by car. After the completion of your treatment, we will take care of your return transfer.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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