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Cardiosurgery: Atrioventricular valve dysplasia (avd) — Surgical reconstruction. Treatment

Abnormal formation of the common atrioventricular valve in place of the mitral and tricuspid valves occurs at a relatively rare heart malformation, an open atrioventricular canal (OAVC). Its incidence rate in the structure of all congenital heart defects does not exceed 3 to 5%. OAVC is developed in utero under the influence of chromosomal abnormalities, genetic predisposition, infections, toxins, or endocrine pathology.

Treatment Principles

A partial OAVC form, whereby the septum between the heart ventricles is preserved, does not normally require early surgical treatment. The optimal age for surgical correction in this case is 7 to 10 years old.

A complete OAVC form, with the presence of a hole in the interventricular septum, often leads to severe manifestations of hemodynamic instability threatening the child's life, so the patients often must be operated very early. In the course of preparation for surgical correction, the conservative therapy is prescribed:

  • diuretics;
  • cardiac glycosides;
  • ACE inhibitors.

Surgical Correction

The decision on the urgency of OAVC surgical correction is made by a physician based on the clinical picture and structural damage degree. The surgical treatment method is chosen individually.

  • Closure of atrial septal defect is indicated for a partial form of OAVC. The surgery requires an open access using the hypothermia and cardiopulmonary bypass. For a small diameter of the hole, the defect is sutured; otherwise it is covered with a patch made of synthetic material.
  • Mitral and tricuspid valve plastics is indicated for partial OAVC. Missing leaflets are made from synthetic materials, the stretched hole is contracted with sutures and reinforced with support rings.
  • Septum and valve plastics is the only version for correction of a complete form of OAVC. The surgery implies correction of all anomalies of the heart structure. The missing septa are created from biological or synthetic materials, forming complete mitral and tricuspid valves.
  • Palliative surgeries sometimes help postpone the time of full correction and improve the patient's condition. For a complete form of OAVC, the narrowing of the pulmonary artery trunk, which reduces the heart congestion, improves the patient’s condition and prevents the formation of irreversible changes in the myocardium and blood vessels.

Adequate medical therapy and timely surgical correction performed by an experienced cardiac surgeon in a specialized center, in most cases, allow hoping for a positive result.

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Age: 15 years or older

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University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #361514

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


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

Price 22355
Nearest date of appointment is:
03.05.2018

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #50061

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 20600
Nearest date of appointment is:
14.05.2018

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #78165

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

Price 20569
Nearest date of appointment is:
21.05.2018

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of atrioventricular valve dysplasia by surgical reconstruction #139937

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


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

Price 23507
Nearest date of appointment is:
24.05.2018

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #74751

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

Price 23887
Nearest date of appointment is:
17.05.2018

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Cardiology

Treatment of atrioventricular valve dysplasia by surgical reconstruction #356971

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.


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

Price 23780
Nearest date of appointment is:
14.05.2018

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #154667

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

Price 23728
Nearest date of appointment is:
21.05.2018

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #89875

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

Price 0
Nearest date of appointment is:
21.06.2018

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #245231

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

Price 23839
Nearest date of appointment is:
19.06.2018

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #327465

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

Price 0
Nearest date of appointment is:
25.06.2018

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #292052

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 23831
Nearest date of appointment is:
21.06.2018

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #106307

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 23844
Nearest date of appointment is:
21.06.2018

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #82707

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 27888
Nearest date of appointment is:
21.06.2018

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #137455

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 23683
Nearest date of appointment is:
19.06.2018

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #255323

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

Price 23524
Nearest date of appointment is:
18.06.2018

Academic Hospital Nuremberg

9/10 from 23 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #333908

According to the Focus magazine rating of 2017, the Department of Cardiac Surgery ranks among the top German departments specializing in cardiac surgery! There are offered all modern services of adult cardiac surgery, incl.


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

Price 24510
Nearest date of appointment is:
25.06.2018



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