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

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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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 24658.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiac Surgery and Thoracic Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #78165

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 29424.00

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 29432.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #74751

The Department of Cardiac, Thoracic and 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 34434.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #101025

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 atrioventricular valve dysplasia by surgical reconstruction #106787

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 41492.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #227475

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 29156.00

Hirslanden Multispecialty 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

Hannover Medical School

9.8/10 from 43 Votes

Department of Thoracic, Transplant, Vascular and Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #245231

The Department of Thoracic, Transplant, Vascular and Cardiac Surgery 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 29525.00

Essen University Hospital

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 29292.00

University Hospital Düsseldorf

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 33907.00

University Hospital Tubingen

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 29389.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #88317

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 33930.00

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of atrioventricular valve dysplasia by surgical reconstruction #154667

The department of cardiac surgery 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. The specialization of the departement is coronary bypass operations using both internal thoracic arteries.


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

Price 29159.00

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 29458.00

Hirslanden Clinic St. Anna

9/10 from 3 Votes

Department of Cardiology

Treatment of atrioventricular valve dysplasia by surgical reconstruction #95951

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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