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Cardiosurgery: Aortic coarctation — Resection with end-to-end anastomosis. Treatment

Aortic coarctation (AC) is one of the major cardiovascular diseases characterized by segmental narrowing of the aorta with a primary lesion of its upper sections. The overwhelming majority of AC cases has the innate nature, and more than 60% of them are combined with the other abnormalities in structure of the heart and major blood vessels. The disease usually features a grave progression. More than 50% of children born with aortic coarctation have poor prognosis without surgical correction.

Aortic Coarctation Treatment Principles

In rare cases, AC is asymptomatic, does not require special treatment, but the patient should undergo a regular cardiac evaluation, based on results of which the therapeutic and prophylactic treatment with moderate exercises can be recommended.

Conservative therapy does not eliminate the anomaly and is used as a preparation for surgery. The optimal age for surgical correction is considered to be 5 to 7 years old, but upon severe hemodynamic decompensation, the surgery may be indicated at an earlier age, including in the neonatal period.

The surgical correction technique is selected individually, depending on severity of the clinical picture, extent and location of the constriction.

  • Aorta plastics is performed when the narrowing captures a small section of aorta. There are several methods of plastic correction, e.g. resection with simple anastomosis, wedge resection, and istmoplasty.
  • Resection with prosthetics implies excision of the pathological segment, followed by implantation of a prosthesis made of synthetic or biological material.
  • Overlay of bypasses aims at creation of additional paths for blood flow. In this case, the narrowed segment is not removed, but a workaround is created using the patient’s own arteries or synthetic material.
  • Balloon dilatation is normally used for recurrent narrowing after surgery. The lumen of the aorta is reduced by means of an inflatable balloon, which is carried out to the aorta through the vessels under the X-ray imaging techniques.

Timely surgical repair of the AC, selection of the optimal operating method and competent determination of indications for surgery allows achieving favorable results with long-term effect in 88-94% patients.

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Age: 15 years or older

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University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #78159

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

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #50055

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


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #361511

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: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #74745

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

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #154661

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

University Hospital Muenster

8.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #139931

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: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

Academic Hospital Asklepios Barmbek Hamburg

10/10 from 23 Votes

Department of Cardiology

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #356968

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: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #358296

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #89869

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: 14 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

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #245225

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

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #327462

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: 14 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

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #292049

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

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #106301

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

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #82701

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

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #88311

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


Duration: 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #137449

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




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