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

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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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

Price 32580.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiac Surgery and Thoracic Surgery

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

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

Price 38771.00

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

Price 39116.00

University Hospital Frankfurt

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

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

Price 45089.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #101019

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 14 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

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #106781

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

Price 54815.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #227469

The Department of Thoracic and Cardiovascular Surgery offers surgical treatment of all congenital and acquired heart and lung diseases in adulthood.


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

Price 38838.00

Hirslanden Multispecialty 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 Thoracic, Transplant, Vascular and Cardiac Surgery

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

The Department of Thoracic, Transplant, Vascular and Cardiac Surgery is one of the excellent clinics of the Medical University of Hannover.


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

Price 39082.00

Essen University Hospital

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

Price 38991.00

University Hospital Düsseldorf

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

Price 45328.00

University Hospital Tubingen

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

Price 38938.00

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

Price 45096.00

Academic Hospital Bogenhausen

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

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

Price 38992.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #255317

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

Price 38909.00

Hirslanden Clinic St. Anna

9/10 from 3 Votes

Department of Cardiology

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis #95945

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 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Lucerne

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