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Aortic Coarctation | Resection With End-to-end Anastomosis Treatment. Hospital Prices, Ranking, Reviews - Bookinghealth

Resection With End-to-end Anastomosis for Aortic Coarctation treatment

➤Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis ★ Direct prices from the best hospitals in the world $ We will help you save money on treatment ✔ Patient support 24/7

Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.

University Hospital Essen
Best choice

University Hospital Essen

Overall rating 9.6 / 10

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.

Markus Kamler
Prof. Dr. med.Markus Kamler
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Hospital directly 31613.58
BookingHealth Price: 28622.58
University Hospital Oldenburg
Best choice

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 diseases of the cardiovascular system! The department offers the full range of services in this ​​medical field. Many heart surgeries are performed using minimally invasive technique, which has a positive effect on the healing of an operative wound. The patient also experiences less pain and the hospitalization period is significantly reduced. Thanks to long experience of doctors and modern equipment, the department provides excellent results in the treatment of heart pathologies.

Oliver Dewald
Prof. Dr. med.Oliver Dewald
Hospital directly 27064.63
BookingHealth Price: 25064.63
University Hospital Ulm
Specialized hospital

University Hospital Ulm

Overall rating 8.7 / 10

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.

Andreas Liebold
Prof. Dr. med.Andreas Liebold
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Price: 30237.65
University Hospital Frankfurt am Main
Specialized hospital

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.

Thomas Walther
Prof. Dr. med.Thomas Walther
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Price: 28482.68
University Hospital Tuebingen
Specialized hospital

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.

Christian Schlensak
Prof. Dr. med. Dr.h.c.Christian Schlensak
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Price: 30123.85
University Hospital Erlangen
Specialized hospital

University Hospital Erlangen

Overall rating 9.1 / 10

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.

Michael Weyand
Prof. Dr. med.Michael Weyand
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Price: 29930.71
University Hospital RWTH Aachen
Specialized hospital

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.

Rüdiger Autschbach
Prof. Dr. med.Rüdiger Autschbach
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Price: 32079.26
University Hospital Würzburg
Specialized hospital

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.

Rainer G. Leyh
Prof. Dr. med.Rainer G. Leyh
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Price: 28344.88
University Hospital Heidelberg
Specialized hospital

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.

Matthias Karck
Prof. Dr. med.Matthias Karck
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University Hospital Bonn
Specialized hospital

University Hospital Bonn

Overall rating 9.2 / 10

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.

Hendrik Treede
Prof. Dr. med.Hendrik Treede
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Price: 31631.39
University Hospital Jena
Specialized hospital

University Hospital Jena

Overall rating 8.9 / 10

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.

Torsten Doenst
Prof. Dr. med.Torsten Doenst
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Price: 31874.64
University Hospital Halle (Saale)
Specialized hospital

Department of Cardiothoracic Surgery

The Department of Cardiothoracic Surgery covers the entire range of top-class medical services in this field. Special attention is paid to minimally invasive operations, which, along with the optimal functional result, ensure minimal traumatization, fast recovery and the absence of a cosmetic defect. The optimal type of therapy is selected in collaboration with the specialists from all the necessary related disciplines and adapts to the specific clinical indications of the patient.

Britt Hofmann
PD Dr. med.Britt Hofmann
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Price: 28453.45

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.

Christian Hagl
Prof. Dr. med.Christian Hagl
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Price: 31863.16
Charite University Hospital Berlin
Specialized hospital

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.

Volkmar Falk
Prof. Dr. med.Volkmar Falk
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Price: 42051.55
University Hospital Duesseldorf
Specialized hospital

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.

Artur Lichtenberg
Prof. Dr. med.Artur Lichtenberg
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Price: 31735.79
University Hospital Muenster
Specialized hospital

University Hospital Muenster

Overall rating 9.8 / 10

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.

Helmut Baumgartner
Prof. Dr. med.Helmut Baumgartner
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Price: 28737.42

Aortic coarctation is one of the most common heart defects. The condition is usually severe, and the repair of normal hemodynamics by the surgical method is already required in the first months and sometimes in the first weeks of a child's life. One of the main ways to treat aortic coarctation is resection with end-to-end anastomosis. Surgeons abroad perform these operations effectively and safely on patients of any age, including newborns. You are welcome to use the Booking Health service to visit one of the world's best hospitals for your surgical treatment. Our website offers the leading Cardiac Surgery Centers that admit foreign patients and presents the current cost of treatment.

Content

  1. What is aortic coarctation?
  2. What is end-to-end anastomosis in aortic coarctation?
  3. Who may be a candidate for end-to-end anastomosis for aortic coarctation repair?
  4. How is surgery for aortic coarctation performed?
  5. Why to undergo your treatment abroad for aortic coarctation?

What is aortic coarctation?

 

Aortic coarctation is a narrowing of a blood vessel due to excess tissue growth in its lumen. The narrowing is usually localized immediately after the place where the subclavian artery is. However, it may occasionally be found in other places, up to the abdominal aorta.

This defect is potentially life-threatening. Some patients require surgery shortly after their birth. In other cases, the defect may cause moderate hemodynamic disturbances but lead to the development of severe complications after the age of 20-30 years, such as ventricular dysfunction, severe arterial hypertension, and coronary heart disease.

Coarctation of the aorta in newborns causes a weak pulse in the legs. Children with coarctation of the aorta are pale, poorly fed, and lag behind in their physical development. If hemodynamic disturbances are non-critical, the first symptom of coarctation, which is detected in adolescence and young adulthood, is uncontrolled arterial hypertension. Moreover, it is limited to the upper half of the body. The legs do not receive enough blood and oxygen, so they look thin relative to other parts of the body.

What is end-to-end anastomosis in aortic coarctation?

 

End-to-end anastomosis is one of the most commonly used methods for aortic coarctation repair in modern cardiac surgery. It is the technique of choice for children with coarctation of the aorta, including neonates. This method of surgical repair results in a low risk of recurrent aortic coarctation.

The essence of the operation is that doctors remove 2-3 cm of the aorta in the coarctation zone. The ends of the blood vessels are then sutured together. As a result, the normal diameter of the aorta is repaired and hemodynamics are restored. Since surgeons perform the resection of the pathological tissue, the risk of recurrent narrowing remains low.

Resection with end-to-end anastomosis is historically the first treatment for coarctation of the aorta. It was first used in Sweden in 1944. In 1953, the first successful operation was performed on a newborn child.

In 1977, the technique of extended end-to-end anastomosis appeared and began to be used to repair the aorta with hypoplasia (underdevelopment) of its arch. Doctors may also optionally perform aortic arch reconstruction if the chances of it developing on its own after surgery are assessed as low. An immediate repair of the arch reduces the risk of recurrent aortic coarctation.

Who may be a candidate for end-to-end anastomosis for aortic coarctation repair?

 

Coarctation resection with an anastomosis can be used at any age. But in practice, most often it is performed on newborns and children under the age of 5 years. In older children and adults, end-to-end anastomosis is used much less often, while other operations to repair the normal lumen of the aorta are preferred.

Young children have an elastic aorta. It is possible to remove 2-3 cm of tissue in the area of coarctation, bring the ends together, and suture them together without using a vascular prosthesis. Some authors believe that even the divergence of the ends up to 4-5 cm can be eliminated without any prosthetic repair by mobilizing the aortic arch and subclavian artery.

At the same time, the aorta thickens in adult patients, often showing signs of calcification (deposits of calcium salts). The aorta does not stretch well, and the sutures erupt even with slight tension.

The issue with surgical treatment of coarctation in children with end-to-end anastomosis remains insufficient anastomosis growth. Scars remain in the area of suturing the ends of the aorta. At this point, the diameter of the aorta increases as the child grows, but to a lesser extent than the diameter of the rest of the aorta. Therefore, in the future, a relative narrowing may occur in this area.

How is surgery for aortic coarctation performed?

 

The operation for coarctation is performed through an open surgical approach. Doctors make an incision in the fourth intercostal space on the left (a left-sided thoracotomy). The surgical procedure requires the use of a heart-lung machine and clamping of the aorta above and below the incision site.

Doctors then resect the aorta in two places. The area in which the narrowing occurred will be removed. The ends of the aorta are brought together and sutured. Additionally, other manipulations may be required, for example, the repair of a hypoplastic aortic arch as well as interventions for concomitant heart defects.

Why to undergo your treatment abroad for aortic coarctation?

 

Cardiac surgery is complex and unsafe. To cure aortic coarctation at one time without any repeated operations or complications, it is worth carefully selecting a hospital. If you live in a country with a low level of medicine, you can have your treatment abroad. There are a few reasons for you to seek medical attention at one of the world's best hospitals. These are the following:

  • state-of-the-art equipment and highly qualified cardiac surgeons;
  • the use of modern modifications of surgical procedures;
  • successful treatment of coarctation of the aorta at any age;
  • a low risk of repeated development of aortic coarctation; 
  • a low risk of complications; 
  • successful surgical treatment of even premature babies weighing less than 2 kg;
  • effective treatment in complex cases where coarctation of the aorta is combined with aortic arch hypoplasia or left ventricular hypoplasia;
  • the possibility of simultaneous elimination of several heart defects at once in children weighing more than 1.5 kg;
  • high-quality postoperative care and full rehabilitation.

On the Booking Health website, you can find out the cost of treatment abroad and select a program at the best price. The website presents the best foreign Cardiac Surgery Centers where you can undergo your diagnostics, treatment, and rehabilitation. When you make an appointment at a hospital through Booking Health, the cost of treatment will be lower for you than when you contact the hospital directly. The price reduction is due to the absence of additional taxes for foreign patients. The initial cost of treatment will not increase after the start of the program, even if additional medical procedures are required, because you will receive insurance that will cover unforeseen expenses.

The Booking Health specialists will take care of all the arrangements for your treatment abroad. We will contact the hospital administration and schedule an appointment for your preferred dates. We will also translate your medical documents and book a hotel room and plane tickets for you. After the resection of the coarctation of the aorta and your recovery, 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!

 

Sources:

European Society of Cardiology

American College of Cardiology

Medscape