Surgical treatment Without the Heart-lung Machine for Congenital and Acquired Heart Defects in Germany
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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.
Department of Cardiac Surgery
The Department of Cardiac Surgery provides a full range of surgical treatment in its area of specialization. Special emphasis is placed on heart valve repair and replacement surgery, coronary artery bypass grafting, thoracic aortic surgery, adult congenital and acquired heart disease surgery, pacemaker and defibrillator implantation, and artificial heart implantation for severe heart failure. Many heart operations are performed using minimally invasive techniques, which has a positive effect on the healing of the surgical wound. Minimally invasive cardiac procedures also reduce surgical risks and contribute to a rapid recovery of the patient in the postoperative period. Surgical treatment of cardiac pathologies is performed in advanced operating rooms equipped with the latest technology. The cardiac surgeons of the department successfully perform routine and complex surgical procedures, saving the lives of thousands of patients. The specialists work in accordance with current clinical protocols and follow the recommendations of the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
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.
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.
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.
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.
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.
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.
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.
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.
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.
Department of Cardiac Surgery
The Department of Cardiac Surgery specializes in a full range of cardiac surgical procedures. The medical facility performs operations for ischemic heart disease, valvular heart disease, arrhythmias, heart failure, aortic aneurysms, and aortic dissections. The department's cardiac surgeons have successful experience implanting mechanical circulatory support systems in patients with heart failure: Impella®, ProtekDuo®, and LVAD devices are implanted here. Of particular interest is minimally invasive surgery, which, in addition to an optimal functional outcome, ensures minimal trauma rate, rapid recovery, and the absence of cosmetic defects. In cooperation with interventional cardiologists, the department's surgeons also perform hybrid heart operations, combining catheter-based and classical surgical techniques. The department has the prestigious DIN EN ISO 9001:2015 certificate, given only to the best clinics with exceptional quality of medical services. The department also has the status of a national Heart Failure Center, certified by the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
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.
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.
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.
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.
Congenital heart defects are common pathologies among children. Up to 1% of newborns are born with them. Most defects require surgical treatment, and some are repaired as early as the first year of life. Even more often, cardiac surgeons treat acquired heart defects in adult patients. They are associated with damage to the heart valves and usually develop in old age due to degenerative changes in the heart and large blood vessels.
In standard cases, open surgical techniques are used to repair congenital or acquired heart defects. This means that surgery is done through a large incision in the center of the chest using a heart-lung machine. But for many diseases, doctors began to use more sparing methods. Whenever possible, operations can now be performed without a heart-lung machine, without dissection of the sternum, and without opening the heart cavities. The incisions are made between the ribs. Sometimes an incision in the groin or small punctures in the chest wall are sufficient to approach the heart.
You can opt to undergo your treatment in Germany to take advantage of the latest advances in medicine and cardiac surgery. This is a country with top-class medicine that uses cutting-edge techniques in the treatment of heart defects. You can find out the cost of treatment in Germany on the Booking Health website. On our website, you can find the prices for different operations. After choosing the most suitable option, you can immediately make a treatment appointment on your preferred dates.
Content
- What is a heart-lung machine, and when can it not be used for congenital and acquired heart defects?
- Advantages of surgery without a heart-lung machine for congenital and acquired heart defects
- Why to have your surgery without a heart-lung machine in Germany for congenital and acquired heart defects?
What is a heart-lung machine, and when can it not be used for congenital and acquired heart defects?
A heart-lung machine is a device that takes blood from the human body, saturates it with oxygen, and returns it to the body. In fact, it temporarily performs the functions of the heart (pump) and lungs (oxygenator) while a doctor performs the surgery.
The heart-lung machine is required in all cases when cardiac surgeons open the heart cavity. It allows doctors to let blood bypass the heart, stop it, and perform any manipulations. At the same time, there are virtually no time limits because, under the conditions of cardiopulmonary bypass, doctors can operate on a patient for several hours if a clinical case requires it.
However, if possible, doctors tend not to use heart-lung machines because their use may sometimes cause complications. They are not common in Germany because state-of-the-art types of heart-lung machines are used. Nevertheless, this device is not necessary in many cases.
Surgical treatment without the heart-lung machine for congenital and acquired heart defects in Germany is possible in the following cases:
- the heart cavity is not opened;
- a surgical intervention is performed on large blood vessels in the region of the heart;
- the heart is approached from inside the blood vessels (an endovascular technique);
- the heart is approached not through a large incision but through a puncture (a transcatheter technique).
At modern German hospitals, many cardiovascular diseases, including acquired and congenital heart defects, can be treated without a heart-lung machine. For example, such operations can be performed to repair the mitral valve or replace the aortic valve, and treat atrial or ventricular septal defects, coarctation of the aorta, patent ductus arteriosus, or partial anomalous pulmonary venous drainage.
Advantages of surgery without a heart-lung machine for congenital and acquired heart defects
As a rule, operations without a heart-lung machine are less traumatic. Many of these are performed through an incision in the groin or short chest incisions. In addition, the mere fact of avoiding the use of heart-lung machines has advantages because cardiopulmonary bypass may cause complications. They occur due to damage to proteins and blood cells, inflammatory reactions, disturbances in the gas composition of the blood, dilution of the blood, sometimes cooling, and also due to the use of non-pulsatile flow.
The use of the heart-lung machine may cause a systemic inflammatory response, damage to the heart, kidneys, and brain, as well as bleeding and oxygen starvation of various organs.
If it is possible to perform surgery without a heart-lung machine, it is better to perform it on a beating heart. However, this does not mean that the heart-lung machine should be abandoned in all cases without exception. Sometimes, heart defects can only be eliminated with the help of open-heart surgery under the conditions of cardiopulmonary bypass. The heart-lung machine is an important achievement in medicine and cardiac surgery, as its invention has made it possible to achieve outstanding success in the treatment of dozens of deadly cardiovascular diseases. In addition, modern devices available at German hospitals are safer than older models. They maintain the optimal gas composition of the blood and almost never injure the cells. The risk of developing a severe inflammatory reaction after the use of modern heart-lung machines is minimal.
Why to have your surgery without a heart-lung machine in Germany for congenital and acquired heart defects?
Many patients with cardiovascular diseases go to Germany for treatment because this country offers a high level of medicine. The Departments of Cardiac Surgery have state-of-the-art equipment. Treatment in Germany is carried out using the most advanced surgical interventions and minimally invasive procedures that allow for the cure of many congenital and acquired heart defects without a heart-lung machine or even open surgery.
There are a few reasons for you to undergo your treatment in Germany. These are the following:
- the level of medicine is one of the best in the world;
- patients can benefit from advancements in the field of cardiovascular surgery;
- advanced German hospitals use endovascular techniques, thoracoscopic surgery, and robot-assisted heart surgery without heart-lung machines;
- a low risk of complications;
- a low patient mortality rate, even when performing complex operations;
- successful treatment of patients of any age, including children in the first year and first month of life, as well as premature infants with low weight;
- relatively low prices as compared with other countries with advanced medicine.
You are welcome to use the Booking Health website to find out the cost of treatment in Germany or other countries offering top-class medicine, compare prices at different hospitals, and make your treatment appointment at the best price. On our website, you can find the best hospitals in Germany that have outstanding achievements in cardiovascular surgery.
When you make an appointment through the Booking Health service, the cost of treatment in Germany will be lower for you than when you contact the hospital directly. The prices will be reduced due to the lack of high taxes for foreign patients. The original price is final, and it will not increase after the start of the medical care program, even if additional medical services are required, since you will receive insurance.
The Booking Health specialists will arrange your trip to one of the German hospitals specializing in cardiovascular surgery. We will contact the hospital administration, make an appointment on your preferred dates, book the nearest hotel to the hospital, and translate your medical records into German. We will also meet you at the German airport, take you to the hospital, and provide interpreting services. After the completion of your treatment in Germany, we will organize your return transfer from the hospital to the airport. Thanks to the specialists at Booking Health, you will be able to cure a cardiovascular disease in a country with advanced medicine, completely ridding yourself of organizational issues and focusing on restoring your health.
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:
ECR - European Cardiology Review
