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Cardiosurgery: Left ventricular aneurysm — Cabg and plastic repair of left ventricular aneurysm. Treatment abroad

Left ventricular aneurysm (LVA) is one of the most frequent complications of extensive myocardial infarction. According to statistics, LVA develops is almost 40% of these patients. Aneurysm is thinning of the heart wall section, which loses its ability to contract. Chronic aneurysm wall is a bulging scar tissue, while a thrombotic clot is formed in the resulting "sack" in almost half of patients.

Treatment Tactics

The acute LVA is not an absolute indication for surgical correction. Emergency surgery is required in a situation of progressive heart failure and the threat of aneurysm rupture.

The presence of a chronic LVA increases the risk of thromboembolism and worsens the ischemic heart disease progression, so in most cases the patients are indicated a scheduled surgery. In the preoperative period, the conservative therapy is prescribed to stabilize the patient's condition, i.e. cardiac glycosides, antithrombotic agents, oxygen inhalation, and antihypertensives.

Plastics Methods 

LVA plastics is often combined with revascularization, i.e. restoration of coronary arteries to improve the cardiac blood circulation and prevent the attacks of ischemia. Depending on the location of the aneurysm and its diameter, the professional selects one of the existing methods of plastics, based on the best expected forecast for a given patient. The plastic heart surgeries carried out subject to heart switching off, using the cardiopulmonary bypass and hypothermia. The intracardiac thrombus discovered during surgery is removed.

  • Linear plastics is performed rarely and can be used for aneurysms with a small radius. The surgery implies excision of the scar tissue and linear suturing of the formed defect.
  • Purse-string plastics can be used for small aneurysm located on the apex of the heart. After aneurysm excision, the opening is sutured with a purse-string (circular) suture.
  • Patch plastics implies removal of the diseased tissue of the left ventricle and closing the defect with a patch made of synthetic materials or xenopericardium. The most common technique is endoventricular, upon which the patch is sewn from the inside, from the side of endocardium. Such tactics allows reducing the risk of pericardial adhesions.

The adequately chosen method of LVA plastics and surgery performance by an experienced heart surgeon in a modern specialized center allows counting on a favorable long-term result in 80 to 84% cases.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #50069

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


Duration 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 23045.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiosurgery and Thoracic Surgery

CABG and plastic repair of left ventricular aneurysm #78173

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

Price 27657.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #106315

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

Price 27847.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiosurgery, Thoracic and Vascular Surgery

CABG and plastic repair of left ventricular aneurysm #74759

The Department of Thoracic, Cardiac and Thoracic 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 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 32847.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

CABG and plastic repair of left ventricular aneurysm #101033

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 11 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

CABG and plastic repair of left ventricular aneurysm #106795

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

Price 39716.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #227483

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


Duration 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 28018.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #89883

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 11 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau

Hannover Medical School, MHH

9.8/10 from 43 Votes

Department of Thoracic, Transplant, Vascular and Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #245239

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


Duration 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 27711.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #292056

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

Price 27795.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

CABG and plastic repair of left ventricular aneurysm #82715

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

Price 32474.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

CABG and plastic repair of left ventricular aneurysm #137463

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

Price 27647.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #88325

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


Duration 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 32313.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

Department of Cardiosurgery

CABG and plastic repair of left ventricular aneurysm #154675

The department of cardiosurgery 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. Specialization of the clinic is coronary bypass operations using both internal thoracic arteries.


Duration 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 28111.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiosurgery

CABG and plastic repair of left ventricular aneurysm #255331

The Department of Сardiosurgery 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 11 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

Price 27649.00

St. Anna Hospital

9/10 from 3 Votes

Department of Cardiology

CABG and plastic repair of left ventricular aneurysm #95959

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

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