CABG and Plastic Repair of Left Ventricular Aneurysm treatment in Germany
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The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.
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 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 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 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 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 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 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.
A left ventricular aneurysm develops in patients with coronary heart disease as a result of myocardial infarction. The surgical repair is quite complicated. In addition, many patients require coronary artery bypass grafting, which makes surgery even more complex. It is best to have your diagnostics and treatment in countries with a high level of medicine to expect good results. You can seek treatment at one of the German Cardiac Surgery Centers. You are welcome to use the Booking Health service to find out the cost of treatment in Germany and choose a medical care program for your preferred dates.
Content
- When can a left ventricular aneurysm be treated with plastic repair?
- When can a left ventricular aneurysm be treated with coronary artery bypass grafting?
- How is surgery for a left ventricular aneurysm performed?
- Where to treat your left ventricular aneurysm?
When can a left ventricular aneurysm be treated with plastic repair?
An aneurysm is a protrusion in the wall of the left ventricle. This complication occurs in patients who have had a myocardial infarction.
In the event of a heart attack, a portion of the heart muscle dies. Connective tissue (scar tissue) subsequently forms in its place. It is unable to contract. Under the constant pressure of blood on the wall of the beating heart, the connective tissue gradually weakens. If the scar is large, thin, and not strong enough, a bag-shaped protrusion of the wall is formed at this site. It causes arrhythmias and impairs the work of the heart.
Postinfarction left ventricular aneurysms are formed in 10% of patients following myocardial infarction. They affect life expectancy, so they require treatment. Drug therapy only helps to alleviate the symptoms of the pathology but cannot eliminate the ventricular aneurysm itself. Surgical treatment is required to restore the normal shape of the left ventricle. Without surgery, the five-year survival rate of patients is 50-70%, according to estimates by different authors. The causes of death are ventricular arrhythmias, heart failure, and recurrent myocardial infarctions.
When can a left ventricular aneurysm be treated with coronary artery bypass grafting?
Ventricular aneurysms develop following myocardial infarction, and myocardial infarction is a manifestation of coronary heart disease, which is insufficient blood supply to the heart muscle due to atherosclerotic narrowing of the coronary arteries. Many patients undergo coronary artery bypass grafting (CABG) surgery aimed at restoring the blood supply to the heart muscle, along with an aneurysm repair.
CABG allows for:
- avoiding recurrent myocardial infarction;
- improving blood supply to the heart muscle;
- increasing tolerance to physical activity;
- improving the quality of human life;
- restoring working capacity;
- increasing life expectancy.
CABG in patients with left ventricular aneurysms is often not the first, but a revision surgery for revascularization (restoration of blood supply) in the myocardium. Revision interventions are technically much more complex than primary ones. It is therefore best to undergo such an operation at a reputable Cardiourgery Clinic. The surgical intervention is complicated by the altered anatomy of the heart, adhesions after the first operation, and the presence of previously implanted functioning shunts. Nevertheless, surgeons at the hospitals abroad deal with even the most complex tasks. They successfully perform simultaneous plastic repair surgery for a ventricular aneurysm with coronary artery bypass grafting, including in cases of revision CABG after previously performed heart surgery.
How is surgery for a left ventricular aneurysm performed?
The operation is performed under general anesthesia. The heart is approached by a sternotomy (an incision in the center of the sternum). A heart-lung machine is used, since a patient needs an intervention not only on the coronary arteries but also on the left ventricle to eliminate the aneurysm.
Doctors create bypasses for blood flow to restore blood access to the myocardium. A variable number of bypasses may be required, usually from 3 to 10, depending on the severity of coronary heart disease and the number of atherosclerotic blood vessels. New blood vessels are formed from the internal thoracic artery, while veins are used much less frequently. In recent years, doctors have refused to use veins because such bypasses have a shorter life. After a few years, they become clogged with atherosclerotic plaques, so patients need revision coronary artery bypass grafting.
Different surgical techniques can be used for aneurysm treatment, depending on where the aneurysm has formed and what size it has. Basic operations are the following:
Linear plastic repair is surgery, during which doctors remove connective tissue from the area of the aneurysm and suture the muscle tissue together. This operation was the main treatment method until the end of the twentieth century, but it is rarely used today. It can also be performed in the Mickleborough modification on occasion. It involves performing an operation without any cardiac arrest (but under conditions of cardiopulmonary bypass), so doctors can see which parts of the myocardium continue to contract. So they distinguish muscle tissue from connective tissue to completely remove the scar and areas of non-viable myocardium.
Jatene and Dor plastic repair procedures are more reliable operations available in Germany. These were developed at the end of the twentieth century. During surgical treatment, doctors remove the aneurysm, and the defect is repaired with a Dacron patch. A new cavity in the left ventricle is formed. Cardiac surgeons strive to make the heart's shape as close to physiological as possible, since in this case the best function of the heart can be ensured.
Septoplasty can be an additional stage of any type of operation. It is required when the interventricular septum is involved in the formation of a left ventricular aneurysm. Doctors close the defect with a patch.
Pacopexy, or SAVE, procedure is another surgical treatment option. During surgery on a beating heart, but with cardiopulmonary bypass, doctors dissect the ventricle. Sutures are placed along the interventricular septum, from the apex of the heart and almost to the aortic valve. They are also applied to the anterolateral wall of the left ventricle. A patch is then formed, which is implanted along the excluded area of the aneurysm. The treatment technique preserves the elliptical shape of the left ventricle.
Where to treat your left ventricular aneurysm?
You can undergo your left ventricular aneurysm treatment in Germany. Successful operations are performed here both with and without a heart-lung machine. Doctors use modern modifications of operations to distinguish pathologically altered areas of the myocardium from normal heart tissue, completely remove the left ventricular aneurysm, and restore its shape. When performing the operation, doctors also create new blood delivery routes to the myocardium so that you can get rid of the symptoms of the disease and avoid a second heart attack.
Despite the complexity of the operation, the treatment of the disease in Germany is successful in more than 90% of patients. Complications are uncommon.
Germany is a country offering a high level of medicine. Hospitals in Germany have state-of-the-art equipment, and German cardiac surgeons have a perfect reputation all over the world. Here you will find accurate diagnostics and modern treatment for cardiovascular diseases.
You can make an appointment for your diagnostics and treatment at one of the German Cardiosurgery Centers through the Booking Health service. Our website offers the current prices for CABG with left ventricular aneurysm repair. When you make your appointment through Booking Health, the cost of treatment will be beneficial for you due to the absence of taxes for foreign patients. The initial cost of treatment will not increase after the start of the medical care program, as you will receive insurance against unexpected medical expenses.
The Booking Health specialists will take care of arranging your treatment for heart diseases at one of the leading Cardiac Surgery Centers. We will contact the hospital administration, book a hotel room and airline tickets for you, meet you at the airport, and take you to the hospital by car. You will be provided with interpreting services and support during the entire period of your treatment at a Cardiac Surgery Center abroad.
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
