Prosthetic (replacement) of mitral valve (minimally invasive) for mitral valve insufficiency (prolapse) 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 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.
The main treatment for mitral valve insufficiency is mitral valve repair. If this treatment option cannot be used, heart valve replacement (prosthetics) will be performed. This operation usually requires a traumatic chest incision. More than 50% of patients, however, have comorbidities that prevent them from safely undergoing surgery. In this case, a minimally invasive procedure can be performed to implant an artificial mitral valve through blood vessels or short chest incisions instead of open surgery. Such operations are safer and less traumatic. These have been developed recently but are already being used at leading German Cardiac Surgery Centers. You are welcome to visit the Booking Health website if you want to treat your mitral regurgitation with minimally invasive replacement surgery. On our website, you will find a list of hospitals that use this technique, see the cost of treatment in Germany, and choose the most suitable medical care program.
Content
- Who may need minimally invasive mitral valve replacement for mitral valve prolapse treatment?
- How is minimally invasive surgery for mitral valve prolapse performed?
- Benefits of minimally invasive replacement surgery for mitral valve prolapse
- Benefits of mitral valve prolapse treatment in Germany
- Organization of mitral valve prolapse treatment in Germany
Who may need minimally invasive mitral valve replacement for mitral valve prolapse treatment?
The mitral valve is located between the left ventricle and the atrium. Normally, blood should move only in one direction, that is, from the atrium to the ventricle, and the heart valve leaflets, which close and completely block the lumen, prevent it from returning. However, if part of the lumen remains, the blood returns and overloads the left atrium. Over time, structural changes progress in the patient's heart, which eventually disrupt its function.
Mild or moderate mitral regurgitation may not be felt by the patient, but if symptoms manifest themselves or severe mitral regurgitation develops, surgery will be required. Without surgical treatment, the mortality rate for patients is up to 5% per year.
Mitral valve surgery is usually performed through an open surgical approach, that is, through a large chest incision. Doctors use a heart-lung machine. The cavity of the heart is opened, after which the necessary manipulations with the heart valves are performed. If necessary, doctors can simultaneously repair or replace several heart valves at once.
Open heart valve surgery is more reliable but, at the same time, more traumatic. Considering that the majority of patients with mitral valve insufficiency are elderly people with chronic diseases not only of the cardiovascular system but also of other organs, open surgery is contraindicated for many of them.
In this case, minimally invasive repair is considered the best treatment option for mitral valve prolapse. It is done through an incision in the groin or through short incisions in the chest. This operation, however, requires a favorable anatomy of the mitral valve. Only a small number of patients are therefore considered candidates for this type of intervention.
Minimally invasive (transcatheter) mitral valve replacement is the last-line treatment option, which is used when no other open or minimally invasive surgery is possible. This procedure can be used in patients with severe mitral valve disease at high surgical risk when open mitral valve replacement or repair surgery is contraindicated and minimally invasive repair is not technically feasible.
How is minimally invasive surgery for mitral valve prolapse performed?
Minimally invasive surgery can be performed using two approaches, depending on which artificial valve and its delivery system are used.
Transapical transcatheter mitral valve replacement is performed through a short incision in the patient's chest. Doctors insert a hollow needle through the apex of the heart and into the left ventricle. A delivery system and an artificial valve are placed through this needle into the heart. It is placed in the mitral position with high-frequency stimulation of the heart.
Transseptal transcatheter mitral valve replacement is performed through an incision in the groin. Doctors catheterize the femoral vein and artery. An artificial valve is delivered to the heart through the blood vessels. Doctors have to make an additional incision in the septum between the atria, but it will later be closed with an occluder.
In any type of minimally invasive surgery, it is more sparing for the patient. Tissue damage is minimal, and recovery times are significantly reduced. If, after an open surgery, it is possible to return to normal life only after 3 months, after a minimally invasive intervention, a person is discharged from the hospital after a few days, and after a few weeks, they feel healthy.
Benefits of minimally invasive replacement surgery for mitral valve prolapse
Transcatheter mitral valve replacement cannot fully replace open-heart surgery. The operation is more effective, but the transcatheter technique is safer and less traumatic.
Minimally invasive mitral valve replacement has the following benefits:
- a lower rate of surgical trauma;
- rapid recovery;
- a low risk of complications in the immediate period of follow-up monitoring;
- a lower patient mortality rate;
- the possibility of performing surgery on patients who are at high surgical risk;
- minimum contraindications.
After transcatheter surgery, the one-year survival rate is higher as compared to open surgery, but the five-year survival rate is lower. However, models of prostheses are constantly being improved. It is possible that in the near future, transcatheter replacement surgery will provide patients with more reliable and long-term results, and in this case, given the higher safety of the intervention, transcatheter mitral valve replacement surgery will begin to displace open interventions, as it once happened with aortic valve replacement surgery.
Benefits of mitral valve prolapse treatment in Germany
A patient who wants to undergo minimally invasive mitral valve replacement will not have much choice of hospitals. It is a rare operation that is performed in a limited number of Cardiac Surgery Centers in developed countries. Minimally invasive mitral valve replacement is also performed in the best German hospitals.
There are a few reasons for you to undergo your treatment in Germany. These are the following:
- cardiac surgeons in Germany have vast experience in performing minimally invasive mitral valve replacement surgery;
- high-precision diagnostics using state-of-the-art equipment allows doctors to perfectly plan the operation and control the course of the surgical intervention;
- the use of the latest artificial mitral valves that are highly likely to provide more reliable and lasting results;
- a low risk of complications;
- high-quality rehabilitation of patients after heart surgery.
Organization of mitral valve prolapse treatment in Germany
You are welcome to use the Booking Health service to have your mitral valve prolapse treated using minimally invasive replacement surgery in one of the German hospitals. Our website has convenient functionality that allows you to choose a hospital based on your diagnosis, treatment method, timing requirements, and cost of treatment in Germany. You can compare prices at different hospitals to find the best option.
When you choose a medical care program through the Booking Health service, the cost of treatment in Germany will be lower for you than if you contact a German hospital directly. The price will be reduced due to the lack of additional taxes for foreign patients.
When you make an appointment for your treatment in Germany through the Booking Health service, you will receive insurance against medical expenses not covered by the program. The initial cost of treatment in Germany will therefore not change for you, even if additional procedures are required.
The specialists at the Booking Health company will help you with the organization of your treatment in Germany. We will find a hospital whose doctors specialize in minimally invasive treatment for heart valve defects and achieve the best results. We will make an appointment for you for your preferred dates, book a hotel room and airline tickets. We will also meet you at the airport and take you to a German hospital by car. After the completion of your treatment, 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:
ECR - European Cardiology Review
