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Cardiosurgery: Pulmonary valve insufficiency — Pulmonary valve repair. Treatment abroad

Pulmonary valve insufficiency is a rare heart defect characterized by poor closing of the valve leaflets in the pulmonary artery, resulting in an inverse flow of blood, which increases the venous pressure. The frequency of the pulmonary valve insufficiency (PVI) is less than 1% of all diagnosed defects. This defect is formed either in utero or after birth under the influence of rheumatic and systemic diseases, infectious agents, or atherosclerosis.

Conservative Treatment Principles

Upon asymptomatic PVI, the treatment involves check-ups by a cardiologist and lifestyle adjustment subject to a moderate limitation of physical activity. Slight decompensation is the indication for conservative therapy aimed at maintaining the cardiac activity:

  • diuretics reduce the venous stasis;
  • ACE inhibitors monitor the blood pressure, and improve the condition of vessels and heart;
  • nitrates are used to reduce the pressure in the pulmonary circulation;
  • metabolic agents.

Treatment should be comprehensive and include the treatment of the underlying disease causing the heart disease.

Surgical Correction of the Pulmonary Valve Insufficiency

PVI surgical treatment is indicated for hemodynamic instability progression. The feasibility of surgical correction of the defect is determined by a physician taking into account the patient’s complaints and a comprehensive survey findings. There are several methods of PVI surgical treatment.

  • Valve plastics is carried out for intact leaflets without calcification and severe deformity. Depending on the nature of the structure violation, the annulus is sutured or reinforced with a synthetic frame.
  • Valve prosthetics is used in a situation where the profound changes are detected in its structure. Surgery implies excision of the damaged structures and implantation of the prosthesis. Mechanical prostheses are made of medical alloys; biological prostheses are made of specially treated animal tissues.
  • Heart-lung complex transplantation is indicated upon extremely severe disease progress. Traumatism of such an intervention, high requirements for the operating surgeon and the entire team, as well as complexity of choosing a compatible donor are the reasons for an extremely rare performed of such a surgery.
  • Correction of a set of heart defects is required for patients combining PVI with other defects.

The correct choice of the pulmonary valve insufficiency treatment and timely measures help increase the life expectancy and improve its quality substantially.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #50051

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 23605.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiosurgery and Thoracic Surgery

Treatment of pulmonary valve insufficiency with surgical repair #78155

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

Price 28137.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #106297

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

Price 28345.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiosurgery, Thoracic and Vascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #74741

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 32499.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Treatment of pulmonary valve insufficiency with surgical repair #101015

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 13 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

Treatment of pulmonary valve insufficiency with surgical repair #106777

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

Price 39637.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #227465

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 28021.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #89865

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 13 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

Treatment of pulmonary valve insufficiency with surgical repair #245221

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 27973.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #292047

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

Price 28106.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of pulmonary valve insufficiency with surgical repair #82697

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

Price 32883.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of pulmonary valve insufficiency with surgical repair #137445

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

Price 27848.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #88307

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 32903.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

Department of Cardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #154657

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 28158.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiosurgery

Treatment of pulmonary valve insufficiency with surgical repair #255313

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 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Erlangen
certificate

Price 28185.00

St. Anna Hospital

9/10 from 3 Votes

Department of Cardiology

Treatment of pulmonary valve insufficiency with surgical repair #95941

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

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