Pulmonary valve defects are not very common. They are mostly congenital or associated with heart surgery, for example, for the tetralogy of Fallot. The main treatment method for patients with stenosis is pulmonary valve repair. In the case of severe pulmonary valve regurgitation, it will be replaced with an artificial bioprosthesis.
- How is prosthetic pulmonary valve replacement performed?
- Revision prosthetic pulmonary valve replacement
The first prosthetic pulmonary valve replacement is usually done during open surgery. A second operation to replace the bioprosthesis can be performed using an endovascular technique through a small incision in the inguinal region.
You can seek medical attention at the University Hospital Ulm, the University Hospital Essen, or the University Hospital Oldenburg.
You are welcome to use the services of the Booking Health company, and you do not have to take care of organizing your trip yourself. Our specialists will help you select a clinic, contact its administration, make an appointment on your preferred dates, and translate your medical documents. They will also book airline tickets and a hotel room, meet you at the airport abroad, and take you to the hospital by car.
How is prosthetic pulmonary valve replacement performed?
Primary pulmonary valve prosthetics are performed on most patients during open surgery. Cardiosurgery doctors make an incision in the chest and connect a person to a heart-lung machine. Instead of the patient's own pulmonary heart valve (which may be missing in patients after the correction of the tetralogy of Fallot), doctors implant an artificial prosthesis.
Only biological pulmonary valve prostheses can be placed in this position. Although they have a shorter service life than mechanical ones, and most patients are children or young adults, it is too dangerous to place mechanical prostheses in the pulmonary artery, since the blood flow here is relatively slow, and even with constant use of anticoagulants, there is a high risk of thrombosis.
Revision prosthetic pulmonary valve replacement
Most patients have their first heart valve replacement surgery in childhood or at a young age. In children, an artificial bioprosthesis lasts 5-10 years, and in adults, its service life is 15-30 years. This means that a person will need at least one replacement surgery of a prosthetic pulmonary valve during their lifetime and possibly several such operations.
A revision intervention can also be performed using an open technique through an incision in the chest. In addition, doctors at hospitals with cardiosurgery departments abroad replace the prosthesis using an endovascular technique, that is, from inside the blood vessels through an incision in the leg. These interventions are minimally traumatic, have a short recovery time, and have high success rates comparable to open surgery.
To get good results and avoid the development of complications, you can undergo your pulmonary valve stenosis treatment abroad. On the Booking Health website, you can find out the surgical treatment cost and compare prices at different hospitals with cardiosurgery departments abroad to choose a medical care program at the best price. Our specialists will help you choose the most suitable clinics and take care of all the arrangements for your trip.
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!
National Library of Medicine
ECR - European Cardiology Review