Pulmonary Valve Stenosis — Pulmonary Valve Replacement: treatment in the Best Hospitals in the World
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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.






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.
Content
- 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.
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!
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