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Cardiosurgery: Tetralogy of Fallot (tof) — Complete intracardiac repair . Treatment abroad

Fallot tetralogy is one of the most common defects of the heart, which is a combination of four anomalies, i.e. narrowing of the right ventricle output, hole in the interventricular septum, displacement of aorta to the right and hypertrophic changes of the right ventricle, emerging as a result of high blood pressure in the heart chambers. Hypoxia resulting from this defect is caused by mixing of venous and arterial blood, so the main visual feature of the disease is blueness (cyanosis) of the skin. According to statistics, Fallot tetralogy accounts for about 10% of all congenital anomalies of the heart structures.

Conservative Treatment

A conservative therapy is conducted to alleviate the disease symptoms, but it is only a preparation for surgical correction. To improve the patient’s condition, the following aid are prescribed:

  • oxygen inhalation;
  • aminophylline;
  • plasma expanders.

Fallot Tetralogy Surgical Correction

For young children with severe symptoms, the palliative interventions are usually indicated, which aim at improvement of condition for subsequent defect correction at a later age. These surgeries may imply:

  • creation of aorto-pulmonary anastomosis, which is used to improve the blood flow in the small circle of blood circulation;
  • creation of anastomosis between the subclavian and right pulmonary artery;
  • creation of anastomosis between the left pulmonary artery and the aorta;
  • balloon dilation of stenotic portion of the right ventricle.

Synthetic materials and specially treated animal tissues are used to create anastomoses.

The final correction of Fallot tetralogy is usually carried out when the child becomes 3 years old. A later the intervention usually gives worse results, but the final decision is made by a cardiac surgeon, based on the survey findings. The surgery is performed using the cardiopulmonary bypass and general hypothermia, which is required to increase the tissue resistance to hypoxia. Opening in the ventricular septum is closed by a patch overlay, aorta is moved leftward, and the narrowed segment of the right ventricle is expanded by plastic methods using an artificial prosthesis or modified xenopericardium.

Adequate treatment of the Fallot tetralogy symptoms and professional performance of surgical correction yields a favorable prognosis in 75-80% cases.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #50059

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


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 38091.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiosurgery and Thoracic Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #78163

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

Price 45788.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #106305

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

Price 46238.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiosurgery, Thoracic and Vascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #74749

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

Price 53411.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #101023

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 14 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 tetralogy of Fallot with complete intracardiac repair (corrective surgery) #106785

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

Price 64899.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #227473

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


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 46227.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #89873

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 14 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 tetralogy of Fallot with complete intracardiac repair (corrective surgery) #245229

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


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 46043.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #292051

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

Price 46243.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #82705

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

Price 53713.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #137453

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

Price 46025.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #88315

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


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 53690.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

Department of Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #154665

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

Price 45918.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #255321

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

Price 45729.00

St. Anna Hospital

9/10 from 3 Votes

Department of Cardiology

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #95949

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

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