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Complete Intracardiac Repair for Tetralogy of Fallot (TOF) treatment in Germany

University Hospital Essen

9.6/10
location_onGermany, Essen

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.

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Hospital directly44401.77
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University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

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 diseases of the cardiovascular system! The department offers the full range of services in this ​​medical field. Many heart surgeries are performed using minimally invasive technique, which has a positive effect on the healing of an operative wound. The patient also experiences less pain and the hospitalization period is significantly reduced. Thanks to long experience of doctors and modern equipment, the department provides excellent results in the treatment of heart pathologies.

Hospital directly37400.22
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University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Cardiothoracic Surgery

The Department of Cardiothoracic Surgery offers the full range of surgical treatment of diseases of the heart, lungs, thoracic organs and blood vessels. Medical care is provided 24 hours a day. The doctors of the department prefer an individual approach to each patient and take into account all his needs and wishes. In clinical practice, doctors apply both classic and innovative surgical techniques in order to achieve the best therapeutic results.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

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.

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

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.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

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.

University Hospital RWTH Aachen

9.5/10
location_onGermany, Aachen

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.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

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.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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.

University Hospital Bonn

9.2/10
location_onGermany, Bonn

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.

University Hospital Jena

8.9/10
location_onGermany, Jena

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.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Cardiothoracic Surgery

The Department of Cardiothoracic Surgery covers the entire range of top-class medical services in this field. Special attention is paid to minimally invasive operations, which, along with the optimal functional result, ensure minimal traumatization, fast recovery and the absence of a cosmetic defect. The optimal type of therapy is selected in collaboration with the specialists from all the necessary related disciplines and adapts to the specific clinical indications of the patient.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

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.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

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.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

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.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

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.

Tetralogy of Fallot (TOF) is a critical heart defect that requires repair in the first year of life, and in the most severe cases, even in the first weeks of life. In Germany, the disease is successfully cured without any consequences for the child's health. The development of the child is not impaired if the repair surgery is performed at the age of up to 3 years. You are welcome to use the Booking Health service to get medical care at one of the best German hospitals. On our website, you can find the real cost of treatment in Germany, compare prices, and choose a medical care program for your preferred dates.

Content

  1. What is tetralogy of Fallot (TOF)?
  2. When can a complete intracardiac repair of tetralogy of Fallot (TOF) be performed?
  3. How is a complete intracardiac repair of tetralogy of Fallot (TOF) performed?
  4. Why to undergo your tetralogy of Fallot (TOF) treatment in Germany?

What is tetralogy of Fallot (TOF)?

 

This is a heart defect characterized by impaired patency of the pulmonary artery, impaired blood flow from the right ventricle, a large hole in the septum between the ventricles, and right ventricular thickening.

Different children have different grades and severity of the defect. It may also have different anatomical features that affect the patient's condition, the timing of treatment, and a surgical technique to eliminate the disease.

The pathology is usually diagnosed immediately after the child's birth. This condition is manifested by bluish skin, heart murmurs, and episodes of shortness of breath. If the child has a mild right ventricular outflow tract obstruction, symptoms may be mild, and the blue tint of the skin becomes noticeable only after a few months.

When can a complete intracardiac repair of tetralogy of Fallot (TOF) be performed?

 

A complete intracardiac repair for tetralogy of Fallot (TOF) can be performed:

  • at the first stage of treatment;
  • at the second stage of treatment, after palliative surgery for tetralogy of Fallot.

Doctors give priority to the primary complete intracardiac repair of tetralogy of Fallot. In this case, all problems with the heart and large blood vessels can be solved in one operation, completely restoring hemodynamics.

Some patients, however, are in critical condition. They cannot endure a complex, traumatic operation. Due to the high risk of complications, it is postponed, and a minimally invasive procedure or non-traumatic surgery is performed to stabilize hemodynamics, which does not completely eliminate the defect but normalizes hemodynamics by improving communication between the systemic and pulmonary circulations.

The optimal age for the repair of tetralogy of Fallot (TOF) is 6-12 months. In this case, the operations are most successful because they ensure the survival of patients on average at 98%, and at the best German hospitals, this indicator is 100%. In some cases, earlier repair of tetralogy of Fallot (TOF) is required. The operation can be performed even in the first month of a child's life, including in a premature newborn, but in this case, the risks of surgery increase.

Below are some of the conditions required for the complete intracardiac repair of tetralogy of Fallot (TOF):

  • good general health condition of the patient;
  • heart disease is operable;
  • hemodynamics are stable;
  • hemoglobin levels are below 190 g/L;
  • blood oxygen saturation is over 70%;
  • no attacks of shortness of breath with cyanosis (blueness).

If these criteria are not met, preparation for the complete intracardiac repair of tetralogy of Fallot is required, which may include both drug therapy and palliative procedures or operations.

How is a complete intracardiac repair of tetralogy of Fallot (TOF) performed?

 

The task of doctors is the complete elimination of pulmonary stenosis and reconstruction of the interventricular septum to repair its defect. These manipulations are carried out in one step whenever possible. A two-stage approach is less commonly used, in which the pulmonary stenosis is eliminated first and the interventricular septum is repaired during the second operation. Surgeons at some German hospitals perform the second stage using an endovascular technique, that is, through the blood vessels without any chest incisions. Furthermore, transcatheter interventions are already being used in clinical trials to completely eliminate tetralogy of Fallot (TOF) through a minimally invasive method that does not require open surgery. It is possible that in the near future, many patients will be able to receive interventional repair instead of open surgery with comparable results.

But so far, the defect can only be repaired with the help of open surgery. Doctors open the patient's chest and connect them to a heart-lung machine. The pulmonary trunk is dilated with a patch. If it is necessary to increase the area of the heart valve, a commissurotomy may be performed, which serves to dissect the heart valve leaflets. The interventricular septum is repaired by applying a patch. In some cases, it is also necessary to excise the muscle tissue of the right ventricle because of its severe hypertrophy.

Why to undergo your tetralogy of Fallot (TOF) treatment in Germany?

 

If you need surgery to repair tetralogy of Fallot (TOF), you can undergo your treatment in Germany. German hospitals have state-of-the-art equipment and employ world-famous cardiac surgeons. There are a few reasons for you to seek medical attention at one of the German hospitals for tetralogy of Fallot repair. These are the following:

  • preference is given to one-stage treatment;
  • the lethality of patients at the best hospitals is close to zero;
  • a low risk of complications;
  • a low probability of needing revision operations in the future;
  • complete repair in the case of heart disease, which ensures the restoration of normal hemodynamics and the absence of any developmental delays in a child;
  • successful repair at any age, including in newborns and adults.

On the Booking Health website, you can find out the cost of treatment in Germany and compare prices in different German hospitals. When you make an appointment through Booking Health, the cost of treatment in Germany will be lower for you than if you contact a Cardiac Surgery Center directly. The price is reduced due to the absence of additional taxes for foreign patients.

Medical tourism agency Booking Health will organize your treatment in Germany. We will select a Cardiac Surgery Center, contact the administration of the medical facility, and schedule an appointment for your preferred dates. We will also translate your medical records into German, book the nearest hotel to the hospital, and buy airline tickets. Our company's specialists will meet you at the airport in Germany and take you to the Cardiac Surgery Center by car. After the completion of your treatment, your return transfer will be organized.

 

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:

European Society of Cardiology

American College of Cardiology

Medscape




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