Traditional Tricuspid Valve Repair (open-heart Procedure) for Tricuspid Valve Insufficiency treatment
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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.
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.
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.
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.
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.
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.
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.
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.
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.
Department of Cardiac Surgery
The Department of Cardiac Surgery specializes in a full range of cardiac surgical procedures. The medical facility performs operations for ischemic heart disease, valvular heart disease, arrhythmias, heart failure, aortic aneurysms, and aortic dissections. The department's cardiac surgeons have successful experience implanting mechanical circulatory support systems in patients with heart failure: Impella®, ProtekDuo®, and LVAD devices are implanted here. Of particular interest is minimally invasive surgery, which, in addition to an optimal functional outcome, ensures minimal trauma rate, rapid recovery, and the absence of cosmetic defects. In cooperation with interventional cardiologists, the department's surgeons also perform hybrid heart operations, combining catheter-based and classical surgical techniques. The department has the prestigious DIN EN ISO 9001:2015 certificate, given only to the best clinics with exceptional quality of medical services. The department also has the status of a national Heart Failure Center, certified by the German Cardiac Society (DGK) and the German Society for Thoracic and Cardiovascular Surgery (DGTHG).
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.
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.
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.
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.
Tricuspid valve surgery is complex and unsafe. Doctors often need to repair several heart valves at once or treat multiple heart conditions. Many patients already have heart failure, arrhythmia, or chronic diseases of other internal organs at the time of surgery or a medical procedure.
Doctors in developed countries, however, successfully cope even with such complex cases. You can undergo your treatment abroad to expect good, reliable results, symptom relief, and freedom from revision surgical repair. You are welcome to use the Booking Health website to find out the cost of treatment at the best hospitals abroad. On our website, you can make an appointment for your operations and procedures at specialized hospitals for your preferred dates.
Content
- What is tricuspid regurgitation?
- Who may be a candidate for open tricuspid valve repair?
- How is heart surgery for tricuspid valve insufficiency performed?
- Why to undergo your tricuspid valve insufficiency treatment abroad?
What is tricuspid regurgitation?
Tricuspid regurgitation (insufficiency) is a common heart defect, but it is rarely isolated. The disease often develops due to mitral valve defects, most often due to mitral valve insufficiency.
The tricuspid valve of the heart separates the right atrium and ventricle. It is the largest valve in the human heart. It usually has three leaflets, hence the name, but some people may have 2 to 6 leaflets. The valve blocks the flow of blood in the opposite direction (from the ventricle to the atrium). However, in cases of insufficiency, its function is impaired. The more severe the tricuspid insufficiency, the more blood is thrown back into the atrium instead of entering the pulmonary circulation.
In 90% of cases, regurgitation is associated with the fibrous ring enlargement. In this case, the heart valve remains normal. This form of regurgitation is called secondary. The condition is caused by heart diseases that enlarge the cavities of the right ventricle and atrium (mitral defects, coronary heart disease, and dilated cardiomyopathy). Only 10% of cases of tricuspid regurgitation are in the primary form, which is associated with damage to the valve leaflets. Possible causes are rheumatism, infective endocarditis, heart surgery, congenital heart disease, heart tumors, and radiation therapy.
Who may be a candidate for open tricuspid valve repair?
Tricuspid valve surgery is unsafe, and therefore patients with tricuspid regurgitation rarely undergo open repair surgery. Doctors strive to control tricuspid valve disease through drug therapy whenever possible.
Indications for tricuspid valve repair include:
- severe tricuspid regurgitation;
- mild to moderate tricuspid regurgitation if the annulus diameter is more than 7 cm intraoperatively or more than 4 cm when measured during echocardiography;
- development of right heart failure.
It is advisable to perform tricuspid valve repair before the development of right ventricular dysfunction because many changes in the heart are irreversible.
When treating heart disease, doctors decide which surgery option to choose: tricuspid valve repair or replacement surgery. In developed countries, about 90% of operations are for repair and only 10% for replacement. In addition, in recent years, leading hospitals have begun to perform minimally invasive procedures for tricuspid valve repair. Such procedures are still rarely performed. These are mainly offered to patients at high surgical risk who have contraindications for an open-heart procedure.
How is heart surgery for tricuspid valve insufficiency performed?
Heart valve repair surgery is preferable to valve replacement. It provides patients with a lower risk of complications and better hemodynamics. Considering that in 90% of cases, the pathology is associated with fibrous ring enlargement, the main goal of the tricuspid valve repair is usually to reduce its area.
Open surgery is performed under general anesthesia through a chest incision using a heart-lung machine. During the surgical intervention, doctors perform a suture annuloplasty or the implantation of a support ring. The second option is considered more effective, which is why it is used in the world's leading hospitals specializing in heart valve repair. Plastic repair with a support ring restores not only the normal area but also the proper shape of the tricuspid valve, which has a positive effect on hemodynamics. Furthermore, the recurrence of tricuspid regurgitation is reduced. For this reason, the DeVega annuloplasty, described in 1972, is gradually becoming a thing of the past.
The annulus fibrosus is dynamic and, therefore, changes shape throughout the cardiac cycle. Its diameter is usually 30-35 mm and depends on the size of the body. The septal part of the annulus is fixed, and the dilatation of the annulus occurs on the free wall. For this reason, the size of the annuloplasty ring depends on the size of the base of the septal leaflet. The ring must be properly shaped to accommodate the anatomy specific to the patient's tricuspid valve. Rings can be rigid or flexible. Each option has its own pros and cons. Some studies show that rigid rings can help reduce the risk of tricuspid valve regurgitation recurrence.
Another feature of this heart surgery is the close location of the heart conduction system, which is localized mainly in the right half of the heart. It is important to avoid damaging it. Otherwise, heart rhythm disorders, that is, arrhythmias, will occur. Even in developed countries, the frequency of pacemaker implantation after tricuspid valve surgery is quite high. It is 17% for replacement surgery and 11% for repair surgery.
Why to undergo your tricuspid valve insufficiency treatment abroad?
You can undergo your treatment abroad to expect the best results with minimal health risks. There are a few reasons for you to seek medical attention at one of the hospitals abroad. These are the following:
- you will be treated by highly qualified doctors with a worldwide reputation;
- modern Heart Surgery Centres outfitted with cutting-edge technology;
- plastic repair with support rings of individual sizes instead of an outdated suture annuloplasty;
- surgeons achieve good results from heart surgery with complete restoration of tricuspid valve function or with minimal residual regurgitation, which does not significantly affect hemodynamics;
- several heart defects, most commonly mitral and tricuspid valve regurgitation repair, can be treated at the same time;
- several heart diseases, such as tricuspid valve repair with coronary artery bypass grafting, can be treated concurrently;
- successful treatment of tricuspid valve diseases even in complex cases accompanied by endocarditis, in combination with stenosis, with multiple valvular defects, concomitant heart diseases, and revision repair after previously performed heart surgery;
- high-quality care, full rehabilitation, and comfortable conditions at medical centers abroad.
You are welcome to use the Booking Health service to find out prices and compare the cost of treatment at different hospitals. When you make an appointment through Booking Health, the cost of treatment for you will be lower than when you contact the medical center directly. Prices are reduced due to the absence of additional taxes for foreign patients. When you make an appointment for your treatment abroad through Booking Health, the cost of treatment for you will not increase after the start of your medical care program because you will receive insurance that will protect you against unexpected medical expenses.
The medical tourism agency Booking Health will take care of all the arrangements for your treatment abroad. We will select a hospital that specializes in operations and procedures for heart valve repair. Our specialists will contact the hospital administration and schedule an appointment for you on the dates you specify. We will also purchase airline tickets, book the nearest hotel to the hospital, and translate your medical records. Our company's employees will meet you at the airport, provide interpreting services, and take you to the hospital by car. After the completion of your treatment, we will organize your return transfer.
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
