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Cardiosurgery: Tricuspid valve stenosis — Tricuspid valve replacement (artificial or biological). Treatment abroad

Tricuspid stenosis (TS) is a variation of heart defects affecting the tricuspid valve and narrowing  its holes. As a result of such deformation, the blood flow from the right atrium into the right ventricle is impeded and congestions in peripheral veins occur. Most often, the TS is combined with tricuspid insufficiency or stenosis of the heart valves. Isolated stenosis of the tricuspid valve is diagnosed in only 7% of cases. Typically, the TS is formed in the backdrop of rheumatic process. 

Conservative Treatment of Tricuspid Stenosis

For some time, the TS can be compensated by a hard work of myocardium, pushing blood through the narrowed opening, but this condition is decompensated quickly. At the first signs of venous, the surgical correction of the defect is recommended to the patient. 

In the course of preparation for surgery, the medical diet and conservative treatment is usually prescribed, which aims at improvement of the patient’s general condition, removal of stagnation and reduction of operative and postoperative risks. Depending on the clinical pattern, the following drugs are used:

  • diuretics;
  • cardiac glycosides;
  • venous vasodilators;
  • antithrombotic agents;
  • metabolic drugs;
  • beta-adrenergic blockers. 

Surgical Treatment of Tricuspid Stenosis

The surgery is preceded by a comprehensive examination, including an electrocardiogram, echocardiogram, X-ray, and cardiac catheterization subject to measurement of intracardiac pressure in various parts of the heart. The surgical treatment methods are selected individually, according to the degree of stenosis and combined heart disease. Most surgeries on the tricuspid valve are carried out using the cardiopulmonary bypass.

  • Commissurotomy is dissection of the fused leaflets. When required, the physician excises calcification, deforming the valve and interfering in its work. Upon combined tricuspid stenosis and mitral valve stenosis, both defects are corrected simultaneously.
  • Valve plastics is indicated for a combined defect, when it is combined with stenosis. Leaflet adhesions are dissected and the annulus is reinforced by sutures or support structure.
  • The prosthetics is used only in the case of gross violations of the valve structure. The valve elements are excised and replaced with implanted prosthesis. 

The postoperative prognosis depends on severity of stenosis and general condition of the patient. In European clinics, the long-term survival after surgery reaches 87%.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

Department of Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #50043

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe
certificate

Price 25576.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiosurgery and Thoracic Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #78147

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

Price 30512.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #106289

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

Price 30459.00

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Cardiosurgery, Thoracic and Vascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #74733

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

Price 35832.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #101007

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 13 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

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #106769

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

Price 42946.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #227457

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 30457.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #89857

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 13 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

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #245213

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 30787.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #292043

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

Price 30206.00

University Hospital Düsseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #82689

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

Price 35501.00

University Hospital Tubingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #137437

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

Price 30457.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #88299

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


Duration 13 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 35776.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

Department of Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #154649

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

Price 30209.00

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #255305

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

Price 30611.00

St. Anna Hospital

9/10 from 3 Votes

Department of Cardiology

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #95933

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

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