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Treatment of cardiovascular diseases in Germany. Treatment of ciliary arrhythmia, extrasystole, coronary artery bypass graft (CABG)

Cardiosurgery (heart operations) in Germany
Сoronary artery bypass graft (CABG)

In some cases, the narrowing of coronary arteries is very extensive or located in the places hardly accessible for the catheter. Sometimes the narrowing is located in the main coronary trunk, from which three main heart vessels depart. The sparing PTCA method (Perkutane Transluminal Coronary Angioplasty) is impossible or causes the great risk of the patient's life in these and some other cases. Then the coronary artery bypass graft (CABG) is necessary.

Coronary artery bypass graft (CABG) is an operation to make new ways of the bloodstream round about completely or partially corked regions of blood vessels of the heart. In other words, the new coronary arteries are formed. The lower limb veins or arteries supplying the breast with blood are used in case of CABG. The use of the arteries supplying the breast with blood in case of coronary artery bypass graft is more physiological because arterial shunts according to their pathoanatomic structure are closer to their coronary vessels.

Coronary artery bypass graft is one of the most complex surgical interventions. The risk of the CABG operations in Germany is minimized (0.15% mortality) due to the excellent modern facilities and the highest education level of German specialists. The Cardiosurgery departments that carry out the coronary artery bypass graft always belong to the university hospitals.

The method of minimally invasive cardiac surgery with coronary artery bypass graft is greatly developed today. In this case, the heart operation is carried out through a small incision without using the artificial blood circulation apparatus. This operation is better tolerable; the cosmetic effect is great. Endoscopic Cardiosurgery becomes more popular.

Cost of CABG operations is about 25000 EUR. A three-week rehabilitation course is recommended after the CABG operation. Its cost is from 5000 EUR.

Electrophysiological examination in Germany

Dangerous heart rhythm disorders (e.g. ciliary arrhythmia and extrasystole) which are the most frequent cause of death can be detected and removed through local electric current irritation of the fascicles of the cardiac conduction system.

We recommend this method of examination and treatment to the patients with sudden loss of consciousness. In addition, the ciliary arrhythmia and Wolff-Parkinson-White syndrome (WPW) are treated well in this manner.

This examination costs about 9000 EUR.

Interview with Professor Franke

Coronary artery bypass graft, cardiac valve replacement in the clinics of Germany, differential characteristics, new technologies

INFORMATION

Arrhythmia (gr. “A” is a negative particle and “rhythmus”) is a heart rhythm disorder. Arrhythmia may be accompanied by acceleration (tachycardia) or deceleration (brachycardia) of the cardiac beats. In case of arrhythmia there are also proleptic or additional cardiac beats (extrasystole), heart attacks (paroxysmal tachycardia), and completely incorrect intervals between individual cardiac beats (ciliary arrhythmia).

Arrhythmia may occur due to heart diseases (e.g. myocarditis, cardiosclerosis), be functional or be caused by the disorders of the nervous regulation of the heart.