Das German Medical Institute (GMI) ist ein privates fachübergreifendes Zentrum in Zypern, das als German Oncology Center gegründet wurde. Es ist auf Onkologie, plastische Chirurgie, medizinische Check-ups und Nuklearmedizin spezialisiert. Das Personal wurde in Deutschland und Großbritannien ausgebildet und das Zentrum verfügt über mehrere ISO-Zertifizierungen.
Das German Medical Institute (GMI) ist ein privates fachübergreifendes Zentrum in Zypern, das als German Oncology Center gegründet wurde. Es ist auf Onkologie, plastische Chirurgie, medizinische Check-ups und Nuklearmedizin spezialisiert. Das Personal wurde in Deutschland und Großbritannien ausgebildet und das Zentrum verfügt über mehrere ISO-Zertifizierungen.
Spezialisiert auf Transkatheter-Aortenklappenimplantation (TAVI) – Dr. Ayiomamitis absolvierte seine Ausbildung am Universitätsklinikum 'San Matteo' und leitet die Herzchirurgie-Einheit bei GMI.
Dr. Michalis Ayiomamitis ist Direktor der Abteilung für Herzchirurgie am Deutschen Medizinischen Institut auf Zypern. Er ist Gründungsmitglied der Zyprischen Gesellschaft für Herz-Thorax-Chirurgen. Dr. Ayiomamitis ist auf die Reparatur von Aneurysmen der thorakalen Aorta und Herzklappenoperationen spezialisiert. Er besitzt eine Facharztzulassung für Herz-Thorax-Chirurgie sowohl in Großbritannien als auch auf Zypern.
Das German Medical Institute (GMI) ist ein privates fachübergreifendes Zentrum in Zypern, das als German Oncology Center gegründet wurde. Es ist auf Onkologie, plastische Chirurgie, medizinische Check-ups und Nuklearmedizin spezialisiert. Das Personal wurde in Deutschland und Großbritannien ausgebildet und das Zentrum verfügt über mehrere ISO-Zertifizierungen.
Eine Herzoperation wird durchgeführt, wenn:
\n\nZusätzliche Untersuchungen, Medikamente oder Änderungen des Lebensstils können verschrieben werden, um das Verfahren zu vermeiden. Die Klappenreparatur ist eine bevorzugte Alternative zum Ersatz, da sie es ermöglicht, das Herz und die Klappe zu erhalten. Der Eingriff wird am offenen Herzen unter Verwendung einer Herz-Lungen-Bypass-Maschine durchgeführt. Die Erfolgsrate der Operation beträgt bis zu 92 %.
\n\nÄrzte entscheiden anhand der Untersuchungsergebnisse, ob ein Patient einen Klappenersatz benötigt. Bei folgenden Erkrankungen kann ein Arzt den Klappenersatz verschreiben:
\n\nJeder Patient mit bekannten Herzproblemen muss bei den oben genannten Anzeichen vorsichtig sein und Kontrolluntersuchungen durchführen, wenn sich eines davon manifestiert. Eine frühzeitige Diagnose ist für diese Krankheit von entscheidender Bedeutung. Patienten, die sich ihres Zustands nicht bewusst sind, können aufgrund einer Fehlfunktion der Herzklappen einen Herzschaden erleiden. Dieser Schaden kann zu Herzinfarkten, kritischen Zuständen und plötzlichem Tod führen.
\n\nKontraindikationen für die Herzklappenoperation:
\n\nMinimalinvasive Wechseloperation
\n\nDie Operation wird durchgeführt, während sich der Patient in Vollnarkose befindet. Während des Eingriffs wird eine Herz-Lungen-Maschine verwendet, um den Blutfluss aufrechtzuerhalten. Die minimal-invasive Chirurgie wird von einem Team aus Herzchirurgen durchgeführt. Ärzte verwenden lange Instrumente und optische Geräte, die durch kleine Einschnitte in die Brust des Patienten eingeführt werden. Das Verfahren belastet den Körper des Patienten weniger und gilt als weniger riskant.
\n\nDie minimal-invasive Chirurgie setzt einen kürzeren Krankenhausaufenthalt des Patienten und eine schnellere Genesung voraus.
\n\nTranskatheter-Aortenklappenersatz (TAVR/TAVI)
\n\nTAVR ist ein minimal-invasiver Ersatz der Aortenklappe. Manchmal auch als „Implantation“ (TAVI) bezeichnet. Bei diesem Verfahren wird ein Katheter verwendet. Während der Operation erreichen die Chirurgen das Herz des Patienten durch einen kleinen Einschnitt in der Brust oder durch die Vene. Sobald das Ersatzventil in Position ist, wird es entweder selbst installiert oder expandiert und mit einem Ballon fixiert. TAVR wird bei Patienten angewendet, bei denen ein hohes Risiko für Operationskomplikationen besteht. TAVI wird auch zum Ersatz biologischer Klappen eingesetzt.
\n\nErsatz der Herzklappe (Operation am offenen Herzen)
\n\nIn Fällen, in denen die Klappe des Patienten nicht repariert werden kann, ist ein Ersatz sinnvoll. Die beschädigte Klappe wird entfernt und durch die mechanische oder biologische ersetzt. Biologische Klappen werden aus Kuh-, Schweine- oder menschlichem Herzgewebe hergestellt. Biologische Klappen bauen sich im Laufe der Zeit ab, sodass in 10-15 Jahren ein Austausch erforderlich ist.
\n\nPatienten mit mechanischen Klappen müssen lebenslang blutverdünnende Medikamente einnehmen, um die Bildung von Blutgerinnseln zu verhindern.
\n\nDie Chirurgen besprechen vor der Operation alle Details zum Klappentyp, einschließlich der Kosten für den Klappenersatz. Biologische Klappen können mithilfe von Kathetern ersetzt werden, ohne dass eine Operation am offenen Herzen erforderlich ist.
\n\nHerzklappenreparatur
\n\nDie Reparatur des Ventils wird immer dem Austausch vorgezogen. Dieses Verfahren kann Folgendes umfassen:
\n\nEinige Eingriffe können unter Verwendung eines Katheters durchgeführt werden, der durch die Arterie des Patienten geführt wird. Beispielsweise wird eine verengte Klappenöffnung mit einer Ballonvalvuloplastie behandelt. Bei dieser Operation wird ein am Katheter befestigter Ballon zur verengten Klappe geführt. Der Ballon wird dann aufgeblasen, wodurch die Klappe erweitert wird und das Blut ungehindert passieren kann.
\nVor der Operation unterzieht sich ein Patient Standarduntersuchungen:
\n\nPatienten sollten 2 Wochen vor der Operation nicht rauchen, da dies das Risiko von Komplikationen erhöht.
\n\nWenn die Operation nicht minimal-invasiv ist, wird dem Patienten eine Vollnarkose verabreicht und er wird an eine Herz-Lungen-Bypass-Maschine angeschlossen. Danach erfolgt die Reparatur oder der Austausch. Wenn es vorbei ist, wird das Herz gestartet und ein Patient vom Herz-Lungen-Bypass getrennt.
\n\nDie Operation dauert 2-5 Stunden, kann aber länger dauern, wenn zusätzliche Verfahren erforderlich sind.
\nWiederherstellung
\n\nNach der Operation verbringt ein Patient die ersten 1-3 Tage auf der Intensivstation (ICU). Der postoperative Aufenthalt im Krankenhaus dauert bis zu 2 Wochen. Ärzte können einem Patienten ein spezielles Trainingsprogramm oder Rehabilitationsprogramm zuweisen. Während des Krankenhausaufenthalts werden die Vitalwerte des Patienten ständig überwacht, Schmerzsyndrome werden mit Anabolika behandelt und Antibiotika werden verabreicht, wenn sich Anzeichen einer Infektion zeigen.
\n\nDie Erholungszeit variiert je nach allgemeinem Gesundheitszustand des Patienten. Im Durchschnitt können die Patienten 4-6 Wochen nach der Operation einer nicht körperlich anstrengenden Arbeit nachgehen.
\n\nHeimpflege
\n\nDie Patienten werden in der Regel 2 Wochen nach der Operation aus dem Krankenhaus entlassen. Ärzte empfehlen, sich wöchentlich 150 Minuten zu bewegen. Es ist auch ratsam, dass ein Patient mit dem Rauchen und/oder Trinken aufhört. Es ist bekannt, dass schlechte Angewohnheiten die Lebensdauer des ersetzten Ventils verkürzen und Komplikationen verursachen.
\n\nWenn ein Patient eine mechanische Klappe erhalten hat, sollte er blutverdünnende Medikamente einnehmen. Jeder Arzt sollte über diese Tatsache informiert werden, da verdünntes Blut ein größeres Potenzial für vorübergehende Infektionen hat. Vor der Durchführung von Operationen, die Blutungen verursachen können, müssen die Patienten mit einem speziellen Antibiotikum behandelt werden.
\n\nAusblick
\n\nDie Operation gilt als risikoarm und belastet den Organismus nicht übermäßig. Patienten müssen immer auf mögliche Anzeichen einer Fehlfunktion der Herzklappe achten, da die Wahrscheinlichkeit gering ist, dass eine ersetzte Klappe versagt. Normalerweise passiert es bei biologischen Klappen 10-15 Jahre nach der Operation. Die Symptome sind typisch für eine Herzklappenfehlfunktion und umfassen Müdigkeit, Kurzatmigkeit und Benommenheit. In solchen Fällen ist es ratsam, sich einer erneuten Operation zu unterziehen.
\nDie Kosten für den Herzklappenersatz werden von folgenden Faktoren beeinflusst:
\n\nSenden Sie eine Anfrage auf der Bookimed-Website und unser medizinischer Koordinator wird sich so schnell wie möglich mit Ihnen in Verbindung setzen. Sie erhalten Antworten auf alle Fragen zu den Kosten einer Mitralklappenersatzoperation, welche Art von Verfahren für Sie geeignet ist usw. Wir helfen Ihnen auch bei der Auswahl des besten Krankenhauses für eine Herzklappenersatzoperation und erledigen alle Ihre Formalitäten. Bei Bedarf erhalten Sie Unterstützung bei der Visabeschaffung und beim Transfer.
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Denken Sie daran, dass die Genesung jedes Patienten einzigartig ist und je nach Gesundheitszustand und Komplexität des Herzklappenersatzes variieren kann.
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