Cardiovascular Surgery in Cuba

Aortic Valve Replacement

REPAIR OR REPLACEMENT OF THE AORTIC VALVE / SURGERY PROGRAM

The aortic valve is one of four valves that regulate blood flow through the heart.
The aortic valve separates the main pumping cavity of the heart and the main artery that supplies blood to the body.
When the aortic valve does not work properly, it interferes with adequate blood flow and forces the heart to work harder to get the necessary blood to the rest of the body.
Repair or replacement of the aortic valve helps restoring normal blood flow, reduce symptoms, prolong life and help to preserve heart muscle function.
Diseases of the aortic valve that may require its repair or replacement:
Aortic valve regurgitation occurs when blood flows back through the aortic valve into the left ventricle.
Aortic valve stenosis is when the aortic valve narrows or clogs, making it difficult to pump blood from the heart to the aorta.
A congenital heart disease can contribute to aortic valve insufficiency or stenosis, as well as causing other problems that prevent the aortic valve from functioning properly.
For some people with mild aortic valve disease and no symptoms, only careful monitoring with the doctor's supervision may be necessary.
However, in most cases,  disease and dysfunction of the aortic valve progress in adulthood and worsen despite medical treatment. Most aortic valve diseases are mechanical problems that can not be adequately treated only with medications and, in the long run, require surgery to reduce symptoms and the risk of complications, such as heart failure, an attack heart disease, a stroke or death due to sudden cardiac arrest.
Decision to repair or replace a damaged aortic valve depends on many factors, including:
• The severity of aortic valve disease.
• Age and general health status.
• The need for heart surgery to correct another heart problem in addition to aortic valve disease, such as bypass surgery to treat coronary artery disease, so that both conditions can be treated at the same time.
Heart valve repair is usually the first option, since it is related to a lower risk of infection, preserves the strength and functioning of the valve, and reduces the need to take anticoagulant medications for the rest of your life as It happens with certain types of valve replacement. For example, people with a hole in the valve closure flaps (perforated valve leaflet) may be good candidates for repair rather than aortic valve replacement, depending on the severity of the condition.
However, not all valves can be repaired and heart valve repair surgery is usually more difficult to perform than replacement surgery. The best option will depend on your particular condition, as well as on the expertise and experience of the multidisciplinary cardiac surgery team.
The risks of aortic valve repair and replacement or replacement surgery vary according to the health, the type of procedure and the expertise of the health care team. To minimize the possible risk, in general, aortic valve surgery should be performed in a center with a multidisciplinary team of cardiac surgery experienced in these procedures and perform a large number of surgeries of this type.
The risks associated with aortic valve repair and replacement surgery may include the following:
• Bleeding
• Blood clots
• Valvular dysfunction in replacement valves
• Heart rhythm problems
• infection
• Stroke
• Death

SURGICAL MEDICAL PROGRAM FOR THE REPLACEMENT OF THE AORTIC VALVE

Hospitalization (21 days)
Hospitalization in a private room  18 days (meals and nursing care included)
Attention of the  physician to hospitalized patient (daily hospital rounds)
Hospitalization in intensive cardiovascular care (3 days)
Initial evaluation and preparation of clinical history
Medical appointment
Consultation with Dentistry Specialist
Prophylaxis with Instruments
Pre-operative and postoperative investigations
Complete Blood Count
Complete lonogram
Complete Coagulogram
Erythrosedimentation
Cholesterol
Triglycerides
Glycemia
Uratos
Creatinine
TGP
TGO
Cituria
Nasopharyngeal exudate
X-Ray of the thorax (1)
Blood group and Rh factor
Complete Gasometry
Total proteins in serum
Cardiological research
Simple Telecardiogram
Electrocardiogram (pre-postoperative)
Echocardiogram  (pre-postoperative)
Coronariography if necessary)Others
Right cardiac catheterization (if necessary)
Surgical Procedure. General anesthesia and deep venous approach.
Aortic valve replacement c / cec. membrane oxygenation (valve inc.)
Post-Surgical rehabilitation (18 sessions)
Medical report, conclusions and recommendations.
Note: Accomodation of the patient's companio 40.00 CUC per day (meals included).
When the patient is evaluated directly by specialists, the price of the program may vary.
Medications, blood products or stomaological procedures derived from the corresponding consultations are not included.
The Institute of Cardiology and Cardiovascular Surgery of Cuba offers you the opportunity to treat your disease.
 
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Repair, Replacement of the Aortic Valve
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