Le Hadassah Medical Center, classé parmi les meilleurs centres médicaux au monde par Newsweek, réalise plus de 35 000 chirurgies par an avec un accent particulier sur la cardiologie. Un pontage aorto-coronarien coûte généralement environ 47 170 $. Le Dr Moni Shuvi, chef du Centre de recherche cardiovasculaire, est spécialisé dans le remplacement valvulaire cardiaque par cathéter et les interventions sur la valve mitrale, apportant une vaste expertise dans les procédures cardiaques complexes.
Le centre médical Hadassah est un centre médical multispécialités situé à Jérusalem, en Israël. Les spécialités les plus fortes sont la neurochirurgie, l'orthopédie, l'oncologie et l'hémato-oncologie. Chaque année, plus de 150 médecins de Hadassah figurent dans le TOP des meilleurs médecins du magazine Forbes. Le centre médical Hadassah dessert aussi bien les adultes que les enfants. 1 000 000 de patients choisissent le centre médical Hadassah pour obtenir des soins médicaux chaque année. Les patients de la CEI, d'Europe et des États du Commonwealth et de la Ligue arabe visitent le plus souvent la clinique. En 2017, Melania Trump, ancienne première dame des États-Unis, a visité le centre médical Hadassah en tant qu'hôpital israélien de premier plan.
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Le médecin est un cardiologue interventionnel spécialisé dans les maladies des valves cardiaques au Centre Médical Hadassah. Le focus clinique inclut une expertise dans les procédures de la valve mitrale, l'intervention coronarienne percutanée (PCI), la gestion de l'infarctus du myocarde et la coronarographie. Le médecin est reconnu pour ses compétences avancées dans le traitement des conditions cardiaques complexes, en particulier celles impliquant les valves cardiaques et les artères coronaires.<\\/p>
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Le médecin a reçu une formation médicale supérieure à l'Institut médical de Rostov-sur-le-Don, en Russie, et a terminé sa résidence en chirurgie cardiothoracique à l'hôpital Beilinson en Israël, obtenant son diplôme avec mention. Le médecin a suivi une formation approfondie en correction et remplacement des valves cardiaques, ayant suivi des cours avancés en Autriche, en Belgique et en Lituanie. La formation clinique a également été complétée au Centre médical Marie Lannelongue à Paris, se concentrant sur le remplacement des valves cardiaques et des vaisseaux artériels, la chirurgie de pontage et la correction des malformations cardiaques congénitales. De 2010 à 2018, le médecin a travaillé comme chirurgien cardiaque au Centre médical Sheba en Israël et a été nommé chef de l'unité de chirurgie aortique en 2018.<\\/p>
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Avant d'effectuer l'opération, les médecins examinent les antécédents médicaux du patient. Certains facteurs peuvent entraîner des complications lors de l’intervention ou de la période de rééducation. Il existe les contre-indications suivantes au PAC :
Le pontage aorto-coronarien est divisé en :
Dans certains cas, plusieurs contournements sont nécessaires. Découvrez combien coûte un triple pontage cardiaque en soumettant une demande sur le site Bookimed. Notre médecin coordonnateur vous contactera sous peu pour vous proposer une consultation.
Le coût du pontage aorto-coronarien est calculé individuellement pour chaque patient dans chaque cas particulier.
La procédure de pontage aorto-coronarien peut être réalisée de 3 manières. Le choix du type particulier de greffon dépend de l'emplacement de la zone bloquée, de la taille de la zone endommagée et du diamètre de l'artère.
Les « greffons » sont des veines et des artères qui agissent comme une anastomose, créant un pontage sur les vaisseaux cardiaques obstrués et rétablissant un flux sanguin normal. La veine est généralement prélevée sur la jambe d'un patient, tandis que l'artère est déplacée de la paroi thoracique. Au cours de l'opération, un chirurgien recoud le vaisseau d'origine du patient à l'artère coronaire, près de la zone de rétrécissement. Cela permet au flux sanguin de « contourner » la zone bloquée.
Processus de greffage
L'artère thoracique interne est un greffon couramment utilisé car elle donne les meilleurs résultats à long terme : les veines sont moins susceptibles de se boucher avec le temps. Un chirurgien retire l’artère de sa zone et coud ses extrémités dans l’artère coronaire en contournant le segment obstrué.
L'artère radiale est située dans la main avec l'artère ulnaire. Étant donné que l'artère ulnaire est le principal fournisseur de sang de la main, l'ablation de l'artère radiale pendant l'opération ne constitue pas une menace pour l'organisme.
La grande veine saphène est souvent utilisée comme greffon. Il s'agit d'un long vaisseau qui longe la face interne de la jambe. Pour prélever la veine, le chirurgien pratique une ou plusieurs petites incisions le long de son emplacement.
Un patient est hospitalisé 3 à 5 jours avant l’intervention chirurgicale. Ils subissent les examens nécessaires et se préparent à l'opération dans le service d'hospitalisation. Les tests et examens suivants sont effectués avant la chirurgie :
Prémédication
Avant l’opération, le patient reçoit une anesthésie générale. D'autres médicaments sont également introduits dans le corps du patient pour réduire la demande cardiaque en oxygène en abaissant la pression artérielle et en réduisant la fréquence cardiaque. Le flux sanguin myocardique est amélioré par l'utilisation de vasodilatateurs.
En cas de PAC sans pompe, des médicaments qui arrêtent temporairement le cœur seront administrés après l'incision de l'os thoracique.
Chaque patient est croisé avec au moins 2 unités de sang pour compenser la perte de sang pendant ou après l'opération.
Opération en cours
L'opération dure de 3 à 5 heures. La durée dépend du nombre d'artères pontées et des particularités de santé du patient. Pendant l’intervention chirurgicale, un dispositif de pontage cœur-poumon assure les fonctions du cœur et des poumons. Il est vital que les médecins choisissent d’opérer le cœur qui ne bat pas. À la fin du PAC, un médecin installe des tubes de drainage dans la poitrine pour évacuer le liquide de la zone opérée. Ensuite, la plaie est recousue et le patient est amené à l'unité de soins intensifs où il reste jusqu'à stabilisation complète.
Récupération à l'hôpital
Un patient reste en unité de soins intensifs pendant 1 à 3 jours après l'opération. Cette période peut prendre plus de temps en cas de complications, la durée de l'hospitalisation influe sur le coût d'un pontage cardiaque. Les signes vitaux du patient seront constamment surveillés. Divers médicaments qui contrôlent la circulation sanguine et la pression seront administrés par voie IV. Un cathéter spécial est inséré pour drainer l'urine. Dans certains cas, une oxygénothérapie (oxygène délivré par un masque ou des tubes nasaux) et/ou un stimulateur cardiaque temporaire est utilisée. Un médecin peut fournir à un patient des bas de contention. Ils appliquent une légère pression sur les jambes pour empêcher le sang de s’accumuler et de coaguler.
Pendant les premiers jours après l'opération, le patient doit suivre strictement ces recommandations :
Récupération à la maison
Avant qu'un patient ne soit renvoyé, un médecin lui donne des instructions et des lignes directrices spécifiques pour son rétablissement, notamment :
Le patient reçoit également des informations sur la manière de gérer les différents effets secondaires pouvant apparaître après la chirurgie. Ils comprennent:
La guérison complète prend généralement jusqu'à 3 mois. Un médecin fournira plus d'informations sur l'état de récupération, mais les activités physiques habituelles peuvent être reprises après environ 6 semaines de rééducation.
Perspectives
Un patient peut reprendre un travail sédentaire dans un délai d'un mois et demi après sa sortie de l'hôpital. Un travail physique plus intense peut nécessiter une période de récupération plus longue. Les patients après un PAC peuvent mener leur mode de vie habituel. La marche et la montée des escaliers sont particulièrement utiles pendant la période de rééducation. Les patients doivent éviter les promenades prolongées par temps très froid ou trop chaud, qui épuisent l'organisme.
Il faut abandonner les mauvaises habitudes : fumer et/ou boire peuvent provoquer une crise cardiaque. Un patient doit constamment surveiller sa tension artérielle. L'alimentation doit être revue : la consommation de sel, de graisses et de produits riches en cholestérol doit être minimisée. Un contrôle du poids est souhaité.
Le coût du pontage aorto-coronarien dépend des facteurs suivants :
Pour subir une opération de PAC à l'étranger, soumettez une demande sur le site Bookimed. Dans les plus brefs délais, notre coordinateur médical vous contactera par téléphone. Vous pourrez poser toutes les questions concernant la procédure, notamment combien coûte un pontage cardiaque dans votre cas particulier. Bookimed traitera vos formalités administratives et organisera votre traitement à l'étranger, y compris le transfert vers et depuis un hôpital.
Jour 1
Jour 2
Jour 3
Jour 4
Jour 5 - Jour 7
Semaine 1 - Semaine 3
Semaine 4
Semaine 6
Semaine 12
N'oubliez pas que le processus de rétablissement de chaque patient est unique et dépend de divers facteurs, notamment l'âge, l'état de santé général et la complexité de l'intervention chirurgicale. Suivez toujours les conseils de votre médecin pour obtenir les meilleurs résultats de rétablissement.
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