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Il est un pionnier de la chirurgie cardiaque robotique utilisant le système Da Vinci en Turquie.","linkedin":"","specialities":[{"id":"crl.003","name":"Cardiovascular surgeon","illness_kind_id":23}]},"direction":{"id":23,"name":"Chirurgie cardiaque","alias":"heart-surgery"},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk work after open sternotomy surgery; physical jobs take longer. Transcatheter or minimally invasive approaches may be faster."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any major in-hospital complication, mostly atrial fibrillation; stroke 1-3%, re-operation for bleeding 2-5%, 30-day mortality 1-4%."},"contraindications":["Prohibitive surgical risk or very limited life expectancy (relative)","Active uncontrolled sepsis or systemic infection (unless treating endocarditis)","Severe irreversible end-organ failure making surgery unsurvivable","Cannot tolerate long-term anticoagulation (relative, mainly mechanical valves)","Severe frailty or advanced dementia (relative)","Valve disease not hemodynamically significant or asymptomatic without surgical criteria"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated open surgical valve replacement including 1-2 days in intensive care/step-down; longer if complications arise."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking early; moderate exercise, often via cardiac rehab, after sternal healing and clearance. Heavy lifting and contact sports later."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to stable symptom improvement and sternal healing; cardiac remodeling can continue longer."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After uncomplicated open surgery, once discharged, wound check, echocardiogram and stable anticoagulation or INR are done; surgeon clearance required."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early postoperative wound and clinical check, with anticoagulation monitoring as relevant."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Surgeon or cardiologist review with ECG and baseline echocardiography."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Follow-up echocardiography and cardiology review, then periodic lifelong surveillance."}}],"indications":["Severe symptomatic aortic stenosis unsuitable for repair or transcatheter treatment","Severe aortic or mitral regurgitation that is not repairable","Severe mitral stenosis unsuitable for balloon valvotomy","Valve disease causing heart failure, low ejection fraction, ventricular dilation","Infective endocarditis with valve destruction","Failed valve repair or degenerated bioprosthesis"],"main_risks":["Bleeding requiring re-operation","Stroke or thromboembolism","Atrial fibrillation and other arrhythmias","Heart block requiring a pacemaker","Infection, including sternal wound infection or prosthetic valve endocarditis","Acute kidney injury","Valve-related complications such as thrombosis, paravalvular leak or structural deterioration","Anticoagulation-related bleeding with mechanical valves","Death"],"pain":"Moderate to significant chest wall pain for the first days to weeks after sternotomy, controlled with analgesia; it gradually eases over several weeks.","preparation":["Cardiology and cardiac surgical assessment including echocardiography","Coronary angiography or CT angiography when indicated","Blood tests, ECG and chest imaging","Dental and infection screening","Review of current medications with the surgical team","Fasting before surgery as instructed","Smoking cessation and optimization of other conditions","Discussion of valve type (mechanical vs. tissue) and anticoagulation implications"],"recovery_timeline":[{"phase":"Intensive care and hospital stay (days 0-10)","description":"Ventilator weaning, monitoring, drain and pacing wire removal, mobilization and early walking.","restrictions":["Sternal precautions","No driving"]},{"phase":"Early home recovery (weeks 1-6)","description":"Progressive walking, wound healing, fatigue gradually improving, anticoagulation monitoring as relevant.","restrictions":["No heavy lifting, pushing or pulling","No driving until cleared"]},{"phase":"Rehabilitation and return to activity (weeks 6-12)","description":"Sternum largely healed; return to work and graded exercise, often with cardiac rehabilitation.","restrictions":["No heavy lifting or contact sports until full sternal healing"]},{"phase":"Long-term follow-up (3 months onward)","description":"Echocardiographic surveillance and ongoing valve care, including endocarditis prevention measures.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after open surgical replacement, with progressive walking and often cardiac rehabilitation."},"result_longevity":"Depends on valve type and patient factors: mechanical valves are durable but require lifelong anticoagulation, while tissue valves may degrade over time and sometimes need reintervention.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Valve reintervention within 10 years; higher for tissue valves in younger patients, lower for mechanical valves."},"scars":"Typically a midline sternotomy scar down the chest; minimally invasive approaches use smaller scars. Drain sites leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation under one hospital admission."},"stages":[{"code":"valve_replacement_surgery","label":"Valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Survival at 5 years after isolated surgical valve replacement","value":85,"unit":"percent","horizon":"5 years","population":"Adults with isolated aortic or mitral valve replacement, elective, without major comorbidity","evidence_status":"limited"},"techniques":[{"name":"Conventional open surgical valve replacement (median sternotomy)","suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat shorter recovery and smaller scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one isolated valve replacement on cardiopulmonary bypass; excludes anesthesia preparation and ICU recovery."},"initial_assessment_documents":["Recent echocardiogram report","Cardiologist report with valve diagnosis","Coronary angiography or cardiac CT report","Recent ECG report","Current medication list including anticoagulants","Recent blood test results including INR and creatinine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks including 5-10 hospital nights and early check before flying. Later follow-up done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how much experience the surgeon has treating your specific heart valve condition","scope":"procedure","source":{"url":"https://renaissance.stonybrookmedicine.edu/node/14676","host":"renaissance.stonybrookmedicine.edu","quote":"How much experience does the surgeon have in treating their specific condition?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your treatment questions to the medical team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether facilities and healthcare professionals abroad hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Understand the possible complications and side effects of the treatment before going ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated once you are home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, before booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding or pus from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Explains your medicines so your home doctor can continue them","document":"letter about your medicines","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"you will be given a letter about your medicines and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Sets out regular follow-up blood tests your home doctor needs to arrange","document":"blood test arrangements (warfarin)","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"If you take warfarin you will receive information and arrangements for follow-up blood tests with your GP or local clinic, which you will need to have regularly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-open-surgical","name":"Conventional open surgical valve replacement (median sternotomy)","how_it_works":{"text":"The surgeon opens the chest to reach the heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17233-minimally-invasive-heart-surgery","host":"my.clevelandclinic.org","quote":"Most people return to their usual activities within two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=republic-of-korea/city=goyang/procedure=protezirovanie-serdechnogo-klapana/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-13T19:00:12.227Z","activeCountries":["KR","TR","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}