Le Ponderas Academic Hospital propose le remplacement de valves cardiaques avec une accréditation JCI et 10 certifications internationales. L'intervention coûte généralement entre 16 000 et 20 700 $. Le Dr Cătălin Trifan, chirurgien cardiovasculaire distingué avec plus de _doctor_10104_years_ d'expérience, est spécialisé dans les procédures avancées de réparation et de remplacement valvulaire.
Ponderas Academic Hospital est un centre privé pluridisciplinaire accrédité par la JCI, situé à Bucarest. Il détient 10 accréditations internationales, notamment celles de la SRC et de la BSCE. Sa principale spécialité est la chirurgie bariatrique.
Le Dr Trifan est spécialisé dans la chirurgie cardiaque avancée avec plus de _doctor_10104_ années d'expérience, se concentrant sur la réparation et le remplacement complexes des valves à l'Hôpital Académique Ponderas.
Le Dr Catalin Trifan est chirurgien cardiovasculaire à l'Hôpital Académique Ponderas de Bucarest. Il traite des pathologies complexes telles que la maladie coronarienne et les défauts des valves cardiaques. Le Dr Trifan pratique aussi bien la chirurgie à cœur ouvert que les procédures cardiaques mini-invasives. Il travaille dans un établissement accrédité par la JCI qui traite 150 000 patients par an.
Ponderas Academic Hospital est un centre privé pluridisciplinaire accrédité par la JCI, situé à Bucarest. Il détient 10 accréditations internationales, notamment celles de la SRC et de la BSCE. Sa principale spécialité est la chirurgie bariatrique.
La chirurgie cardiaque est pratiquée lorsque :
Des examens supplémentaires, des médicaments ou des changements de mode de vie peuvent être prescrits pour éviter de subir la procédure. La réparation valvulaire est une alternative préférable au remplacement puisqu’elle permet de préserver le cœur et la valvule. La procédure est réalisée à cœur ouvert à l’aide d’un appareil de pontage cœur-poumons. Le taux de réussite de l'opération s'élève à 92%.
Les médecins décident si un patient a besoin d'un remplacement valvulaire en fonction des résultats de l'examen. Dans les cas suivants, un médecin peut prescrire le remplacement valvulaire :
Tout patient présentant des problèmes cardiaques connus doit être prudent face aux signes mentionnés ci-dessus et effectuer des contrôles chaque fois que l'un d'entre eux se manifeste. Un diagnostic précoce est crucial pour cette maladie. Les patients qui ne sont pas conscients de leur état peuvent souffrir de lésions cardiaques dues à un dysfonctionnement des valvules cardiaques. Ces dommages peuvent entraîner des crises cardiaques, des conditions critiques et une mort subite.
Contre-indications au fonctionnement des valvules cardiaques :
Opération de remplacement mini-invasive
L’opération est réalisée alors que le patient est sous anesthésie générale. Un appareil cœur-poumon est utilisé pour maintenir le flux sanguin pendant la procédure. La chirurgie mini-invasive est réalisée par une équipe de chirurgiens cardiaques. Les médecins utilisent de longs instruments et des dispositifs optiques insérés à travers de petites incisions dans la poitrine du patient. La procédure soumet le corps du patient à moins de stress et est considérée comme moins risquée.
La chirurgie mini-invasive suppose un séjour hospitalier plus court et un rétablissement plus rapide.
Remplacement valvulaire aortique par cathéter (TAVR/TAVI)
TAVR est un remplacement mini-invasif de la valve aortique. Parfois appelée « implantation » (TAVI). Un cathéter est utilisé dans cette procédure. Pendant l'opération, les chirurgiens atteignent le cœur du patient par une petite incision dans la poitrine ou par la veine. Une fois en position, la valve de remplacement est soit auto-installée, soit étendue et réglée avec un ballon. TAVR est utilisé chez les patients présentant un risque élevé de complications liées à la chirurgie. TAVR est également utilisé pour le remplacement des valvules biologiques.
Remplacement de la valvule cardiaque (opération à cœur ouvert)
Dans les cas où la valve du patient ne peut pas être réparée, un remplacement devient viable. La valve endommagée est retirée et remplacée par une valve mécanique ou biologique. Les valvules biologiques sont constituées de tissu cardiaque de vache, de porc ou humain. Les valvules biologiques se dégradent avec le temps, il faudra donc les remplacer dans 10 à 15 ans.
Les patients porteurs de valvules mécaniques doivent prendre des médicaments anticoagulants pour le reste de leur vie afin d'éviter la formation de caillots sanguins.
Les chirurgiens discuteront de tous les détails liés au type de valve avant l’opération, y compris le coût de la chirurgie de remplacement valvulaire. Les valvules biologiques peuvent être remplacées à l’aide de cathéters, sans nécessiter de chirurgie à cœur ouvert.
Réparation des valvules cardiaques
L’opération de réparation de la vanne est toujours privilégiée plutôt que son remplacement. Cette procédure peut inclure :
Certaines procédures peuvent être effectuées à l'aide d'un cathéter guidé dans l'artère du patient. Par exemple, une ouverture valvulaire rétrécie est traitée par valvuloplastie par ballonnet. Lors de cette opération, un ballon fixé au cathéter est guidé jusqu'à la valve rétrécie. Le ballon est ensuite gonflé, élargissant la valve et permettant au sang de passer librement.
Avant l'opération, le patient subit des examens standards :
Les patients ne doivent pas fumer 2 semaines avant l'opération, car cela augmente le risque de complications.
Si l’opération n’est pas mini-invasive, le patient reçoit une anesthésie générale et est connecté à un appareil de pontage cœur-poumons. Après cela, les réparations ou les remplacements sont effectués. Une fois l'opération terminée, le cœur démarre et le patient est déconnecté du pontage cœur-poumon.
L'opération prend 2 à 5 heures, mais peut prendre plus de temps si des procédures supplémentaires sont nécessaires.
Récupération
Après l'opération, un patient passe 1 à 3 jours dans l'unité de soins intensifs (USI). Le séjour postopératoire à l'hôpital dure jusqu'à 2 semaines. Les médecins peuvent attribuer un programme d'exercices spéciaux ou un programme de réadaptation à un patient. Pendant le séjour à l'hôpital, les signes vitaux du patient sont constamment surveillés, tous les syndromes douloureux sont traités avec des anabolisants et des antibiotiques sont administrés si des signes d'infection se manifestent.
La période de récupération varie en fonction de l'état de santé général du patient. En moyenne, les patients peuvent reprendre un travail non physiquement exigeant 4 à 6 semaines après l'opération.
Soins à domicile
Les patients sortent généralement de l’hôpital 2 semaines après l’opération. Les médecins recommandent de s’engager à 150 minutes d’exercice par semaine. Il est également conseillé au patient d’arrêter de fumer et/ou de boire. Il est connu que les mauvaises habitudes réduisent la durée de vie de la valve remplacée et entraînent des complications.
Si un patient a reçu une valve mécanique, il doit prendre des médicaments anticoagulants. Tout médecin doit en être informé, car le sang dilué présente un plus grand risque de transmission d'infections. Avant d'effectuer toute opération susceptible de provoquer un saignement, les patients doivent recevoir un antibiotique spécial.
Perspectives
L'opération est considérée comme à faible risque et ne soumet pas trop de stress à l'organisme. Les patients doivent toujours rester à l’affût des signes possibles d’un dysfonctionnement d’une valvule cardiaque, car il existe un faible risque que la valvule remplacée échoue. Cela se produit généralement avec les valves biologiques 10 à 15 ans après l'opération. Les symptômes sont typiques d’un dysfonctionnement des valvules cardiaques et comprennent la fatigue, l’essoufflement et les étourdissements. Dans de tels cas, il est conseillé de subir une autre opération.
Le coût du remplacement des valvules cardiaques est influencé par les facteurs suivants :
Soumettez une demande sur le site Web de Bookimed et notre coordinateur médical vous contactera dans les plus brefs délais. Vous recevrez des réponses à toutes vos questions concernant le coût de la chirurgie de remplacement de la valvule mitrale, le type de procédure qui vous convient, etc. Nous vous aiderons également à choisir le meilleur hôpital pour la chirurgie de remplacement de la valvule cardiaque et à traiter tous vos documents. Si nécessaire, vous recevrez une assistance pour l'obtention d'un visa et le transfert.
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N'oubliez pas que le rétablissement de chaque patient est unique et peut varier en fonction de son état de santé et de la complexité du remplacement de la valvule cardiaque.
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