Quirónsalud Madrid est spécialisé dans le pontage aorto-coronarien avec un programme de chirurgie cardiaque dédié. L'intervention peut coûter environ 19 000 $. Le Dr José Ángel Cabrera Rodríguez, chef de cardiologie, a été formé au Royal Brompton Hospital et dirige l'unité d'arythmie. L'hôpital exploite des laboratoires de cathétérisme avancés et participe à des études de recherche cardiaque.
Quirónsalud Madrid est la meilleure clinique d'Espagne et d'Europe, la plus grande parmi les centres Quirónsalud en nombre annuel de patients pris en charge.
\n\nSpécialisation ― oncologie, neurochirurgie, chirurgie cardiaque, chirurgie plastique et FIV.
\n\nL'équipe de recherche de Quiron Madrid mène des études sur le traitement du cancer et des troubles neurodégénératifs (maladies d'Alzheimer, de Parkinson, de Huntington). Il existe une possibilité d'être traité gratuitement en tant que participant à des essais cliniques si les conditions requises sont remplies.
","images":[{"base_url":"clinic/5d12201e253f9","title":"Façade moderne de l'hôpital Quironsalud Madrid en Espagne"},{"base_url":"clinic/5d12201e1cd58","title":"Salle d'attente moderne à la clinique Quironsalud Madrid avec chaises colorées et murs en verre"},{"base_url":"clinic/5d12201e0ec16","title":"Hall d'accueil spacieux à la clinique Quironsalud Madrid avec sièges modernes et comptoir d'information"},{"base_url":"clinic/5d12201c579de","title":"Chambre de patient à Quironsalud Madrid avec lit médical et sièges confortables"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
Le Dr Angel Pinto Gonzalez est cardiologue interventionnel à l'Hospital Universitario HM Montepríncipe de Madrid. Il traite la coronaropathie, l'athérosclérose et les valvulopathies. Le Dr Pinto Gonzalez pratique la pose de stents, l'ablation par radiofréquence et l'implantation de stimulateurs cardiaques. Il exerce au sein d'un hôpital accrédité ISO qui accueille 500 000 patients par an.
Le Dr José Ángel Cabrera Rodríguez est chef du service de cardiologie à Quironsalud Madrid. Il est spécialisé dans l'arythmie, les troubles du rythme cardiaque et l'électrophysiologie cardiaque. Le Dr Cabrera a suivi une formation au National Heart and Lung Institute du Royal Brompton à Londres. Il dirige le département de cardiologie clinique et translationnelle fondamentale à l'Université européenne de Madrid.
Quirónsalud Madrid est la meilleure clinique d'Espagne et d'Europe, la plus grande parmi les centres Quirónsalud en nombre annuel de patients pris en charge.
\n\nSpécialisation ― oncologie, neurochirurgie, chirurgie cardiaque, chirurgie plastique et FIV.
\n\nL'équipe de recherche de Quiron Madrid mène des études sur le traitement du cancer et des troubles neurodégénératifs (maladies d'Alzheimer, de Parkinson, de Huntington). Il existe une possibilité d'être traité gratuitement en tant que participant à des essais cliniques si les conditions requises sont remplies.
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Nous avons obtenu des réponses. Merci, tout s'est bien passé.","en":"Skype consultation went well. We got the answers. Thank you, no problem"},"order":{"operation":{"id":2,"name":{"fr":"Remplacement de la valvule cardiaque","en":"Heart Valve Replacement"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-05T11:21:51.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Merci.","en":"Thank you."}}},{"id":19164,"user":{"id":769086,"name":"Bonnie Baumbach","country_code":"US","country_name":{"fr":"États-Unis","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":4},{"name":"consultation_duration","value":4},{"name":"consultation_value","value":3},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":9},{"name":"manager","value":0},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"fr":"Le chirurgien était extrêmement compétent Je suis très satisfait\ndu service international","en":"The surgeon was extremely knowledgeable I'm very pleased \nWith the international service"},"order":{"operation":{"id":663,"name":{"fr":"Opération à coeur ouvert","en":"Open heart surgery"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-03-17T11:54:20.361+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/68172baed1e0b_b.jpeg","preview_url":"review/68172baed1e0b_s.jpeg"},{"full_url":"review/68172bb320966_b.jpeg","preview_url":"review/68172bb320966_s.jpeg"}],"comment_about_bookimed":{"fr":"Ils m'aident à examiner de nombreux pays et hôpitaux pour trouver le meilleur prix.","en":"They help me look at many countries and hospital to find the best price"},"summary":{"positive":{"fr":"Je suis très content","en":"I'm very pleased"}}},{"id":8660,"user":{"id":295839,"name":"Saad ","country_code":"US","country_name":{"fr":"États-Unis","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"fr":"Rien à améliorer, ils étaient superbes.","en":"Nothing to improve they were superb."},"order":{"operation":{"id":986,"name":{"fr":"Ablation endoveineuse par radiofréquence (EVRF)","en":"Endovenous radiofrequence ablation (EVRF)"}}},"doctor_info":{"id":497,"name":"Josep Brugada ","alias":"josep-brugada"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-02-11T19:01:36.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"fr":"Oui","en":"Yes"},"summary":{"positive":{"fr":"Rien à améliorer, ils ont été superbes.","en":"Nothing to improve they were superb."}}}],"meta":{"total_count":4,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"Il existe les indications suivantes pour le PAC :
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
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Jour 4
Jour 5 - Jour 7
Semaine 1 - Semaine 3
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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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