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Jan, 11.
2011

New heart valve without surgery

Rheinische Post vom 04.01.2011/translated

A 87 year old lady received a new heart valve in the HELIOS Klinikum Krefeld. Through the new treatment method, the balloon catheder, many elderly patients can be treated on their heart problems-without the physical stress and risks of an open heart surgery.  

From Hans Dieter Peschken und Petra Diederichs

Is is only a small incision under the left breast, which saved the life of a 87- year old lady. Through the incision the lady received a new heart valve in the HELIOS Klinikum Krefeld - through a catheder and without surgery on the open heart. This way she well survived the intervention. So far, patients who needed a new heart valve, had a surgical intervention where the episternum was divided - a very complex and for the patient exhausting operation, and also the use of the heart-lung machine is an additional risk for elderly asthenic patients. " With the implementation of this new, minimally invasive operation technique it is possible for us, to give elderly patients a longer life perspective without having straining heart problems", says Professor Dr. Franz-Xaver Schmid, chief physician of the heart surgery at HELIOS.

Through the cardiac apex or the groin artery the balloon catheder with the artificial heart valve is guided to the heart. At the heart the balloon unfolds, the injured heart valve is pushed to the side, the artificial takes its place. The intervention takes about one to two hours. Thus more often also elderly patients are operated. Not the date of birth decides upon, but the biological age which involves whether the patient is active and able to take care of oneself.

The rapid developments within heart medicine are only realizable, when all wheels of the expert team engage, accentuates the chief physician. Cardiology is top-level sport. Because often only minutes decide about life or death. Diseases of the heart- and circulatory system are still the most frequently cause of death. Four infarct patients in the morning and in all cases life-saving urgency is demanded. "We work with high speed",says Professor Dr. Heinrich Klues, chief physician of the cardiology at the HELIOS Hospital. 24 hours on seven days a week the team of physicians and cardio-technicians are ready to take care of the patient admitted through the emergency doctor. On the screen the coronary blood vessels are pictured, and it is immediately obvious where there is a constriction and the heart cannot adequately be supplied with blood. Minimally invasive interferences are immediately possible." But with respect to a patient where a occlusion on the head stem was recogniced, we have instantly noticed that we cannot go without surgery, " says Klues. In such a case our colleagues come - they have to walk 150 meter - from the heart surgery with the transportable heart-lung-machine into the lab. " in this extrem space of time a confiding teamwork is necessary", says Schmid. Is in this emergency case a direct need for surgery, other planned surgeries of course have to wait.

The "process optimization" in he HELIOS Klinikum Krefeld performs very quick in comparison to others. " Our capacity is well known, we see the heart medicine as one, and we are no competitors", say the diagnosting cardiologist and the operating surgeon conjointly. They praise the structural conditions, the hardware and the employees. Heart problems increase, particularly concerning the demographic change.

Most often there are congenital heart defects which need treatment. In the fourth and fifth life decade more people suffer from heart attacks. With increasing age females make up a higher portion and the lethality rate is still 40 percent. If a person tumbles down, outside, an immediate resuscitation through massage and ventilation is important. More than six minutes without circulation of the blood the brain does not survive. It is always a race against time.

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