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In the past, rheumatism was considered to be the main cause of heart valve defects. Contrary to popular belief, rheumatism currently occupies a modest place in the structure of cardiac lesions in developed countries, yielding to atrioventricular dysplasia. The disease causes changes in connective tissue development (sometimes congenital) followed by various complications, including congestive heart failure.

What to expect with AVD?

Atrioventricular valve dysplasia affects the mitral and the tricuspid valve. The disease can be accompanied by atrioventricular valve insufficiency or stenosis of varying degrees.

If the mitral valve undergoes changes, there is moderate to severe mitral regurgitation, which leads to dilatation of the left atrium and increased pressure in the pulmonary veins. As a result, congestive heart failure may develop, manifested by pulmonary edema and cyanosis.

Tricuspid valve dysplasia leads to right atrial dilatation due to tricuspid regurgitation, with possible development of heart failure. In children, high pressure in the right atrium may interfere with the closure of the foramen ovale, causing right-to-left blood drainage at the atrial level. As a result of atrial dilatation, arrhythmias (including atrial fibrillation) occur.

How is AVD treated?

For patients diagnosed with AVD, there are usually two options: valve replacement surgery or valve-preserving surgery, which involves the pathologically changed valve being replaced or reconstructed.

Although the lifespan of the mechanical prosthesis is unlimited, the main disadvantage of it is the obligatory lifetime anticoagulant therapy, which is connected with risks of hemorrhagic and thromboembolic complications. Patients are forced to take the drugs that reduce blood clotting and require laboratory monitoring of blood clotting parameters.

During the valve-preserving surgery, an artificial circulation replaces the function of the heart. During the operation, the patient is in artificial sleep. The heart is accessed through a midline sternotomy, meaning that this is an open heart surgery (if performed conventionally).

After the operation, the accesses to the heart are sutured, a dressing is applied, and the patient is transferred to the intensive care unit, where he wakes up and stays under medical supervision for about two days.

On the third or fourth day the patient is allowed to get up and walk. Patients are usually discharged from a hospital on day 12 after surgery. Upon discharge, the patient receives further advice on lifestyle modifications and the medications intake.

The cost of AVD treatment abroad

The cost of treatment for atrioventricular valve dysplasia depends on the type of the disease and the treatment scheme, which is prescribed by the physician to each patient individually depending on the medical parameters.

Therefore, to determine an approximate cost of treatment of AVD abroad, it is necessary to evaluate the results of the already performed examinations or undergo it anew for the physician to create a treatment plan. The cost of treatment will be known after the treatment plan is completed.

However, average prices will help you to understand what to expect. So, the prices for diagnostics start at 492 EUR, the cost for treatment with surgical correction starts at 9,833 EUR, and the prices for cardiac rehabilitation start at 566 EUR per day.

If you would like to know what the cost of AVD treatment abroad is going to be for you, visit the Booking Health website.

Treatment with Booking Health during a lockdown

Booking Health provides you with plenty of destinations and hospitals to choose from during the lockdown. Generally, Booking Health helps with any issue a person might face during the selection of a hospital and a program, and with overcoming any obstacles during treatment organization. So, if you need a medical visa (which people have trouble getting during a lockdown), medical insurance, flight tickets or accommodation, and free services of an interpreter, Booking Health is what you are looking for.

Booking Health provides support and assistance with any matter during such a stressful time for patients. All you need to do to get started is to fill in the request form on the Booking Health website, and a medical advisor or a patient case manager will contact you shortly.

Cost of AVD Treatment Abroad
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