Aortic valve insufficiency Treatment in Medipol Acibadem District Hospital

Aortic valve insufficiency care at Medipol Acıbadem District Hospital in Istanbul, Turkey, includes imaging, catheter procedures, and valve surgery. The JCI-accredited hospital has cardiovascular surgery and cardiology departments, and Prof. Dr. Cengiz Köksal has performed 2,000+ open-heart and vascular operations.

Diagnostic tests

Testing can assess valve structure, blood flow, and heart function. The hospital offers echocardiography, including advanced imaging options:

• Echocardiography: Ultrasound imaging of the heart and valve.
• Transesophageal echocardiography (TEE): Imaging from inside the esophagus.
• Three-dimensional TEE: 3D views of the valve and heart structures.
• Strain and strain rate imaging: Measures movement and deformation of heart muscle.
• Cardiac MRI: Detailed imaging of the heart.
• Coronary CT angiography: CT imaging of the heart’s blood vessels.
• Diagnostic catheter angiography and coronary angiography: Catheter-based imaging of blood vessels and coronary arteries.

Aortic valve procedures

Prof. Dr. Köksal specializes in minimally invasive aortic valve repair and replacement. Treatment options include open surgery, small-incision procedures, and catheter-based approaches.

• Aortic valve replacement: Open-heart surgery replaces the valve with a biological or mechanical prosthesis.
• Minimally invasive aortic valve repair and replacement: A small-incision approach can reduce surgical trauma compared with full sternotomy.
• Aortic valve repair: Reconstructive surgery preserves the patient’s own valve and avoids a prosthetic valve and long-term anticoagulation.
• Robotic-assisted valve surgery: The da Vinci system supports valve and bypass surgery through minimal access.
• TAVI/TAVR: A catheter places a new valve without opening the chest. It is an option for patients who are not suitable for open surgery.
• Valve-in-Valve implantation: A catheter places a valve inside a previously implanted biological prosthesis, treating a failed valve without repeat open surgery.
• Percutaneous valve procedures: Balloon- and clip-based options, including MitraClip and TriClip, are available for structural valve disease.

The hospital also offers a free medical second opinion for cardiovascular surgery. Patients can request a consultation through Bookimed to discuss which tests or procedures may fit their case.