Surgery for Atrial Fibrillation

Steps Involved in IVF:

Procedure Description

Atrial fibrillation, often referred to as AFib, is an irregular and often rapid heart rhythm that can lead to heart-related complications. Surgical intervention is sometimes necessary when other treatments fail to restore normal rhythm or when AFib persists, potentially causing symptoms like palpitations, fatigue, and shortness of breath. Surgery for atrial fibrillation aims to correct irregular electrical impulses within the heart, reducing symptoms and associated risks such as stroke.

One of the main approaches to AFib surgery is Catheter Ablation, where a catheter is inserted through blood vessels to the heart. By targeting and destroying areas of tissue responsible for irregular electrical signals, the procedure helps restore a regular heart rhythm. Catheter ablation is minimally invasive, requiring only small incisions or no incisions at all, as it is often performed using advanced imaging techniques.

Another common option is the Maze Procedure, usually conducted during open-heart surgery. The surgeon creates a "maze" of scar tissue in the heart, disrupting the abnormal electrical signals. Minimally invasive Maze procedures, often referred to as mini-Maze, can be done through small chest incisions without opening the chest cavity. Both traditional and minimally invasive Maze procedures aim to establish a pathway that allows regular impulses while blocking abnormal signals, offering long-term success for many patients.

Procedure Duration

The length and complexity of atrial fibrillation surgery depend on the chosen method, patient health, and the surgeon's approach. Catheter Ablation typically takes between 2-4 hours. This procedure involves preparation, including imaging tests, and post-procedure monitoring. Most patients may need to stay overnight, but recovery is usually quick, with some patients resuming normal activities within a few days.

Maze Procedures, especially traditional open-heart surgeries, take longer and are often done in conjunction with other surgeries, such as valve repair. The procedure itself may take 4-6 hours or more. Due to its invasive nature, the Maze procedure typically requires a hospital stay of several days, with a longer recovery period of several weeks. The minimally invasive Maze technique has a shorter duration and reduced recovery time.

Post-surgical recovery varies based on individual health, age, and adherence to post-op care instructions. Most patients experience improvement in symptoms relatively quickly, although some may continue to experience irregular rhythms while their heart heals. Routine follow-up appointments are essential for monitoring and may include tests to assess the heart’s functionality.

Benefits

  • Effective Restoration of Heart Rhythm: Surgery offers a higher success rate in restoring normal heart rhythm, especially when other treatments are ineffective.
  • Reduced Stroke Risk: By normalizing the heart’s rhythm, AFib surgery significantly reduces the risk of stroke associated with irregular heartbeats.
  • Improved Quality of Life: Many patients experience a marked improvement in energy levels, reducing AFib-related symptoms like fatigue and dizziness.
  • Long-Term Solution: Unlike medication, which may require ongoing adjustment, successful surgery provides a lasting solution for many patients.
  • Minimally Invasive Options: Techniques like catheter ablation and minimally invasive Maze procedures offer effective outcomes with reduced hospital stays and faster recovery.

Potential Destinations

1. Singapore

Known for its highly advanced medical facilities, Singapore provides excellent cardiac care, including minimally invasive and advanced AFib surgeries. With internationally accredited hospitals, Singapore is a popular choice for medical tourists seeking high-quality cardiac care.

2. Germany

Germany’s reputation for cutting-edge medical technology and highly skilled specialists makes it an ideal destination for AFib surgery. Many German hospitals specialize in minimally invasive cardiac procedures, with a focus on patient-centered care and follow-up.

3. Turkey

Turkey has become a leading destination for cardiac treatments, offering skilled surgeons, modern facilities, and affordable rates for international patients. Many hospitals in Istanbul and Ankara are experienced in AFib procedures, providing comprehensive post-operative care.

4. Thailand

Renowned for its medical tourism infrastructure, Thailand is home to a number of internationally accredited hospitals with expertise in cardiovascular procedures. Thailand combines excellent healthcare with affordability, attracting patients from around the world for treatments like catheter ablation and Maze procedures.

5. South Korea

South Korea is widely recognized for its advancements in cardiac healthcare and minimally invasive surgery. With world-class medical centers in Seoul and Busan, South Korea provides a high standard of care with a focus on patient safety, making it an attractive destination for AFib surgery.

Risks & Considerations

  • Risk of Infection: As with any surgical procedure, there is a risk of infection, especially in more invasive options like the Maze procedure. Ensuring proper post-operative care is essential to minimize this risk.
  • Bleeding and Blood Clots: The risk of bleeding exists, particularly in more complex surgeries. Blood clots are a potential complication and may require careful monitoring and, in some cases, anticoagulant therapy post-surgery.
  • Recurrence of AFib: While many patients benefit from surgery, AFib may recur, particularly in complex cases or if patients have other heart conditions. Recurrence may necessitate additional interventions or medication.
  • Heart Rhythm Complications: Temporary arrhythmias can occur post-surgery as the heart adjusts to the new rhythm. In most cases, these arrhythmias resolve within weeks, but some may require further treatment.
  • Extended Recovery Time: Recovery times vary by procedure, with invasive Maze surgeries requiring longer recovery periods and more intensive follow-up. Patients should be prepared for limited activity post-surgery, especially in the first few weeks.

How to Choose the Right Doctor and Hospital

Selecting a qualified doctor and hospital for AFib surgery is essential. It’s recommended to start by researching hospitals with a strong reputation in cardiovascular care. Look for facilities that have certifications and accreditations from recognized international bodies. This ensures they meet high standards in patient care and safety.

When choosing a doctor, seek a specialist with substantial experience in AFib treatments. Many hospitals offer patient reviews, and it may be helpful to ask for patient testimonials to assess success rates and satisfaction. Additionally, inquire about the doctor’s preferred techniques, their familiarity with the latest technology, and their approach to follow-up care.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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