Valve implantation in patients with congenital heart defects 1988 - 2018

n = 2.455

In the case of congenital heart defects, valve operations are particularly frequent. In the area of aortic valve surgery, autologous aortic valve replacement (light green) with the installation of the patient's own pulmonary valve in aortic position and the use of a bioprosthesis or a homograft in pulmonary position, the so-called Ross operation, is a specialty of the German Heart Center Berlin. Even if this corresponds to a two-valve operation, the reoperation of the patient's own valve in aortic position remains the exception and oral anticoagulation for the patient can be avoided.
In pulmonary valve surgery, non-surgical replacement with the aid of catheter-assisted implantation of a valve-bearing stent (melody valve or sapien valve / grey) is an alternative option for minimally invasive cardiac valve replacement without surgery (see also Fig. 15). In selected patients, this technique can now also be used for minimally invasive valve replacement of the tricuspid valve between the right atrium and the right ventricle; in isolated cases, this interventional technique has also been used to replace the mitral valve between the left atrium and the left ventricle. Especially the interventional therapy of the valves between the atria and the ventricles is a highly complicated procedure and can only be performed at very few centers. Not least because of its extensive experience in the field of minimally invasive catheter-assisted valve replacement, the DHZB has been an international training and education centre for many years.

Pulmonary valve implantation in patients with congenital heart defects 1988 - 2018

n = 1.606

Despite the interventional valve implantation (dark blue) there is no decrease in the surgical valve replacement (sum of the number of xenograft, homograft and mechanical valve ops). The high level of expertise in the treatment of all types of valve diseases is one of the main arguments for patients who visit our centre specifically for this purpose.