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DOR procedure in Spain

Hospitals medical centers in Spain performing DOR procedure.
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Grupo Hospitalario Quirón

Quirón has an internationally prestigious medical staff, the largest in the sector, and is also the principal hospital network in terms of patient numbers and care facility area. The group administers 38 healthcare centers, more than 2,864 hospital beds and 7,500 associate doctors.

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DOR procedure

upon request

HM Hospitales

HM Hospitales is a hospital group with six private hospitals in Madrid: three general hospitals, a cardiovascular hospital, an oncological center and a women's health hospital.

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DOR procedure

upon request

Nisa Pardo de Aravaca Hospital

A modern (opened in 2007), general, private hospital located in Madrid, part of the NISA group of hospitals. The international patients department can assist patients with accomodation and trasportation, and can communicate in English as well as in Spanish.

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DOR procedure

upon request

Clinica La Luz

The largest private hospital in Madrid, with over one hundred physicians providing tertiary medical services in over thirty medical specialties. The hospital is equipped to deal with the most complex of conditions, including oncology, neurosurgery and cardiac surgery.

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DOR procedure

upon request

Hospital Ruber Internacional

The Ruber International Hospital is designed as a "whole hospital". thus achieving maximum efficiency in the organization and development of the various medical, welfare, educational and research activities.

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DOR procedure

upon request

Hospital Quirón Valencia

Quirón Hospital of Valencia is ranked as one of the best private schools in Spain, winning nine times in the TOP 20 award in recognition of its management and quality of care.

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DOR procedure

upon request

Cardiac centers in Spain (Page 1 of 1)

About DOR procedure

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.

What is the Dor Procedure?
The DOR procedure, also known as Endoventricular Circular Patch Plasty (EVCPP), is a heart reconstructive surgical procedure that is performed to treat an aneurysm that forms after a heart attack.

During the DOR procedure, the left ventricle is cut to expose the damaged area. The scarred aneurysm is tied with a looped stitch which is used to shrink it. The left ventricle is restored to its normal shape and size after the DOR procedure. The DOR procedure enhances ejection fraction and reduces the Left Ventricular End Systolic Volume Index (LVESVI). Chest pain and other symptoms are reduced and the pumping ability of the heart is improved.

The DOR procedure is an open-heart surgery. Therefore, if required, the surgeon may perform a coronary artery bypass graft (CABG) surgery or a valve repair surgery in addition to the DOR procedure.

How is the DOR Procedure Performed?

  • The DOR procedure is usually performed after coronary artery bypass graft surgery.
  • A small incision is made in the left ventricle to locate the position of the scarred aneurysm.
  • A couple or more circular stitches are made around the edge of the aneurysm that separates it from the rest of the tissues.
  • The stitches are tied together to separate it completely.
  • Sometimes a part of the scarred aneurysm is removed before the stitches are tied together.
  • If the amount of scarred tissue is too large and the standard stitches are inadequate, a Dacron patch is placed.
  • The left ventricle is closed with stitches after the DOR procedure.

How to Prepare for the DOR Procedure?
  • The patient may be required to take certain medication prescribed by the surgeon.
  • Certain medication that the patient is taking may be stopped two weeks before the surgery.
  • Some surgeons may instruct patients to shower using an antiseptic skin cleanser before the surgery.
  • The patient should not eat or drink anything for 6 to 8 hours before the surgery.
  • The patient can take medication with a small sip of water.

The patient needs to undergo some tests such as the following:
  • MRI
  • PET
  • Echocardiogram
  • Electrocardiogram
  • Routine blood tests
  • Chest X-ray

Duration of procedure/surgery : The DOR procedure takes approximately 20 to 30 minutes, but it is part of an open heart operation, which usually takes 3 to 4 hour.

Days admitted : Approximately 8 days

Anesthesia : General anesthesia

Recovery : - The patient is placed on an anti-coagulant to decrease the risk of blood clots.
- During hospitalization, the patient will undergo cardiac rehabilitation to help in recovery.
- Some patients require an Implantable Cardioverter-Defibrillator (ICD) to treat a severe form of abnormal heart rhythm.
- The patient needs to follow the specific guidelines set by the doctor.

Risks : - Infection
- Blood clots
- Breathing difficulty
- Blood loss
- Heart attack
- Chest wound infection

After care : - The patient should follow a 2,000 mg sodium diet.
- Fluids should be limited to 8 cups or less in a day.
- The patient should be active and follow a regular regimen of exercise.
- Weight should be monitored each day. Patients should watch out for a sudden weight increase of five pounds a week or two pounds a day.
- The patient should continue taking the medications prescribed by the doctor.

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