, Patient s Guide German Heart Centre of the State of Bavaria and the Technical University Munich German Heart Centre Munich Lazarettstraße 36 Telephone +49 (0) 89 1218-0 80636 München Fax +49 (0) 89 1218-3053 Germany Publisher German Heart Centre Munich www.dhm.mhn.de [email protected] Press Officer Robert Siegert Design and Layout icom new media and design Ickstattstraße 16 80469 München www.icom.de [email protected] Photography DHM icom 4th edition June 2014 2 5 Welcome 8 Vision 10 How the heart works 14 Department of Cardio-Vascular Surgery 18 Department of Cardiac and Circulatory Diseases Table of content 22 Department of Paediatric Cardiology and Congenital Heart Disease 26 Institute for Anaesthesiology 28 Institute for Laboratory Medicine 30 Institute for Radiology und Nuclear Medicine 32 Patient Care 34 The Hybird operating theatre 35 Definition Flash CT and Magnetom Avanto 36 Commercial Directorate 38 Total Quality Management (TQM) – a puzzle with nine pieces 40 Ronald McDonald House 41 Friends of the German Heart Centre Foundation 42 A-Z 47 Numbers of patients and procedures 48 How to reach us 50 Information on the Internet 51 Contact 3 The German Heart Centre Munich (Deutsches Herzzentrum München, DHM) has made history as a role model for first-class, patient-oriented medicine. This high-capacity hospital in the Lazarettstrasse in Munich has provided cutting-edge care for patients in the entire field of cardiovascular disease for 40 years. The concept of treating people of all ages with all forms of cardiological disease under a single roof has become well esta- blished, having since been applied to numerous other areas of medical specialisation over the decades. Cardiovascular disease concerns us all. It is still the most frequent cause of death in industrialised nations. The number of people suffering from heart disease has been on the increase for years, creating a growing need for care provision. The German Heart Centre has performed an excellent service in this area ever since it was founded. offered by the DHM in the use of these German Centre for Cardiovascular new techniques. The DHM has set Research (DZHK) and as partner for Patients receive optimum care with standards in the area of electrophy- integrated research projects of the state-of-the-art diagnostics and siology, too, improving the mapping European Union. Thus medical progress therapy, as well as benefiting from of cardiac arrhythmia using magnetic and innovative treatment methods are close interdisciplinary cooperation navigation systems. A GPS-guided inseparably combined at this institution. between the departments. In the field mapping system has been deployed of cardiological imaging, for example, with great success since 2013 as part On this note, I wish the highly qualified the DHM uses the world‘s fastest and of a research project. and dedicated staff of the German lowest radiation CT scanner. Study Heart Centre Munich continued success, results fort he treatment of coronary Research into cardiovascular disease and I wish all patients a swift, successful artery disease and myocardial infarction is a key focus of the activities at the treatment. have influenced national and interna- DHM, which collaborates with Tech- tional guidelines. The DHM is also one nische Universität München (TUM) as Munich, April 2014 of Germany‘s leading specialist hospitals well as Klinikum rechts der Isar der in the deployment of transcatheter TUM. The DHM takes on key research heart valves. Clinics all over Germany assignments as an integral member now take part in the induction courses of the Munich Heart Alliance in the Dr. Ludwig Spaenle Bavarian Minister of Education, Science and the Arts 4 Welcome to the German Heart Centre Munich The German Heart Centre Munich has gone down in history as a cardiovascular dis- optimal patient care through close inter- paragon for the consolidation of state of the art medical treat- ease at one facility disciplinary cooperation. The institution ment of cardiovascular diseases at one centralised location. has proved to be consists of the Department of Cardio- highly effective and Vascular Surgery; the Department of has become accep- Cardiac and Circulatory Diseases; the Since its foundation in 1974 as the first ted in other areas of medicine. Department of Paediatric Cardiology heart centre in Europe, the German The guiding principle of the hospital and Congenital Heart Disease as well as Heart Centre has served as a model is to consolidate at one location the the Institute for Laboratory Medicine; for other institutions numerous times. various medical branches required for the Institute for Anaesthesiology and The new medical concept of treating the diagnosis and treatment of cardi- the Institute for Radiology and Nuclear patients of all ages with all types of ovascular disorders, thus providing Medicine. 5 The name German Heart Centre Munich tion of the heart valves. If valve repair conventional surgery. Furthermore, the stands for world class medical excel- is not possible, there is a wide range clinic of cardiac and vascular surgery lence. The Centre has given many im- of options to select the suitable imp- specializes in all minimally invasive pulses to medical development. Since lant regarding the age and life-style of surgical techniques and operations its establishment, more than 400,000 the patient. The German Heart Center with small incisions. The advantage is patients have been treated on an out- Munich also runs a homograft bank. not only seen in the improved cos- patient basis and almost 200,000 were There is broad experience particu- metics for the patient, but also in a treated inpatient. 42,000 operations larly with regard to the treatment of positive effect on the healing process. with heart-lung machine have been extremely difficult cases. The cardiac Avoiding a 20-30cm long incision in performed. The first successful heart surgery department is equipped with the mid-sternum line, video-assisted transplantation in Germany was done the latest technology such as intra- mitral valve repair is performed through at the German Heart Centre Munich in operative blood flow measurement, a 5 to 6 cm incision on the right side of 1981. angiography, or 3D echocardiography. the chest. Aortic valve replacement can The clinic offers all types of heart New minimally invasive techniques also be performed minimally invasive surgery and surgery on the large blood are used whenever suitable. through a partial sternotomy with a vessels, including catheter-based Since June 2007, the German Heart 6-7cm incision. procedures. 96% of the patients re- Centre offers catheter-based valve Another main focus is surgery of congeni- ceiving coronary artery bypass surgery implantations that are via the femoral tal heart defects in children, adolescents are treated with arterial grafts which artery in the groin or the apex of the and adults. The German Heart Center have a significantly better long-term heart. Today, it is one of the world’s Munich is one of the world-wide leading patency than veinous grafts. The grafts largest “TAVI” centers offering less centers for pediatric surgery. All types for bypass surgery are usually removed invasive treatment of aquired valve of surgical correction of congenital heart endoscopically at the German Heart disease. All procedures are performed defects are offered. Complex congenital Center Munich. Concerning surgical on the beating heart without heart- heart defects are operated even in therapy of heart valve disease, special lung-machine and are optimal for infants weighing less than 2,000 grams. consideration is given to the preserva- elderly patients at increased risk for In cardiology, highly specialized doctors 6 perform diagnostics and treatment done catheter-interventional through operating room and a total of eight of a wide range of diseases, such as the groin. The dilation of constricted cardiac catheterization rooms. The five narrowed coronary artery vessels, blood vessels, the closure of connections intensive care units are on the latest calcified heart valves, and heart between the major arteries or between level of technology. DHM is considered rhythm disturbances. The heart centre the two atria or the two chambers are as a pilot project in the Free State of is considered as one of the leading now routine. The spectrum concerning Bavaria through its full digital X-ray centers in the world in the field of electrophysiology and intravascular technology as well as the installation interventional cardiology, the centre ultrasound has been extended through of screen network (PACS), digital used all kinds of modern stents and the opening of the second heart catheter X-archive and radiology information offered the most advanced diagno- measuring rooms in the new building. system. This applies to the laboratory sis and therapy in treating cardiac The department of paediatric cardiology institution also, all results values are arrhythmias. The clinic is specially and Munich fire department sharing a done digitally and transmitted through good for the emergency cases of acute civic neonatal emergency service. the internal network to the stations. myocardial infarction, supplied with DHM own research department accom- The clinic has also its special facilities, modern Chest Pain Units. panied with the cooperation of the for example a pharmacy, helicopter With its seven cardiac catheterization Technical University Munich ensure landing place, social service, blood laboratories, the German Heart Center the continuous development of the supply depot and physiotherapy. Munich is one of the largest and most medical methods and an innovative DHM took also into consideration the experienced centers in Germany. science-based medicine. Additional to care of the patient’s relatives, Ronald Catheter-based therapies play also a the experimental animal facilities, McDonald House is on the ground of growing role in the pediatric interven- the DHM has its own research the clinic, taking into consideration tional cardiac catheterization. laboratory for molecular biology and the care of the patient’s relatives, The range of treatment includes the molecular genetics.