Atrial and mitral are the two main valves in the human heart. These valves have a special function to control or regulate the blood flow in the heart.
Atrial valve replacement and mitral valve replacement are required because of a defect in the functioning of these valves. When the valves do not open or close properly, it affects the flow of blood through the heart.
The defect may arise because of many reasons. But the two main reasons are as follows:
The decision to conduct valve replacement depends on the clinical status of the patients as per diagnostic reports and clinical symptoms. Sometimes, the patient is a candidate for aortic valve repair or mitral valve repair and does not require replacement of the valve. Therefore, the decision is made after the physical assessment and evaluation of the patient.
The following factors affect AVR cost and MVR cost:
Heart valve diseases occur due to improper functioning of the valves. Sometimes a valve does not open or does not close proper. In this condition, the blood does not flow properly and requires valve replacement. The important valves present in human body are aortic valve, mitral valve, tricuspid valve and pulmonary valve. If a valve cannot be repaired, then a heart valve replacement surgery is performed.
Heart valve replacement surgery is the replacement of heart valves with artificial valves or bioprosthesis. It is an alternative treatment to valve repair.
Valve replacement includes four procedures:
The aortic valve and the mitral valve replacements are the most common. Pulmonary and tricuspid valve replacements are uncommon in adults.
Aortic valve replacement (AVR)
It is a procedure in which a diseased aortic valve is replaced with an artificial heart valve. Many diseases affect the aortic valve; the valve can either become leaky or partially blocked. Recent aortic valve replacement procedures include open-heart surgery via a sternotomy, minimally invasive cardiac surgery (MICS) and transcatheter aortic valve replacement (TAVR).
Surgical procedure- In Aortic valve replacement the incision is made by cutting through the sternum. After the pericardium is opened, the patient is put on a cardiopulmonary bypass machine, which is also known as the heart-lung machine. This machine performs the task of breathing for the patient and pumping their blood around while the surgeon replaces the heart valve.
The surgeon makes a cut in the aorta when the patient is on bypass and applies a crossclamp. The patient's diseased aortic valve is removed and is replaced by a mechanical or tissue valve. After the placement of artificial valve and closing the aorta, the heart-lung machine is taken off from the patient. A transesophageal echocardiogram helps to confirm whether the new valve is functioning properly.
Surgical procedure- General anaesthesia is given to the patient before mitral valve replacement. Incision is made horizontally under the left breast, or vertically through the sternum. After exposing the heart, cannula is placed and blood is directed to the heart-lung machine for cardiopulmonary bypass. The mitral valve is exposed by creating an incision in the left atrium. Then the valve is replaced. Left atrium is closed and cardiopulmonary bypass is removed. The patient is taken to an intensive care unit after the surgery.
The most common complication after mitral valve replacement is atrial fibrillation. The other complications are bleeding and infection.
The patient can engage in his or her normal activities again. The replaced new valve will help the heart to function more efficiently.
Blood clot formation can occur after surgery. These clots move to the lungs and cause shortness of breath and chest pain. Arrhythmias or abnormal heart beats can happen after surgery.
Regular check-ups from a heart specialist is required after the surgery. The patient is instructed good diet and regular exercise in the follow up appointments.
Pro’s of mechanical valves-
Con’s of mechanical valves-
The cost of Cardiac Valve Replacement in Israel starts from USD$ 35000. Cardiac Valve Replacement in Israel is available across many hospitals in different states.
Different hospitals have different pricing policy when it comes to the cost of Cardiac Valve Replacement in Israel. Some of the best hospitals for Cardiac Valve Replacement offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The comprehensive Cardiac Valve Replacement package cost includes the cost of investigations, surgery, medicines and consumables. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Cardiac Valve Replacement in Israel.
Cardiac Valve Replacement in Israel is offered by multiple hospitals across the country. For quick reference, the following are some of the leading hospitals for Cardiac Valve Replacement in Israel:
Upon discharge from the hospital after Cardiac Valve Replacement in Israel, the patients are advised to stay for about 21 days for recovery. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.
While Israel is considered to be one of the best destinations for Cardiac Valve Replacement owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for this procedure. Some of such countries are:
There are certain additional cost that the patient has to pay apart from the Cardiac Valve Replacement cost. These include the cost of accommodation and meals outside hospital. The per day cost in this case may range around USD$ 75.
Some of the best cities in Israel which offer Cardiac Valve Replacement are:
After the Cardiac Valve Replacement takes place, the average duration of stay at the hospital is about 5 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.
There are more than 6 hospitals that offer Cardiac Valve Replacement in Israel. These hospitals have proper infrastructure for the treatment of patients who require Cardiac Valve Replacement
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