Aortic valve replacement (AVR) and mitral valve replacement (MVR) are the two types of valve replacement surgeries n which the damaged or defected aortic or mitral valve are replaced with a synthetic or biological valve. AVR and MVR are conducted alone or together in combination. The latter happens when both the valves are damaged or defected. These valves play a crucial role in the flow of blood from one chamber of the heart to the other and the rest of the body. In case of a defect or a damage, the optimum functioning of the heart is affected and it may even lead to fatal cardiac events.

AVR/MVR in Thailand

AVR/MVR is conducted is conducted at all major cardiac hospitals in the country. These two surgeries are conducted by a team of highly educated and skilled cardiac surgeons who hold years of experience in the treatment of cardiac disorders. Some of the best cardiac hospitals in Thailand are globally renowned for their state-of-the-art infrastructure and the use of top-notch technology. Every single facility is available in these hospitals that are required by patients traveling from abroad.

Cost Comparison

AVR/MVR cost in Thailand varies from one patient to the other. Even though the approach used to conduct the surgery remains the same, the cost differs because of the difference in the use of valves. Some patients could be more benefitted by the use of biological valves, while the others may be more comfortable with synthetic valves. After considering the pros and cons associated with the two types of valves, the surgeon may decide to choose the one that would best meet the patient’s needs.

Treatment and Cost

27

Total Days
In Country

2 No. Travelers

7 Day in Hospital

20 Days Outside Hospital

Treatment cost starts from

USD 18000

Hospitals

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:

  • Aortic valve replacement (AVR)
  • Mitral valve replacement (MVR)
  • Tricuspid valve replacement (TVR)
  • Pulmonary valve replacement (PVR)

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).

Aortic Valve Replacement (AVR)

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.

Mitral Valve Replacement (MVR)

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.

Postoperative complications and risks-

The most common complication after mitral valve replacement is atrial fibrillation. The other complications are bleeding and infection.

Benefits of heart valve replacement-

The patient can engage in his or her normal activities again. The replaced new valve will help the heart to function more efficiently.

Risks associated with heart valve replacement-

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.

Follow up care-

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.


Pros and cons of mechanical valves used in replacement

Pro’s of mechanical valves-

  • Less reoperation rates
  • Lasts for lifetime
  • Better survival rates

Con’s of mechanical valves-

  • Changes in doses of anticoagulant medication
  • Sleep disturbance due to noise of mechanical valve
  • Fluctuations in INR value.

Frequently Asked Questions

Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
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Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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