Cardiac Valve Replacement (AVR/MVR) in Tunisia

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:

  • Narrowing of the valve (Stenosis)
  • Leakage in the valve leading to backflow of the blood (Regurgitation)

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.

Factors Affecting the Cost of AVR and MVR

The following factors affect AVR cost and MVR cost:

  • The type of valve used - prosthetic/mechanical or biological/bovine
  • Experience of the surgeon
  • Type of hospital or clinic
  • Hospital charges
  • Room category selected
  • Type of investigations done
  • Duration of hospital stay
  • Any unforeseen complications
  • Medicines and consumables used
  • Ventilator use
Treatment and Cost

27

Total Days
In Country

2 No. Travelers

7 Day in Hospital

20 Days Outside Hospital

Treatment Price not available

Get a Quote

Hospitals

About the Cardiac Valve Replacement

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).

How is Cardiac Valve Replacement performed?

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.

Recovery from Cardiac Valve Replacement

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.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

Our team of healthcare experts would be happy to assist you

Get In Touch
or call

(+1) 424 283 4838