Heart Double Valve Replacement cost in Poland

The valves are responsible for delivering rich oxygenated blood to the heart chambers. In total, there are four heart valves performing the same operation. Each valve closes completely after pushing the blood in the following chamber. Hence the flow is maintained. The ill-conditioned heart valve is incapacitated to perform this operation. When the blood vessels narrow, the lesser amount of blood flows in the chambers causing the heart muscles to work harder. This condition is called stenosis. Weak valves cause disruptive flow of blood as the valve sometimes may close lightly. This causes the blood to flow backward which is termed as regurgitation. 

Getting a valve replacement means to replace the faulty valves with either mechanical or biological alternatives. Replacing both the mitral and the aortic valves is called double valve replacement, or the entire left side of the heart. This type of surgery is not as common as the others and the mortality rate is slightly higher.

Figuring out the right candidate for the double valve replacement can be a little tricky as the procedure is a bit uncommon. Also, the factors involved in deciding who should get the replacement would vary from person to person. A general viewpoint may lead to patients having these symptoms.

  • fatigue
  • dizziness
  • lightheadedness
  • shortness of breath
  • cyanosis
  • chest pain
  • fluid retention, especially in the lower limbs

Other factors that play an important role in deciding the candidature of double valve replacement are:

  • your age
  • your overall health
  • your ability to take anticoagulant medications
  • the extent of the disease

The factors affecting the cost of double valve replacement procedure may depend on:

  • Where the Surgery is performed under general anesthesia with techniques that are either conventional or minimally invasive. So it depends on the patients’ current medical condition about the nature of the procedure. 
  • Conventional surgery requires a large incision from the neck to the navel. Risks involved during such procedures are huge. 
  • During the majority of procedures, the heart will be temporarily stopped and the patient will be put on a heart/lung machine that takes over the breathing and blood circulation. 
Treatment and Cost

21

Total Days
In Country

2 No. Travelers

5 Day in Hospital

16 Days Outside Hospital

Treatment cost starts from

USD 15000

Hospitals

About the Heart Double Valve Replacement

There are four types of valves in the human heart – the mitral, aortic, tricuspid, and pulmonary valve. The mitral and the tricuspid valve are present between the upper and the lower chambers of the heart. On the other hand, the aortic and the pulmonary valve are present in the two arteries that leave the heart.

Most often, it is the mitral and the aortic valve that undergoes certain pathologic changes due to degenerative valve diseases, rheumatic heart diseases, or infective endocarditis. This may result in problems associated with the valve opening and closure.

These dysfunctions can be treated with either valve repair or valve replacement surgery. Aortic valve replacement or mitral valve replacement is carried out when just one of the valve is diseased or damaged. However, when both the valves are diseased or damaged, a double valve replacement surgery is conducted.


About the ailment

The heart valves present in the heart are responsible for permitting the flow of nutrient-laden blood through the heart chambers. After allowing the ushering of blood, each valve is expected to close completely. The diseased or damaged valves are not able to open and close properly, thus allowing the mixing and backflow of blood (regurgitation).

 A double valve replacement surgery mainly aims at correcting the problem of valvular heart disease and involves both aortic valve replacement and mitral valve replacement. The mitral valve is situated between the left atrium and the left ventricle while the aortic valve is located in between the aorta and the left ventricle.

Causes of Heart Valve Disease

Some of the causes of heart valve disease include the following:

  • Cardiac stenosis or narrowing
  • High blood pressure and heart failure, which enlarges the heart and arteries and contribute to valvular diseases
  • Atherosclerosis
  • Scar tissue formation and damage due to heart attack or any injury to the heart
  • Strep throat or rheumatic fever can give rises to valve problems
  • Infection due to germs entering bloodstream can affect heart valves and one such infection is infective endocarditis
  • Lupus-like autoimmune diseases can affect the aorta and mitral valve
  • Carcinoid syndrome
  • Diet medicines such as fenfluramine and phentermine can at times give rise to valve diseases
  • Marfan syndrome
  • Metabolic disorders such as Fabry disease or high blood cholesterol
  • Radiation therapy to the chest can give rise to heart valve diseases.

Symptoms of Double Valve Replacement

Some of the symptoms of valvular heart disease include the following:

  • Fluid retention in the lower limbs
  • Chest pain
  • Fatigue and light-headedness
  • Dizziness and shortness in breath
  • Cyanosis

About heart valve replacement

Double valve replacement surgery is a complicated procedure as compared to single valve replacement surgery. Aortic valve replacement and mitral valve replacement involves the replacement of just one valve but during double valve replacement surgery, both the diseased valves are removed at the same time and replaced with a synthetic (mechanical) or a biological valve.

In the case of mechanical valves, the components used are not of organic or natural origin. They are created from a combination of polyester and carbon material that the human body can tolerate and accept. Blood-thinning medications are given to patients who get mechanical valves to prevent blood clot formation.

Bioprosthetic valves or the biologic valves are either created from animal or human tissues and can be of the following types:

  • A bovine valve is usually derived from the tissues of a cow and is connected to the heart with the help of silicone rubber
  • A porcine valve has its origin rooted from a pig tissue and is implanted in the heart with or without the frame like a stent
  • A homograft or an allograft is usually collected from the human donor’s heart

The choice of a particular type of valve depends on the age, overall fitness, and the ability to metabolize anticoagulant medications. The only problem associated with a bioprosthetic valve is that it may not last a lifetime and one may have to undergo a replacement again later.

How is Heart Double Valve Replacement performed?

For the purpose of hemodynamic monitoring, the peripheral arterial and venous access are installed. The patient is anaesthetized in a supine position with a single lumen endotracheal tube.

In the jugular vein, two percutaneous sheath introducers are placed for central venous pressure monitoring and drug administration. Another similar one is placed in the same right jugular vein for the purpose of introducing endocavitary pacemaker leads if required. External defibrillator pads are placed on the patient’s back and on the anterior left chest.

TEE or transesophageal echocardiography probe is used for an assessment of cardiac function, percutaneous venous cannulation guidance, and valve assessment. The skin is sterilized with iodine solution and an aseptic strip is applied on areas exposed. The double valve replacement procedure is very similar to isolated aortic valve replacement or mitral valve replacement, which is conducted via a single access right anterolateral minithoracotomy.

Before systemic heparinization, the venous introducer sheath is positioned in the femoral vein to prevent any unwanted bleeding. In the third intercostal space, an incision of 6 to 8 cms is made. Minithoractomy is made and in the 3rd and 5th intercostals spaces, two auxiliary working ports are placed. The first is for video assistance and the second is for gas insufflation, cardiotomy vent, and pericardial stay sutures. The pericardium is opened upwards and downwards after removal of the pericardial fat, which is 3 to 4 cm above the phrenic nerve. The pericardium is retracted using silk sutures.

In a standard way, two aortic purse strings are placed for direct arterial cannulation after the aorta has been exposed. The operation is continued with venous cannulation under the guidance of TEE. A guidewire in moved through the venous introducer and positioned in the superior vena cava.

With the central cannulation of the ascending aorta, arterial inflow is established. The cannula has an obturator and an advanced tip to aid aortic insertion within the thorax. With cannula rings, the tip is secured and with two tourniquets the cannula is secured. They allow maximum space to work during thoracotomy access.

Carbon dioxide flow keeps running and when the heart gets arrested, the aorta is opened in an oblique way with an incision like a hockey stick, k which is further extended to the non-coronary sinus Valsalva. After this, aortotomy is made far away from the cross-clamp and from the main pulmonary artery trunk; for the closure of aortotomy, enough aortic tissue must be kept. Now the problematic valve is excised. The annulus size is measured and calibrated with a sizer and then prosthesis is implanted. The aortic prosthesis is lowered and made to remain above the final plane of implantation.

Now focus shifts to the left atrium. It gets dissected in a Sondergaard’s plane, and with the help of one single silk suspension stitch and an atrial retractor, the mitral valve is exposed. If now required the left atriotomy can be further extended behind upwardly behind the superior vena cava or along the inferior vena cava downwardly.  In right minithoracotomy the visualization of the mitral valve is very good and allows valve and subvalvular repairs easily.

The procedure starts with synthetic braided sutures being placed in the mitral annulus whose diameters are measured using suitable valve sizes. For the mitral valve, reductive annuloplasty is performed. The sutures are passed and the retractor is removed and then attention is again diverted towards the aortic valve prosthesis. This is lowered into the annular plane and thereafter knotted.

For the assessment of the results of the repair, the atrial retractor is again positioned in the left atrium.  To estimate the competence of the valve, a water probe is applied with an implanted open mitral ring. After successful completion, the left atrium is closed leaving behind the ventricular vent via the mitral valve in the left ventricle. Aortic cross-clamp is removed and aortotomy suture is further knotted. The aortic vent is positioned in the ascending aorta. A polypropylene purse-string suture is hand-knotted after aortic vent is removed. After confirmation by the TEE, the procedure moves to the final stage where the aortic cannula is removed and a percutaneous cannula is also withdrawn with the femoral vein temporarily placed under compression, the skin incision is closed with a single silk stitch.

Recovery from Heart Double Valve Replacement

After the surgery, the patient is shifted to ICU for close monitoring for several days. Blood pressure, ECG tracing, breathing rate, and oxygen levels are closely studied. You may require staying in the hospital for several days after heart valve replacement surgery. With the help of the ventilator, breathing is assisted via a tube inserted in the throat. The breathing machine will be further adjusted as the patient keeps growing stable and once the patient is able to breathe and cough on their own, the tube is removed. Along with this, the stomach tube is also removed.

In every two hours, a nurse would help the patient take deep breaths and cough. This feels sore but is vital to prevent accumulation of mucus in the lungs and prevent pneumonia. The patient is taught to hug a pillow tightly while coughing to ease out any discomfort. The patient must express discomfort felt at coughing and medications are suggested accordingly. Slowly fluid intake is initiated and you can gradually increase your daily activities such as walking around the room. After a few days, the patient is shifted to the recovery room where the rest of the recovery takes place before discharge.

Notify your doctor if you feel swelling and redness around incision area, fevers and chills, or pain in the area of the incision. You should rest and keep the surgical area as clean as possible at home.

Patient Stories

Frequently Asked Questions

How much does Heart Double Valve Replacement cost in Poland?

While depending upon a range of factors, the minimum cost for Heart Double Valve Replacement in Poland is USD 15000. There many JCI, TEMOS, OECI certified hospitals in Poland that offer Heart Double Valve Replacement

What are the factors affecting the cost of Heart Double Valve Replacement in Poland?

Heart Double Valve Replacement package cost in Poland has different inclusions and exclusions. The Heart Double Valve Replacement package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The Heart Double Valve Replacement cost in Poland includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Heart Double Valve Replacement in Poland.

Which are some of the best clinics in Poland for Heart Double Valve Replacementt?

There are many hospitals across the country that offer Heart Double Valve Replacement to international patients. Some of the best hospitals for Heart Double Valve Replacement in Poland include the following:

  1. American Heart of Poland
How many days does it take to recover post Heart Double Valve Replacement in Poland?

After discharge from the hospital, the patient has to stay for another 21 days in the country for complete recovery. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.

Which are some of the other popular destinations for Heart Double Valve Replacement?

Poland is considered to be one of the best places for Heart Double Valve Replacement in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. Some of the other destinations that are popular for Heart Double Valve Replacement include the following:

CountryCost
CzechiaUSD 45000
GreeceUSD 20500
IndiaUSD 9500
IsraelUSD 65000
PolandUSD 15000
Saudi ArabiaUSD 33000
SingaporeUSD 52500
South KoreaUSD 70000
ThailandUSD 50000
TunisiaUSD 9500
TurkeyUSD 15000
United Arab EmiratesUSD 45000
How much are the other expenses in Poland apart from the cost of Heart Double Valve Replacement?

Apart from the Heart Double Valve Replacement cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The extra charges may start from USD 50 per person.

Which are the best cities in Poland for Heart Double Valve Replacement Procedure?

There are many cities that offer Heart Double Valve Replacement in Poland, including the following:

  1. Jelenia Gora
  2. Warsaw
  3. Ustron
How many days does one have to spend in the hospital for Heart Double Valve Replacement in Poland?

The patient is supposed to stay at the hospital for about 5 days after Heart Double Valve Replacement for monitoring and care. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.

How many hospitals offer Heart Double Valve Replacement in Poland?

There are more than 1 hospitals that offer Heart Double Valve Replacement in Poland. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Poland

Who are the best doctors for Heart Double Valve Replacement in Poland?

Some of the best doctors for Heart Double Valve Replacement in Poland are:

  1. Dr. Radoslaw Stefan Kiesz
  2. Dr. Andrzej Bochenek

FAQ's Related to Poland

Which are the popular multispecialty hospital groups in Poland?

Poland has several top-quality clinics, such as:

  1. Gyncentrum Fertility Clinic
  2. Carolina Medical Center
  3. KCM Clinic
  4. Warszawski Szpital Dla Dzieci
  5. Szpital Wolski

These hospitals house highly experienced and well-trained doctors who can handle even the most complicated cases. All kinds of surgeries are offered at these multispecialty hospitals and they follow strict medical protocols. World-class treatments are available at an affordable cost in these hospitals. All modern facilities are provided to patients to make their stay as comfortable as possible.

What healthcare accreditation standards are followed in Poland?

The healthcare system in Poland is accredited by the National Committee for Quality Assurance (NCQA). Launched in 1998, Poland’s Hospital Accreditation Programme focuses on uplifting the quality of care provided by healthcare and improving patient safety standards. There is a strict process to receive accreditation. Hospitals are mandated to follow appropriate procedures defined by the accreditation body. NCQA evaluates healthcare facilities on stringent parameters such as administrative management and quality of patient care, and performance management.

Why should I opt for treatment in Poland?

Poland has emerged as one of the major medical tourist destinations in the world and has gained popularity among patients who come here mainly from Western Europe. Some of the factors like highly professional medical staff, top quality of services, shorter waiting times for surgeries, and affordable treatment price, contribute to Poland’s popularity in medical tourism. The world-class clinics in Poland are backed with modern infrastructure and the doctors are known for their excellence in various procedures. All the healthcare facilities in Poland are strictly monitored by the Polish Ministry of Health, which ensures the maintenance of standards of hygiene and patient care.All medical service providers and hospitals in Poland are subordinate to the Polish Ministry of Health, which looks after the maintenance of standards of hygiene and patient care.

What is the process for obtaining medical visa in Poland?

A Schengen Visa allows a person to travel to Poland to seek medical treatment. If you own a Schengen Visa, you can stay in Poland for a maximum period of 90 days. You need to submit the below documents for applying for a medical visa:

  1. Employment documents along with bank statements
  2. Valid passport
  3. Recent passport size photographs
  4. Accommodation proof from the candidate
  5. Medical certificate attested by the referring registered medical practitioner

All the submitted documents are thoroughly checked by the Poland embassy before issuing a medical visa.

What are the popular procedures available in Poland?

Some of the popular medical procedures available in Poland are:

  1. In Vitro Fertilization (IVF)
  2. Rhinoplasty
  3. Hip replacement
  4. Dental Implant
  5. Facelift surgery
  6. Breast augmentation
  7. Otoplasty

Cosmetic surgery is the most popular procedure availble in the country, with a high success rate. The credit mainly goes to the highly trained plastic surgeons who have worked for years in European clinics and are in a regular contact with surgeons from all over the world. Poland has reported the highest sucess rate in IVF in whole Europe. Around 32 percent of IVF are successful per treatment cycle. Several factors conntribute to the popularity of these popular proceduces in Poland, such as world-class hospitals with superior infrastructure and highly-skilled doctors, fast recovery, and use of cutting-edge medical technology.

Which are the most popular cities in Poland for medical treatment?

Poland's Medical tourism destinations are based in major cities which are easily accessible by plane. Poland’s major medical tourism destinations are Warsaw, Gdansk, Krakow, Szczecin and Wroclaw. Most of these cities have an efficient public transportation system, language assistance, cheap accommodation options, and connectivity. Warsaw is the most beautiful island in Poland where patients can completely relax and rejuvenate after treatment and experience a speedy recovery.

What are the other facilities provided by hospitals in Poland?

Clinics in Poland offer world-class facilities to international patients to ensure safety and comfort throughout their stay in Poland. Some of the facilities available at clinics in Poland are:

  1. Visa assistance,
  2. Travel arrangements,
  3. Airport transfers,
  4. Coordination of all medical appointments,
  5. Accommodations for patients and companions,
  6. International staff translators,
  7. Shopping and recreational options,
  8. Internet with wi-fi,
  9. Mobile sim cards,
  10. Lockers, and
  11. Cuisine to suit your palate.

Clinics in Poland help international patients at all stages of their treatment journey, right from queries, preparations for their travel, arrival, visit of the hospital, and follow-up care. The hospitals are committed to meeting all the needs and requirements that you or your family members may have during your stay at the hospital.

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