Fontan Procedure in Israel

The heart is one of the most complex organs of the body. To have it function properly turns out to be quite a task if there happens to be any defect in it whatsoever. Sometimes, in some cases, the heart does not pump the blood quite right. This is a congenital defect and is usually observed in newborn babies. To rectify this defect so that blood flows through the circulatory system just the way it is used to, the Fontan Procedure is conducted.

How is the Fontan Procedure conducted?

A Fontan Procedure in Israel is needed when there is blue blood in the circulatory system. This means that the heart has not been functioning the way it should. To fix it, a wall is built between the right upper chambers of the heart. This wall guides the blue blood coming from the lower body into the blood vessels. Then, a small hole, called the Fenestration, is made in the baffle (the wall). Due to this hole, a small amount of blue blood is allowed into the right upper chambers.

In most cases, the size of the fenestration varies depending upon the condition. Usually, a very small hole is made, which heals all by itself over time. However, if the condition is severe, the size of the hole is bigger, which is later closed shut using heart catheterization.

Fontan Procedure in Israel

The Fontan Procedure in Israel is done under the supervision of world renowned doctors and surgeons and in the presence of world class equipments. With the best in class facilities available, the chance of success in pulling off Fontan Procedures is higher.  In the last couple of decades, Israel has grown exponentially when it comes to offering brilliant cardiology solutions. One could attribute it to the innovative treatment methods and the flexibility of healthcare prevalent there.  In Israel, the medication suggested is also reasonable therefore making it a really affordable treatment solution. Fontan Procedures elsewhere end up being really expensive.

The cost of the room, the quality of the facility and the service offered by doctors, nurses and staff is not compromised even a bit, which is why a lot of parents trust their child’s Fontan Procedure to be conducted here.  

Cost Comparison

The cost of getting a Fontan Procedure in Israel largely depends upon the doctors you consult, the facilities you admit your child in, and the medications you opt for. While it costs around $225,000 for a Fontan procedure in the USA, in Israel, you can get the same state of the art hospital care and capable physicians for far less. Even after considering the cost of flights and accommodation for foreign patients, the overall cost remains far less than most Western nations.

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About the Fontan Procedure

The Fontan procedure is performed in children with a special type of congenital disorders that leaves them with a single functioning ventricle. There are two ventricles in the heart, one supplies blood to the lungs while the other pumps blood to the rest of the body parts.

Some children may be born with just one functional ventricle because of an absence of a heart valve or an abnormality in the ability of the ventricles to pump blood. As a result, a single ventricle has to work hard to supply blood to the lungs and the rest of the body at the same time. In such children, the Fontan procedure is performed.

The Fontan procedure is usually conducted when the child is between the age two and five. However, it can be conducted before two years of age. The Fontan procedure is contraindicated in children with high pulmonary vascular resistance. This is because as a part of this procedure, the blood must flow through the lungs without the pumping function of the heart. The Fontan procedure is also contraindicated in children with mitral insufficiency, left ventricular dysfunction, and pulmonary artery hypoplasia. The Fontan operation is also conducted in adults with this defect. The treatment is more complicated in such patients, as adults are more likely to develop Protein-Losing Enteropathy (PLE). It is a condition in which the protein is lost through the gut and it may lead to internal bleeding and fluid retention. But the complications resolve on its own when the surgery is performed. Such patients may sometimes even need a heart transplant.

How is Fontan Procedure performed?

The Fontan procedure is performed under the influence of general anesthesia. The patient is shifted to the surgical room an hour before the actual time of the surgery. General anesthesia is administered and once the patient is in deep sleep, a tube is inserted into the windpipe.

The body of the patient is connected to machines so that his or her vital parameters can be observed throughout the surgery and after that.The main purpose of the surgery is to optimize the Fontan circulation so that a single ventricle is able to effectively pump pure blood to the entire body and the impure blood to the lungs without any pumping mechanism. During the surgery, the surgeon opens the thoracic cavity by cutting through the sternum, which is a bone attached to the ribs. Doing so provides direct access to the heart.

Next, the surgeon uses either the extra-cardiac method or the lateral tunnel method to make the impure blood reach the lungs. The create a hole between the Fontan circuit and the right atrium to relieve the pressure. The hole, also known as “fenestration,” closes of its own later or can be closed off later with the help of cardiac catheterization.

Recovery from Fontan Procedure

The patient is transferred to the recovery room after the surgery and this is where all his or her vital signs are monitored for a couple of hours. Once the patient is stable, he or she is transferred to the cardiac ward.

The doctors may administer painkillers to control pain after the surgery. Expect the patient to be kept in the hospital for a few days. Additionally, eating and drinking are restricted for a few days after the surgery. Once the bowel movement resumes normally, the patient is given a light diet and fluids. This may take anywhere from two to three days. The medications and fluids are administered through an IV line until the patient starts taking normal diet. The dressing is changed every day during the hospital stay. A majority of patients are able to return to their normal routine within the first three months of the surgery. They are advised to increase their activities gradually and not to exert themselves too much.

Patient Stories

Frequently Asked Questions

Why do people prefer Fontan Procedure in Israel?

Apart from the best facilities worldwide and an elite team of doctors and surgeons always at your side, Fontan procedures in Israel are also affordable and the payment method here stands flexible too. This skill and experience of surgeons and the access to technology lead to a higher success rate when it comes to Fontan Procedures.

What is the average cost of Fontan Procedure in Israel?

The average cost of Fontan Procedure in Israel is hard to estimate considering the varied range of treatment available here. Doctors and surgeons here have such varied experiences that their pricings vary too. Based on the facility you choose the reputation of the doctor you consult and the final medication you opt for would ultimately determine the cost of Fontan Procedure in Israel.

Which are the best hospitals for Fontan Procedure in Israel?

Some of the best hospitals for Fontan Procedure in Israel are Rabin Medical Center based in Petah Tikva, The Kaplan Medical Center based in Rehovot, The Herzliya Medical Center located in Herzliya, The Assuta Hospital based in Tel-Aviv and also the Sheba Medical Center located in Tel Hashomer.

Who are the best cardiac surgeons for Fontan Procedure in Israel?

Some of the best cardiac surgeons to opt for in Israel are Daniel Bitran, Gady Keren, Yehuda Wolf, David Luria, Gideon Uretzky, Gil Bolotin and Amir Kremer. These surgeons will offer you the best in class advice, considering the immense experience they hold. They have been in the business for far too long, and there hardly happens to be a situation that they have not experienced throughout their career.

How successful is Fontan Procedure in Israel?

The success rate of the Fontan Procedure in Israel is pretty high. Considering the access to technology and elite team of experts they have, Israel is well equipped to tackle the most complex cases of heart conditions. They have a neat track record of one of the most Fontan Procedures, and that has earned them the stature they now hold in the world of medicine.

What is the health care infrastructure of Israel / Why should opt for Israel as a destination for your medical treatment?
Israel is one of the most developed countries in the world which has been rightly praised for the healthcare benefits it offers. Unlike historical times, Israel has upgraded and advanced itself to keep at par with the progression in the medical field and has thus been capable of providing the best of the best benefits to not only the native citizens but for tourists from all across the world. The reason why thousands of people prefer Israel over other countries is because of the high affordability of the medical facilities. The healthcare benefits of the hospitals and the clinics are competent with the major countries which means their services are uncompromised even though the packages can be availed at approximately 65% affordable rates.
What are the conditions of the hospitals in Israel? Are they JCI certified. What is the quality of the support staff in the hospitals?
Even though Israel is counted among one of the most affordable countries for medical treatments, the country houses best hospitals and clinics, which are teamed yo with professional physicians and surgeons as well as advanced medical equipment. Due to the quality of the treatment available, a number of hospitals and clinics in Israel have earned due JCI certification. Hence, some of the most popular hospitals in Israel which have attained JCI certification are:
  • Sheba Medical Center
  • Sourasky Medical Center
  • Rabin Medical Center
  • Rambam Medical Center
  • Assuta Hospital

Not only the doctors, the hospitals in Israel follow a strict protocol while selecting medical staffs, which is why, the quality of even the support staffs remain incomparable. The support staffs are also trained to handle emergency situations as well as critical cases with umpteenth care so as to ensure complete healthcare to the candidate undergoing minor to major procedures.

Are the doctors/surgeons in Israel of the best quality?
The doctors and surgeons in Israel are globally recognized for their excellent skills which has also garnered them with awards from reputed medical universities. A high number of complex and terminal cases have been successfully treated by the medical professionals working in the country. More than the progressing technology, the doctors are accredited for the impressive treatments in the United States of America, which is why, every year the USA records some of the highest number of medical tourists from various corners of the world.
What is the process for obtaining medical visa in Israel?
Visas for medical reasons are arranged by the sponsors directly through the government portal. However, the candidate should go through the procedure listed on the government portal so as to keep the documents and necessary photocopies, to be submitted, ready. In some cases, the candidate may also have to obtain a fresh permit from the Embassy mentioning the details and attaching the requirements to be followed. However, the documents needed for obtaining medical visa are:
  • Confirmation page of successfully filled visa application form
  • Visa fee paid and a photocopy of the receipt obtained for the same
  • Two passport size recent photographs not older than six months
  • Birth certificate, residential proof, employment proof, if any.
  • Civil status proof of the candidate
  • Minors require to provide signed consent of the parents or the guardians responsible
  • Medical certificate signed by the treating medical professional, mentioning clearly the cause of travel
  • Acceptance letter by the doctor being referred to, also stating the estimated time of stay required.
What support services does MediGence provide in Israel?
MediGence ensures a hassle-free medical travelling experience in Israel. Right from the beginning of the journey to the end, MediGence assists the candidates and the family with utmost care thereby making the stay as comfortable as it can be. Hence, here is a list of services provided for candidate satisfaction:
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Accommodation Assistance
  • Rehabilitation and recovery services
Which are the best cities in Israel for medical treatment?
Israel is brimming with historic cities that have graced mankind with beautiful architecture. However, the country has also upgraded itself in terms of medical facilities. This, some of the best cities in Israel which are ideal for availing medical treatment are:
  • Ramat Gan
  • Beer Sheva
  • Tel Aviv
  • Haifa

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