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Fontan Procedure Cost in Johannesburg

Costs starts from USD15000 to USD25000
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Cost of Fontan Procedure in Major Cities of South Africa

CityMinimum Cost (USD)Minimum Cost (ZAR)Maximum Cost (USD)Maximum Cost (ZAR)
Cape TownUSD 15000269550USD 25000449250
DurbanUSD 15000269550USD 25000449250
JohannesburgUSD 15000269550USD 25000449250

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Fontan procedure is a surgery for individuals born with only one functioning heart ventricle. Following the surgery, the pulmonary artery is the only blood vessel that receives oxygen-poor blood from the body, bypassing the heart chambers. Most patients live for 30 years or more following the surgery.

Who is the best candidate for the Fontan procedure?

Children aged 2 to 15 (generally between 3 and 5) with a single ventricle condition may need a Fontan procedure. However, it’s not suitable for everyone. A healthcare provider will determine if your child is a good candidate by ensuring their working ventricle is strong enough to pump effectively and their lungs are healthy enough to handle passive blood flow.

Classification

Following are the different types of Fonton Procedures:

  • Atriopulmonary Connection involves connecting the right atrium directly to the pulmonary arteries.
  • Lateral Tunnel Fontan: This method uses an intracardiac tunnel within the atrium to direct blood flow to the pulmonary arteries.
  • Extracardiac Conduit Fontan: This method uses the heart by joining the inferior vena cava to the pulmonary arteries, bypassing the heart.

The Fontan procedure is palliative surgery for the hearts of children with complex congenital heart defects where one ventricle is functional. Examples include tricuspid atresia, hypoplastic left heart syndrome, and other single-ventricle conditions. It redirects venous blood flow to the pulmonary artery, bypassing the heart, to improve blood oxygenation and decrease the workload on a single ventricle.

Single-ventricle physiology is usually diagnosed shortly after birth or during fetal screening. Parents should consult a pediatric cardiologist early so the child can be monitored and a plan for surgery can be developed. Poor weight gain, bluish discolouration of the skin (cyanosis), extreme tiredness, and difficulty breathing are some symptoms that require immediate review.

Preparation includes complete preoperative evaluation with echocardiography, cardiac catheterisation, and blood tests. The child may even have had staged operations (such as Norwood, Glenn) before Fontan. They will be instructed about medications, nutritional support, and measures to prevent infections before surgery.

Under general anesthesia, the surgeons connect the inferior vena cava (which carries deoxygenated blood from the lower part of the body) directly to the pulmonary artery, facilitating passive blood flow to the lungs. This can be done either via a lateral tunnel or an extracardiac conduit. The heart-lung machine is used during surgery.

The complexity of the Fontan operation largely depends on the state of the child and the surgery itself. Hence, it usually takes 4 to 6 hours to perform. Variations in surgical time may occur if preceding operations have been performed or if any complications arise.

  • Arrhythmias
  • Bleeding
  • Infection
  • Pleural effusion (fluid around the lungs)
  • Low cardiac output
  • Blood clots

Fontan greatly increases oxygenation, resulting in its sky-high appeal in cases of single ventricular defects, where cyanosis is a serious drawback.

Patients spend 1 to 2 days in the ICU, followed by 1 to 2 weeks of hospitalisation. Blood thinners and other medicines to maintain fluid balance and heart functioning usually continue at home. Follow-ups include regular cardiac imaging, lab monitoring, and advice on activities.

The Fontan procedure achieves a survival rate of over 90% for well-selected patients, especially with the introduction of advanced surgical techniques and postoperative care. Long-term survival into adulthood is possible, but lifelong follow-up under an adult cardiologist is necessary.

Top Selling Packages for Fontan Procedure

Fontan
Fontan

Amrita Hospital, Faridabad, India

USD 6200 USD 6700

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Fontan Procedure in Lenmed Ahmed Kathrada Private Hospital: Costs, Top Doctors, and Reviews

Johannesburg, South Africa

Apart from in-detail treatment procedures available, Lenmed Ahmed Kathrada Private Hospital located in Johannesburg, South Africa has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 254 bed capacity
  • 24 Hour Emergency section
  • Cardiac Catheterisation Laboratory
  • Clinical Trial Centre
  • Sports Medicine Centre
  • Centre of Excellence for Strokes
  • 24 hour trauma and emergency
  • Many medical specialties
  • Option of Minimally invasive laparoscopic surgery in Gynaecology, Urology and General Surgery
  • Patient shuttle facility
  • International patient coordinators

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Process Involved for Fontan Procedure in Johannesburg

  • Evaluation & Preparatory Stage
    • Medical Assessment: Detailed History
    • Diagnostic Tests are performed for a better understanding.
    • Medical Optimization
    • Surgical Planning
  • Surgical Stage
    • General Anesthesia & Heart-Lung Bypass
    • Creating the Fontan Circuit
    • Surgical closure
  • Postoperative Recovery
    • Intensive Monitoring
    • Pain & Infection Management
  • Rehabilitation & Follow-Up Care
  • Blocked Tricuspid Valve
  • Blocked Pulmonary Valve
  • Hypoplastic Left Heart Syndrome (HLHS)
  • Double Inlet Left Ventricle (DILV)
  • Single Ventricle Circulation
  • Tricuspid atresia (Congenital Heart defect)
  • Hypoplastic left heart syndrome (HLHS)
  • Double inlet left ventricle (DILV)
  • Patients who have undergone prior heart surgeries
  • Norwood Procedure (Stage 1) : Performed in Newborn
  • Bidirectional Glenn Shunt (Stage 2)
  • Fenestration Creation (small opening)
  • Pacemaker Implantation
  • Improves Blood Oxygen Levels
  • Reduces Heart Strain
  • Enhances Physical Activity & Quality of Life
  • Provides a Stable Long-Term Circulation
  • Prevents the Need for Transplantation
  • Pediatric Cardiac Surgeon
  • Adult Cardiac Surgeon
  • Pediatric Cardiologist
  • Perfusionist
  • Cardiologist
  • Physiotherapist
  • Rehabilitation Specialists
  • Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
  • Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
  • Receive a Detailed Treatment Plan:After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
  • Choose your preferred option: Choose the treatment option that suits you the best.

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Frequently Asked Questions

Fontan Procedure package cost in Johannesburg has different inclusions and exclusions. There are many hospital who cover the cost of pre-surgical investigations of the patient in the treatment package. The Fontan Procedure package in Johannesburg includes the fees of the surgeon, hospitalization and anesthesia as well. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Fontan Procedure in Johannesburg.

There are many hospitals that perform Fontan Procedure in Johannesburg. The following are some of the most renowned hospitals for Fontan Procedure in Johannesburg:

Upon discharge from the hospital after Fontan Procedure in Johannesburg, the patients are advised to stay for about 23 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.

Johannesburg is one of the most popular cities for Fontan Procedure in the world. The country offers the best cost of Fontan Procedure, best doctors, and advanced hospital infrastructure. However, there are other cities as mentioned below that are popular for Fontan Procedure as well:

Apart from the Fontan Procedure cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may range from 35 USD.

After Fontan Procedure surgery, the patient is supposed to stay for about 7 Days in the hospital for recovery and monitoring. 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.

Out of all the hospitals in Johannesburg, there are about 1 Hospitals best hospitals for Fontan Procedure in Johannesburg. These hospitals are approved to perform the surgery and have proper infrastructure to handle Fontan Procedure patients. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Fontan Procedure patients.

Author

Alvina Hasan

M.Pharm

1 Year of Experience

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in the pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University. With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven pieces designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding. . View More

Reviewer

Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More