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When a person only has one functioning cardiac ventricle, a Fontan operation can help with circulation. This issue arises from one of several congenital heart disorders (heart disorders present from birth).
Through the Fontan surgery, blood with low oxygen content from the lower body can receive oxygen directly from your heart and travel straight to your pulmonary artery and lungs. This treatment typically comes after another one called the Glenn procedure, which is used to transfer blood with low oxygen content from your upper body to your lungs and pulmonary artery.
Factors that affect the cost of Fontan Procedure:
- Type of Fontan Procedure: The Fontan procedure comes in several forms, including as the bidirectional Glenn, the total cavopulmonary connection (TCPC), and the conventional Fontan. The exact method type used, as well as any adjustments or extra steps required, can affect the final cost.
- Surgeon's Experience and Expertise: The cost of the Fontan operation may vary according to the surgeon's background, degree of expertise, and reputation. Pediatric cardiac surgery specialists with advanced training and vast expertise may bill more for their services.
- Geographic Location: Depending on one's geographic location, healthcare treatments, particularly heart procedures, might have dramatically different costs. Pricing can be impacted by elements such as local healthcare systems, market dynamics, and cost of living.
- Medical facility enter expenses: An additional factor in the total cost of the Fontan surgery is the expenses related to the surgical center where it is conducted. These costs may vary depending on elements such as the facility's amenities, reputation, and location.
- Costs associated with anesthesia: To guarantee patient comfort during the Fontan treatment, anesthesia is usually necessary. Costs may vary depending on the kind of anesthesia (local, regional, or general) and the amount of time needed for it.
- Preoperative Assessments and Testing: To determine the patient's general health and surgical preparedness, preoperative consultations, assessments, and testing may be required. The total cost may increase as a result of these extra services.
- Postoperative Care and Follow-Up: When calculating the overall cost of the Fontan procedure, postoperative care costs, such as follow-up visits, prescription drugs, and any required medical supplies, should be taken into account.
- Length of Hospital Stay: The total cost may vary depending on how long the patient remains in the hospital after the Fontan treatment. Extended hospital stays may result in higher costs for various services, nursing care, and room and board.
- Challenges or Additional surgeries: The total cost of the Fontan procedure may rise in the event of revisions, additional surgeries, or unanticipated difficulties during or after the treatment.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 18000 | 14220 |
| Turkey | USD 13796 - 16829 | 415811 - 507226 |
| Spain | USD 10200 - 12000 | 9384 - 11040 |
| United States | USD 12082 - 16157 | 12082 - 16157 |
| Singapore | USD 18000 | 24120 |
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
Amrita Hospital, Faridabad, India
USD 6200 USD 6700
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Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
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Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
IRCCS Ospedale San Raffaele
milan, Italy
- Premier multi-speciality research hospital specialising in molecular medicine, gene therapy, and cardiovascular care.
- Part of Gruppo San Donato (GSD) and affiliated with Università Vita-Salute San Raffaele.
- Treats around 1.5 million patients annually, including many international visitors.
- Designated as a European Reference Centre (ERN GUARD-Heart) for complex heart conditions.
- Offers advanced services in cardiac surgery, electrophysiology, oncology, urology, gene therapy, plastic surgery, and diagnostic imaging.
- Equipped with state-of-the-art operating theatres, diagnostic labs, and 1,640 patient beds.
- Provides multilingual support, patient-focused care, and on-site pharmacies, labs, and cafeterias.
- Ranked among the World’s Best Specialised Hospitals (2025) for cardiology and cardiac surgery.
Apollo Hospital International Limited
Ahmedabad, India
Types of Fontan Procedure in Apollo Hospital International Limited and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Fontan Procedure (Overall) | 7630 - 10198 | 626824 - 834265 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 7937 - 10625 | 651163 - 870012 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 7692 - 10181 | 632934 - 828296 |
| Modified Fontan Procedures | 7792 - 10384 | 641363 - 846261 |
- Address: Apollo Hospital, Prabhat Chowk, 61, Ghatlodiya, Chanakyapuri, Ahmedabad, Gujarat, India
- Facilities related to Apollo Hospital International Limited: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Metro Hospital
Noida, India
Types of Fontan Procedure in Metro Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Fontan Procedure (Overall) | 7010 - 9206 | 581603 - 763087 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 7387 - 9718 | 594050 - 810457 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 7019 - 9322 | 578229 - 756473 |
| Modified Fontan Procedures | 7086 - 9579 | 590960 - 786800 |
- Address: Metro Hospital & Heart Institute, Buddh Vihar, Block X, Sector 12, Noida, Uttar Pradesh, India
- Facilities related to Metro Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Memorial Atasehir Hospital
Istanbul, Turkey
Types of Fontan Procedure in Memorial Atasehir Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Fontan Procedure (Overall) | 13667 - 16670 | 415329 - 509778 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 14350 - 17238 | 421207 - 520525 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 13867 - 16674 | 414413 - 504684 |
| Modified Fontan Procedures | 13982 - 17032 | 411456 - 517635 |
- Address: K
- Facilities related to Memorial Atasehir Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medicana Bahcelievler Hospital
Istanbul, Turkey
0.5 ( 1 Reviews )
Types of Fontan Procedure in Medicana Bahcelievler Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Fontan Procedure (Overall) | 13554 - 16997 | 411311 - 514505 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 14136 - 17234 | 422273 - 520750 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 13889 - 17118 | 404633 - 519150 |
| Modified Fontan Procedures | 13605 - 16942 | 423139 - 520973 |
- Address: Bahçelievler Mahallesi, Medicana Bahçelievler, Eski Londra Asfaltı Caddesi, Bahçelievler/Istanbul, Turkey
- Facilities related to Medicana Bahcelievler Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medicana Konya Hospital
Konya, Turkey
Types of Fontan Procedure in Medicana Konya Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Fontan Procedure (Overall) | 13276 - 16718 | 404659 - 503584 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 14280 - 17106 | 420892 - 518086 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 13770 - 16561 | 418369 - 518127 |
| Modified Fontan Procedures | 13675 - 16803 | 417111 - 516719 |
- Address: Feritpaşa Mahallesi, Medicana Hospital in Konya, Gürz Sokak, Selçuklu/Konya, Turkey
- Facilities related to Medicana Konya Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
NMC Specialty Hospital - Al Ain
Abu Dhabi, United Arab Emirates
Types of Fontan Procedure in NMC Specialty Hospital - Al Ain and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| Fontan Procedure (Overall) | 15681 - 19423 | 58589 - 70582 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 16034 - 19952 | 58773 - 70892 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 16199 - 19100 | 58025 - 68784 |
| Modified Fontan Procedures | 15983 - 18831 | 58880 - 70170 |
- Address: NMC Specialty Hospital Al Ain - Abu Dhabi - United Arab Emirates
- Facilities related to NMC Specialty Hospital - Al Ain: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Medicana Bursa Hospital
Bursa, Turkey
Types of Fontan Procedure in Medicana Bursa Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Fontan Procedure (Overall) | 13603 - 16610 | 398387 - 519054 |
| Bidirectional Glenn Procedure (Stage II Fontan) | 14093 - 17060 | 424361 - 530502 |
| Hemi-Fontan Procedure (Hemi-Fontan or Completion Fontan) | 13763 - 17137 | 412320 - 507610 |
| Modified Fontan Procedures | 13825 - 17371 | 410364 - 509449 |
- Address: Odunluk Mahallesi, Medicana BURSA HOSPITAL, Akpınar Caddesi, Nilüfer/Bursa, Turkey
- Facilities related to Medicana Bursa Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
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+99Process Involved for Fontan Procedure
- 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
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