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Cost of Norwood Procedure in Major Cities of Lithuania

City	Minimum Cost (USD)	Minimum Cost (LTL)	Maximum Cost (USD)	Maximum Cost (LTL)
Kaunas	USD 25000	85518	USD 40000	136828
Vilnius	USD 25000	85518	USD 40000	136828

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The Norwood procedure enhances blood circulation in newborns with hypoplastic left heart syndrome (HLHS). This surgery allows the right ventricle to compensate for an underdeveloped left ventricle and aorta. Post-operation, the right ventricle pumps blood to the lungs for oxygenation and also circulates oxygen-rich blood throughout the body.

This surgery allows the right side of a baby’s heart to send oxygen-rich blood to the body, a function typically performed by the left side. In a baby with HLHS, the left side of the heart is not developed enough to handle this task.

After the surgery, the right ventricle continues its normal function of pumping deoxygenated blood to the lungs. However, it also takes on the role of the left ventricle by pumping oxygenated blood to the rest of the body.

While this does not maintain the separation between oxygenated and deoxygenated blood like a normal heart, it significantly improves oxygen delivery to the baby’s cells and tissues, offering a better quality of life despite not being a perfect solution.

Who needs to have a Norwood procedure?

Babies with hypoplastic left heart syndrome (HLHS) require this surgery within the first few weeks of life. Due to their underdeveloped left ventricle, the Norwood procedure allows their right ventricle to execute the functions of both ventricles.

For the first few days after birth, a baby’s blood can flow between the aorta and pulmonary artery through the patent ductus arteriosus, allowing the right ventricle to send blood to both the lungs and the body. However, once this opening closes naturally after birth, the right ventricle can no longer send blood to the body, necessitating the Norwood procedure.

The Norwood procedure is the first of three surgeries done to correct hypoplastic left heart syndrome (HLHS). This congenital heart defect occurs in only a few babies and involves underdevelopment of the left side of the heart. It assists in redirecting blood flow so the single working right ventricle can pump blood to the lungs and the body.

This disorder is usually diagnosed before birth with a fetal echocardiogram or after birth for evidence such as blue skin colouration (cyanosis), weak feeding, quick breathing, or sleepiness. Early neonatal intervention and surgery consultation are mandatory.

Preparation is initiated in the neonatal intensive care unit (NICU) where the infant is stabilised with medications (e.g., prostaglandin to maintain patency of the ductus arteriosus). Diagnostic studies such as echocardiograms, chest X-rays, and blood work are obtained to prepare for surgery.

During the Norwood procedure, the surgeon creates a new aorta from the current pulmonary artery and attaches it to the right ventricle. A shunt (Blalock-Taussig or Sano shunt) is inserted to deliver blood to the lungs, enabling the right ventricle to assume systemic and pulmonary circulation.

The operation is involved and lasts 5 to 6 hours or more. It is done under general anesthesia with a heart-lung bypass machine. A few weeks' hospital stay in the NICU or cardiac ICU is anticipated after surgery.

Bleeding
Infection
Arrhythmias
Low cardiac output
Neurological injury
Shunt blockage

The main advantage is lifesaving palliation for babies with HLHS. It helps the infant to live and develop until it can receive the subsequent phases of treatment: the Glenn and Fontan surgeries.

Recovery consists of intensive observation in the ICU, mechanical ventilation, and weaning progressively off support. Feeding support and medications to sustain cardiac function are typically needed. Ongoing growth and observation are necessary until the following procedure at 4–6 months old.

Survival has dramatically improved; early survival is approximately 75–85% at advanced centres. Long-term prognosis is based on global heart function, presence of additional anomalies, and success of the staged surgical approach.

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Explore Hospitals ( 1 )

Meliva Kardiolita Hospital, Kaunas

Kaunas, Lithuania

Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania 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. Also listed below are some of the most prominent infrastructural details:

An outpatient department, 56-beds for inpatients
13 advanced operation theatres
24-hour intensive care unit
Emergency Department
Gynecology Center
Vascular Center
ENT Center
Neurology Center
General and Abdominal Surgery Center
The staff also takes care of your air travel and pick & drop facility
Gynecology Center
Vascular Center
ENT Center
Neurology Center
General and Abdominal Surgery Center
The staff also takes care of your air travel and pick & drop facility

5

DOCTORS IN 14 SPECIALITIES

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FACILITIES & AMENITIES

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Process Involved for Norwood Procedure in Kaunas

Evaluation & Preparatory Stage
- Diagnostic Tests are performed for a better understanding
- Nutritional Support for some babies before surgery
Surgical Stage
- General Anesthesia & Heart-Lung Bypass
- Aortic Reconstruction
- Right Ventricle to Pulmonary Artery (RV-PA) Shunt
- Removal of Atrial Septum
- Weaning Off Bypass & Chest Closure
Postoperative Recovery
- Intensive Monitoring
- Gradual Feeding & Weight Gain
Intermediate Stage
- Home Monitoring Program to track oxygen levels, weight and feeding
- Frequent Follow-Up Care
Subsequent Stage Surgery (Glenn Procedure at 4-6 Months)

Hypoplastic Left Heart Syndrome (HLHS)
Narrowed Heart Valve
Blocked Heart Valve (Mitral Atresia)
Unbalanced Atrioventricular Septal Defect (AVSD)
Other Single Ventricle Defects

Diagnosis of Hypoplastic Left Heart Syndrome (HLHS)
Critical Aortic Stenosis or Atresia
Single Ventricle Physiology
Weak Right Ventricular Function
Low to moderate lung blood pressure

Atrial Septectomy
A temporary Shunt is placed(Sano Shunt)
Aortic Arch Reconstruction
Balloon Atrial Septostomy (Pre-Surgery Procedure)
Next-Stage Surgeries (Glenn & Fontan Procedures)

Establishes Systemic Circulation
Increases Oxygen Delivery
Enables Future Staged Surgeries
Improves Survival in HLHS Patients
Enhances Growth & Development

Pediatric Cardiac Surgeon
Pediatric Cardiologist
Perfusionist

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Frequently Asked Questions

Different hospitals have different pricing policy when it comes to the cost of Norwood Procedure in Kaunas. The cost quoted by some of the best hospitals for Norwood Procedure in Kaunas generally covers the pre-surgery investigations of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Norwood Procedure in Kaunas.

Norwood Procedure in Kaunas is offered by multiple hospitals across the country. Some of the most renowned hospitals for Norwood Procedure in Kaunas include the following:

Kardiolita Hospital, Kaunas

While the speed of recovery may vary from patient to patient, they are still required to stay for about 21 days after discharge. 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.

Kaunas is considered to be one of the best places for Norwood Procedure in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. there are a select few destinations that provide comparable quality of healthcare for the procedure. Some of such cities are:

Vilnius

Apart from the Norwood Procedure cost, there are a few other daily charges that the patient may have to pay. These are the chanrges for daily meals and hotel stay outside the hospital. The extra charges may vary from 50 USD.

After Norwood Procedure surgery, the patient is supposed to stay for about 7 Days in the hospital for recovery and monitoring. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

Out of all the hospitals in Kaunas, there are about 1 Hospitals best hospitals for Norwood Procedure in Kaunas. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to Norwood Procedure surgery. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Kaunas

Author

Tanya Bose

MSc Biotechnology

2.5 Years of Experience

Tanya Bose is a medical content specialist with a strong medical background. She has completed her Bachelor's and Master’s in Biotechnology from Amity University. With a deep understanding of biomedical sciences and research, she develops authoritative and patient-focused medical content covering treatments, surgical procedures, and healthcare innovations. Her writing emphasizes accuracy, clarity, and evidence-based information to help readers better understand complex medical topics. She is dedicated to improving patient awareness and supporting informed healthcare decisions by delivering trustworthy medical insights in a clear and accessible format. . 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

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Norwood Procedure Cost in Kaunas