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Norwood Procedure Cost in Singapore

Costs starts from USD125000 to USD200000
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How Much Does Norwood Procedure Cost in Singapore?

The cost of Norwood Procedure in Singapore is USD 125000 - USD 200000

However, this cost can vary depending on several factors, including the type and severity of the condition, treatment techniques chosen, the healthcare facility's location and reputation, the treating professionals' experience and specialisation, and the patient's overall health status.

Additionally, factors like the duration of treatment, the need for follow-up care, and the use of advanced technologies or specialised treatments can further influence the overall cost.

Factors Influencing the Cost of Norwood Procedure:

A Norwood procedure is a surgery that most surgeons do for a baby with hypoplastic left heart syndrome. This procedure lets the right side of the baby's heart send oxygenated blood to the body. Usually, your heart's left side takes care of this. In a baby with HLHS, the heart's left side isn't developed enough to do it.

After this procedure, your baby's lower heart chamber, the right ventricle, continues to pump blood to the lungs without oxygen. But it also carries out the left ventricle's function, which supplies the body with oxygen-rich blood.

Cost of Norwood Procedure in Major Cities of Singapore

CityMinimum Cost (USD)Minimum Cost (SGD)Maximum Cost (USD)Maximum Cost (SGD)
SingaporeUSD 125000161250USD 200000258000

Norwood Procedure Cost : A Global Comparison

CountryMinimum CostMinimum Local CurrencyMaximum CostMaximum Local Currency
CzechiaUSD 11000CZK 242220USD 30000CZK 660600
IndiaUSD 10000INR 856400USD 12000INR 1027680
IsraelUSD 7200ILS 25488USD 8800ILS 31152
LithuaniaUSD 25000LTL 85518USD 40000LTL 136828
MalaysiaUSD 25000MYR 106000USD 50000MYR 212000
MoroccoUSD 15000MAD 138450USD 30000MAD 276900
PolandUSD 30000PLN 112800USD 50000PLN 188000
Saudi Arabiaget request
SingaporeUSD 125000SGD 161250USD 200000SGD 258000
SpainUSD 50000ESP 7351995USD 100000ESP 14703990
Thailand - - USD 18000THB 588780
TunisiaUSD 15000TND 44700USD 30000TND 89400
TurkeyUSD 18000TRY 703080USD 25000TRY 976500
United Arab EmiratesUSD 22000AED 80740USD 28000AED 102760
United Kingdomget request

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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 ( 3 )
Norwood Procedure in Gleneagles Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Gleneagles Hospital, located on Napier Road in Singapore, is a leading private healthcare institution offering comprehensive medical services and advanced clinical care. With 221 beds and a strong team of medical specialists, the hospital holds the Singapore Quality Class certification for excellence in healthcare. Its state-of-the-art facilities include ICU, HDU, NICU, Urgent Care Centre, operating theatres, radiology, endoscopy, laboratories, and rehabilitation units. Gleneagles specializes in orthopaedics, oncology, women’s health, and gastroenterology, offering tailored programs for cancer, bone, and gut health. With modern maternity packages and patient-friendly rooms, the hospital ensures compassionate, high-quality care focused on safety, comfort, and recovery.

Norwood Procedure in Parkway East Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy
Norwood Procedure in Farrer Park Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

Apart from in-detail treatment procedures available, Farrer Park Hospital located in Connexion, Singapore 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:

  • A medical centre is linked to the Farrer Park Hospital Complex, Connexion, Singapore
  • The focus of the hospital is to bring together two essential elements: those of healthcare combined with hospitality.
  • There is a building with 20 different stories which comprises Owen Link, hotel and spa.
  • Personal attention and patient care focus is maintained with a system in place of listening, analysing, evaluating and then implementing a treatment plan.
  • 121 bed capacity
  • Technology and innovations help provide the best of medical and surgical treatment options.
  • Professionally implemented international patient care systems
  • Suites: Cardiovascular, day surgery, endoscopy, major surgery, nuclear medicine, radiation oncology, and inpatient suite
  • Diagnostic imaging and intensive care unit
  • 24 hour emergency clinic and pharmacy
  • Facilities such as dialysis, nutrition services, rehab centre, and teaching clinic

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Process Involved for Norwood Procedure in Singapore

  • 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
  • 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

A. many hospitals perform the Norwood Procedure in Singapore. The following are some of the most renowned hospitals for Norwood Procedure in Singapore:

  1. Parkway East Hospital
  2. Farrer Park Hospital
  3. Gleneagles Hospital

A. After discharge from the hospital, the patient has to stay for another 28 days in the country for complete recovery. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient is safe to return.

A. While Singapore is considered one of the best destinations for Norwood Procedure owing to the standard of Hospitals and the expertise of doctors, a select few destinations provide comparable quality of healthcare for this procedure. Some of such countries are:

  1. Malaysia
  2. Thailand
  3. Turkey
  4. The United Arab Emirates

A. There are certain additional costs that the patient has to pay apart from the Norwood Procedure cost. These include the cost of accommodation and meals outside the hospital. The per day cost, in this case, may range around USD 150.

A. Some of the popular cities in Singapore that offer Norwood Procedure include the following:

  • Napier Road
  • Joo Chiat Pl
  • Connexion

A. The patient has to spend about 7 days in the hospital after the Norwood Procedure for proper recovery and to get clearance for discharge. 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 the hospital.

A. There are more than 3 hospitals in Singapore that offer Norwood Procedure. Apart from providing good services, hospitals are known to follow all standard and legal guidelines dictated by the local medical affairs body or organisation.

A. A Norwood procedure is an operation surgeons perform most commonly for a baby born with hypoplastic left heart syndrome (HLHS). This surgery lets the right side of a baby’s heart send blood with oxygen to the body. Normally, your heart’s left side takes care of this. In a baby with HLHS, the heart’s left side isn’t developed enough to do it.

After this surgery, your baby’s right ventricle (lower heart chamber) still does its normal job of pumping blood without oxygen to the lungs. However, it also does the left ventricle’s job of sending blood with oxygen to the body.

This doesn’t keep the blood with oxygen separated from the blood without oxygen like in a normal heart. It’s not a perfect solution. However, it’s an improvement that helps deliver more oxygen to your baby’s cells and tissues.

A. There are a few risks associated with the Norwood operation.

  • Aortic or pulmonary artery narrowing (stenosis)
  • Shunt failure or blockage.
  • Heart rhythm disorders are called arrhythmias.
  • Inefficient heart or heart valve functioning.
  • Delay in neurodevelopment.

A. Other alternate for HLHS surgeries other than the Norwood procedure are as follows:

  • Glenn procedure: Typically, it is carried out when a child is four to six months old. It entails cutting the first shunt and attaching the pulmonary artery to the big vein that drains blood from the head and limbs. Instead of the shunt, the vein now supplies blood to the lungs.

All of the blood returning from the upper body goes to the lungs following this treatment. To supply organs and tissues throughout the body, blood that has more oxygen in it is pumped to the aorta.

  • Fontan technique: Typically, this procedure is performed on a child who is between the ages of 3 and 4. To allow blood from the lower legs to enter the pulmonary arteries directly, the surgeon makes a channel. The inferior vena cava is the name of the affected vessel. The blood is subsequently sent into the lungs by the pulmonary arteries.

The Fontan operation allows the remaining blood that is deficient in oxygen to return to the lungs from the body. There is minimal mixing of oxygen-poor and oxygen-rich blood in the heart following this procedure. Thus, the skin ought to stop appearing gray or blue.

A. Yes, there are hospitals in Singapore that provide advanced medical facilities for international patients for Norwood procedures.

A. The Norwood procedure, which is a type of heart surgery performed on newborns with hypoplastic left heart syndrome (HLHS), typically takes 4 to 6 hours.

This time frame can vary depending on the case's complexity and any additional complications. The procedure involves reconstructing the heart to improve blood flow, including creating a new pathway for blood to flow to the lungs and body. Since it is a highly specialised surgery, it is performed by a skilled pediatric cardiac surgeon in a hospital with specialised care for newborns.

A. The Norwood procedure is a complex congenital heart surgery with the following survival rates:

  • In-hospital survival: 90%
  • Five-year survival rate: 60–75%
  • Six-year survival rate: 60% without a heart transplant
  • 20-year survival rate: Similar to six-year survival rate

Various other factors affect the overall survival rates after the Norwood surgery.

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