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Cost of Norwood Procedure in Major Cities of Spain

City	Minimum Cost (USD)	Minimum Cost (ESP)	Maximum Cost (USD)	Maximum Cost (ESP)
Barcelona	USD 50000	7351995	USD 100000	14703990
Madrid	USD 50000	7351995	USD 100000	14703990
Marbella	USD 45000	6616795	USD 90000	13233591
Torrevieja	USD 45000	6616795	USD 90000	13233591

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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 )

Dexeus University Hospital

Barcelona, Spain

Apart from in-detail treatment procedures available, Dexeus University Hospital located in Barcelona, Spain 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:

There are more than 450 medical professionals working in Dexeus University Hospital, Barcelona, Spain.
Facilities include 4 royal suites, 166 single rooms, 13 operating theatres, 564 parking spaces, 5 delivery rooms, day hospital, 140 consultation rooms.
The very latest technological and functional equipment and treatment applications.
Technological equipment include 1 CAT scanner, 1 PET-CT scanner, 3 MRI scanners, 10 ultrasound machines, 2 neurosurgery surgical microscopes, and 14 operating tables.
Care services include Obstetrics area with 24-hour emergency care service, Neonatology Unit and Level III Neonatal ICU, Lung Cancer Early Diagnosis Programme, Rehabilitation and Physiotherapy, Epilepsy Advanced Diagnosis and Emergency Surgery Unit, Congenital Cardiopathy, Growth Disorders and Intensive Care Unit (ICU).
Personalised treatment of patients is available.
Focus on research based treatment processes and academics.
Main international insurance companies are available to provide the best options to the patients.
Multilingual personalised care available for patients per their needs and requirements.

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Process Involved for Norwood Procedure in Barcelona

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

Norwood Procedure cost in Barcelona varies from one hospital to the other. There are many hospital who cover the cost of pre-surgical investigations of the patient in the treatment package. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Stay outside the package duration, port-operative complications and diagnosis of a new condition may further increase the Norwood Procedure cost in Barcelona.

Many hospitals in Barcelona perform Norwood Procedure. Some of the best hospitals for Norwood Procedure in Barcelonainclude the following:

Dexeus University Hospital

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.

One of the topmost destinations for Norwood Procedure is Barcelona. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of the other destinations that are popular for Norwood Procedure include the following:

Apart from the cost of Norwood Procedure, the patient is also required to pay additionally for daily meals and guest house accommodation. These charges may vary from 45 USD per person.

After Norwood Procedure surgery, the patient is supposed to stay for about 7 Days in the hospital for recovery and monitoring. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.

There are more than 1 Hospitals that offer Norwood Procedure in Barcelona. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to Norwood Procedure surgery. Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.

Some of the most sought after doctors for Norwood Procedure in Barcelona are:

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 Barcelona