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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 )

University Hospital Quironsalud Madrid

Madrid, Spain

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, 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:

54,000 square meters is the area of the hospital.
It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
The hospital has 39 medical as well as surgical disciplines.
There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
There are over 70 out-patient clinics present in the hospital.
Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
It also possesses one da Vinci surgical robot.
The international patient care of the hospital is top notch.

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Process Involved for Norwood Procedure in Madrid

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

The cost of Norwood Procedure in Madrid may differ from one medical facility to the other. Some of the best hospitals for Norwood Procedure offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The Norwood Procedure cost in Madrid includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Norwood Procedure in Madrid.

Many hospitals in Madrid perform Norwood Procedure. Some of the best hospitals for Norwood Procedure in Madridinclude the following:

University Hospital Quironsalud Madrid

After Norwood Procedure in Madrid, the patient is supposed to stay in guest house for another 21 days. 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.

Madrid is undoubtedly one of the best cities for Norwood Procedure in the world. It offers the best medical expertise and good patient experience at an affordable cost. However, some of the other popular destinations 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 are the charges for daily meals and accommodation outside the hospital. The per day cost in this case may range from 45 USD.

After the Norwood Procedure surgery takes place, the average duration of stay at the hospital is about 7 Days. 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.

There are about 1 Hospitals in Madrid that offer Norwood Procedure to international patients. These hospitals are approved to perform the surgery and have proper infrastructure to handle Norwood Procedure patients. 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.

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 Madrid