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| City | Minimum Cost (USD) | Minimum Cost (TND) | Maximum Cost (USD) | Maximum Cost (TND) |
|---|---|---|---|---|
| Tunis | USD 15000 | 44700 | USD 30000 | 89400 |
| City | Cost (USD) | |
|---|---|---|
| Tunis | $15,000 – $30,000 | Explore More |


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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.
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\u20136 months old.
Survival has dramatically improved; early survival is approximately 75\u201385% at advanced centres. Long-term prognosis is based on global heart function, presence of additional anomalies, and success of the staged surgical approach.
75–90%
Early surgical success rate in experienced pediatric cardiac centres2–3 weeks
Typical hospital stay8–12 weeks
Recovery before the next stage of congenital heart treatment depending on conditionOur experienced Medical Patient Advisors have supported 100,000+ patients across 120+ countries with personalised treatment plans, hospital recommendations, cost estimates, and travel assistance, all free.
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Mr. Hailu Kassa underwent Coronary Artery Bypass Surgery in Vejthani Hospital, Thailand under the supervision of Dr. Piya, Cardio-Thoracic Surgeon

Patient Testimonial: Rod Schaubroeck from United States (U.S.A) underwent heart valve replacement at Fortis Hospital, India
Norwood Procedure package cost in Tunis has different inclusions and exclusions. There are many hospital who cover the cost of pre-surgical investigations of the patient in the treatment package. The Norwood Procedure package in Tunis includes the fees of the surgeon, hospitalization and anesthesia as well. Stay outside the package duration, port-operative complications and diagnosis of a new condition may further increase the Norwood Procedure cost in Tunis.
There are several best hospitals for Norwood Procedure in Tunis. The top hospitals for Norwood Procedure in Tunis include the following:
After Norwood Procedure in Tunis, the patient is supposed to stay in guest house for another 21 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
There are certain additional cost that the patient has to pay apart from the Norwood Procedure cost. These include the cost of accommodation and meals outside hospital. The per day cost in this case may range from 35 USD.
After the Norwood Procedure surgery takes place, the average duration of stay at the hospital is about 7 Days. 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.
Out of all the hospitals in Tunis, there are about 2 Hospitals best hospitals for Norwood Procedure in Tunis. These hospitals have the required expertise as well as infrastructure available to handly patients who need Norwood Procedure. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Norwood Procedure patients.
Tunis is Tunisia's capital and largest city. Tunis's healthcare system integrates the public and private sectors, allowing it to serve the vast majority of the country's citizens. The Ministry of Public Health is in charge of basic primary care and preventive services in the public sector. In the private sector, healthcare facilities include an outpatient network of general or specialized medicine, paramedical treatment, and hospitalization. The "Caisse Nationale d'Assurance Maladie" manages Tunis's health insurance. Expats and travelers pay more for medical care however most medical centers provide excellent services. The wait is brief, and doctor visits are neither time-consuming nor inconvenient. Tunisians have free access to government-owned medical facilities including hospitals. Staff at public healthcare facilities are fluent in Arabic, French, and English, making it easier for patients from all over the country to be treated here. In recent years, Tunis's private healthcare system has expanded in terms of infrastructure, capacity, and healthcare professionals. Private clinics, especially in Tunis, adhere to worldwide standards. Some clinics are equipped to perform surgeries on patients. In Tunis, ambulance services are limited to major cities, and air evacuation is highly preferred in the majority of medical emergencies.
The hospitals in Tunis deliver quality care and treatment. They are internationally recognized and accredited by healthcare organizations like JCI and ISO. Some of the top hospitals in the city include:
The doctors in Tunis play a vital role in delivering top-level healthcare services focusing on each patient’s needs. Some of the top doctors in the city include:
Tunis is an easily reachable city by train, bus, and flight. The nearest airport to Tunis is Tunis–Carthage International Airport from where you can travel to the city by bus or cab. If you are planning to undergo treatment here, MediGence can assist you in planning your medical travel.
Tunis is Tunisia's capital and largest city. Tunis's healthcare system integrates the public and private sectors, allowing it to serve the vast majority of the country's citizens. The Ministry of Public Health is in charge of basic primary care and preventive services in the public sector. In the private sector, healthcare facilities include an outpatient network of general or specialized medicine, paramedical treatment, and hospitalization. The "Caisse Nationale d'Assurance Maladie" manages Tunis's health insurance. Expats and travelers pay more for medical care however most medical centers provide excellent services. The wait is brief, and doctor visits are neither time-consuming nor inconvenient. Tunisians have free access to government-owned medical facilities including hospitals. Staff at public healthcare facilities are fluent in Arabic, French, and English, making it easier for patients from all over the country to be treated here. In recent years, Tunis's private healthcare system has expanded in terms of infrastructure, capacity, and healthcare professionals. Private clinics, especially in Tunis, adhere to worldwide standards. Some clinics are equipped to perform surgeries on patients. In Tunis, ambulance services are limited to major cities, and air evacuation is highly preferred in the majority of medical emergencies.
The hospitals in Tunis deliver quality care and treatment. They are internationally recognized and accredited by healthcare organizations like JCI and ISO. Some of the top hospitals in the city include:
The doctors in Tunis play a vital role in delivering top-level healthcare services focusing on each patient’s needs. Some of the top doctors in the city include:
Tunis is an easily reachable city by train, bus, and flight. The nearest airport to Tunis is Tunis–Carthage International Airport from where you can travel to the city by bus or cab. If you are planning to undergo treatment here, MediGence can assist you in planning your medical travel.
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