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Cost of Norwood Procedure Worldwide

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Surgeons most frequently conduct a Norwood procedure on a newborn with hypoplastic left heart syndrome (HLHS). After surgery, a baby's right side of the heart can pump blood that is oxygenated throughout the body. Usually, this is handled by the left side of your heart. The left side of a baby with HLHS's heart isn't grown enough to do it.

The child's lower heart chamber, or right ventricle, continues to pump blood to the lungs without oxygen after this procedure. Nevertheless, it also carries out the left ventricle's function of supplying the body with oxygen-rich blood.

Factors affecting the cost of Norwood Procedure:

CountryCostLocal_currency
United KingdomUSD 8217064914
TurkeyUSD 18700563618
United StatesUSD 100000100000
SpainUSD 5200047840
South KoreaUSD 3000040280700

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 ( 93 )
Norwood Procedure in Prince Court Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

Prince Court is a private medical facility in the center of Kuala Lumpur that has 277 individual beds. Our dedication is to provide you with the best treatment possible from the time you arrive until you depart, healthier and happier. We are well-known for our top-notch facilities, cutting-edge technology, and friendly customer service.

Norwood Procedure in Bangkok Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Types of Norwood Procedure in Bangkok Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Stage I (Norwood Procedure)11188 - 18780395256 - 685940
Stage II (Glenn Procedure)9133 - 17140316049 - 591884
Stage III (Fontan Procedure)13252 - 22875481209 - 803671
  • Address: Bangkok Dusit Medical Services, Nong Prue, Bang Phli, Samut Prakan, Thailand
  • Facilities related to Bangkok Hospital: SIM, TV inside room, Accommodation, Choice of Meals
Norwood Procedure in BLK-Max Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.

Norwood Procedure in Parkway Pantai: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Parkway Pantai located in Kuala Lumpur, Malaysia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 335 beds
  • 200+ specialist Doctors
  • Critical Care Unit
  • Neonatal Intensive Care Unit
  • Operating Theatre
  • International Patient Care Center
  • Types of rooms available- Premier Suite, Supreme Suite, Deluxe Single Room, 2-bedded room, 4-bedded room, Deluxe Suite, Premier Single room, and Supreme Single room
Norwood Procedure in Artemis Health Institute: Costs, Top Doctors, and Reviews

Gurgaon, India

3.3 ( 4 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Norwood Procedure in Artemis Health Institute and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Stage I (Norwood Procedure)14352 - 222011152582 - 1832464
Stage II (Glenn Procedure)11075 - 20313927478 - 1650137
Stage III (Fontan Procedure)13899 - 224701140316 - 1830508
  • Address: Artemis Hospitals, Sector 51, Gurugram, Haryana, India
  • Facilities related to Artemis Health Institute : Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
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 Bangpakok 9 International Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Types of Norwood Procedure in Bangpakok 9 International Hospital and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (THB)
Stage I (Norwood Procedure)11095 - 19026408249 - 681584
Stage II (Glenn Procedure)8874 - 16830323034 - 589348
Stage III (Fontan Procedure)13563 - 22565476250 - 794162
  • Address: Bangpakok 9 International Hospital, International Hospital, Rama II Road, Bang Mot, Chom Thong, Bangkok, Thailand
  • Facilities related to Bangpakok 9 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Norwood Procedure in Medipol Bahçelievler Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Medipol Bahcelievler Hospital is a medical institution providing a full range of medical and individualized approaches to its patients. Medipol has the ambition to bring high quality and maximum security to people in need by employing state-of-the-art technologies in medicine. They ensure that the health of the patients is improved by fashioning unique physician specialty treatment programs.

Medipol Bahcelievler Hospital provides an exceptional position in the healthcare industry with a policy of clear communication, professionalism, and reliability to patient expectations. Medipol Bahçelievler Hospital is situated in the European Side of Istanbul, dedicated to 24-hour health care for you and your loved ones, equipped with a fully functional operation theatre and ICUs with state-of-the-art equipment, laboratory, emergency, and advanced treatment rooms

Norwood Procedure in Medanta - The Medicity: Costs, Top Doctors, and Reviews

Gurgaon, India

3.4 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Norwood Procedure in Medanta - The Medicity and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Stage I (Norwood Procedure)14038 - 223551146785 - 1823755
Stage II (Glenn Procedure)11459 - 20496938912 - 1649655
Stage III (Fontan Procedure)14362 - 227951140793 - 1811477
  • Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
  • Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
Norwood Procedure in ParkCity Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

In Kuala Lumpur, Malaysia, ParkCity Medical Centre is a 300-bed, cutting-edge, interdisciplinary private hospital that provides award-winning private healthcare in an environment of lush vegetation.

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Process Involved for Norwood Procedure

  • 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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Alvina Hasan
Alvina Hasan

M.Pharm

2 Year of Experience

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University.

With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven content designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding.

Readers can explore her published research and articles here:

https://carcinogenesis.com/index.php/JOC/article/view/868

https://carcinogenesis.com/index.php/JOC/article/view/870

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Reviewer

Dr. Naresh Kumar Goyal
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

Last Reviewed - January 2026