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:
- Medical Facilities: The hospital of choice and its amenities might have a big effect on the price. Higher costs may be associated with hospitals that have dedicated pediatric cardiac units, cutting-edge equipment, and skilled personnel.
- The surgeon's fee: The cost may vary according to the experience, training, and standing of the heart surgeon doing the Norwood Procedure. Surgeons with a great deal of experience doing heart surgery on children may charge more.
- Fees for anesthesia: The cost of the procedure as a whole is impacted by the usage of anesthetic. Costs may vary depending on the kind of anesthesia used and the anesthesiologist's level of experience.
- Pre- and post-operative examinations: A variety of diagnostic procedures, including angiograms, echocardiograms, and other cardiac imaging examinations, are necessary for both pre-and post-operative evaluation. The total cost is influenced by the expenses of various tests.
- Procedures involving cardiac catheterization and intervention: The overall cost may increase if more treatments, such as cardiac catheterization or other interventional therapies, are needed in addition to the Norwood Procedure.
- Implants and healthcare equipment: Costs may be impacted by the price of cardiac implants, prosthetic valves, or other medical equipment needed for the treatment. Costs may increase if premium materials and cutting-edge technology are chosen.
- Stay in the Intensive Care Unit (ICU): An important aspect is the length of stay in the intensive care unit following the Norwood Procedure. The total cost is influenced by the quality of nursing care, monitoring, and treatment provided during the crucial post-operative phase.
- Length of Hospital Stay: Costs may vary depending on how long a patient stays in the hospital, taking into account both the initial healing time and any additional follow-up care.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 82170 | 64914 |
| Turkey | USD 18700 | 563618 |
| United States | USD 100000 | 100000 |
| Spain | USD 52000 | 47840 |
| South Korea | USD 30000 | 40280700 |
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.
- Bleeding
- Infection
- Arrhythmias
- Low cardiac output
- Neurological injury
- Shunt blockage
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Arab Medical Center
Amman, Jordan
- The hospital offers specialised and high-quality medical care to both local and international patients.
- It offers 24/7 emergency services with experienced staff and dedicated rooms for children and patients with infectious diseases.
- AMC performs advanced surgeries, including those for the brain, heart, bones, and eyes.
- The hospital has modern medical equipment and diagnostic tools for accurate testing and treatment.
- It includes speciality clinics for heart, cancer, brain, diabetes, and more.
- AMC supports critical care units like the Intensive Care Unit (ICU), Coronary Care Unit (CCU), and dialysis unit.
- It ensures patient comfort through clean rooms, professional service, and luxury accommodation options.
- The hospital promotes medical education and awareness through services like the Arabi Podcast.
- AMC actively supports medical tourism and is known as a trusted referral hospital in the region.
- It focuses on continuous quality improvement and compassionate care for every patient.
- AMC has a loyalty program (Arabi Care Card) that offers benefits and discounts to regular patients.
- The hospital ensures easy accessibility due to its central location near major landmarks and hotels in Amman.
Apollo Hospital International Limited
Ahmedabad, India
Types of Norwood Procedure in Apollo Hospital International Limited and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12748 - 20227 | 1041978 - 1671435 |
| Stage II (Glenn Procedure) | 10129 - 18209 | 833978 - 1495187 |
| Stage III (Fontan Procedure) | 12716 - 20242 | 1041821 - 1669238 |
- Address: Apollo Hospital, Prabhat Chowk, 61, Ghatlodiya, Chanakyapuri, Ahmedabad, Gujarat, India
- Facilities related to Apollo Hospital International Limited: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Sharda Hospital
Noida, India
Types of Norwood Procedure in Sharda Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 11638 - 18864 | 966364 - 1519984 |
| Stage II (Glenn Procedure) | 9259 - 16785 | 764338 - 1396537 |
| Stage III (Fontan Procedure) | 11662 - 18789 | 960403 - 1524136 |
- Address: Sharda Health City, Knowledge Park III, Greater Noida, Uttar Pradesh, India
- Facilities related to Sharda Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Fortis Hospital
Mohali, India
Types of Norwood Procedure in Fortis Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12722 - 20219 | 1038977 - 1659929 |
| Stage II (Glenn Procedure) | 10191 - 18204 | 836328 - 1500865 |
| Stage III (Fontan Procedure) | 12626 - 20286 | 1036870 - 1671519 |
- Address: Fortis Hospital Mohali, Sector 62, Sahibzada Ajit Singh Nagar, Punjab, India
- Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital, Mulund
Mumbai, India
Types of Norwood Procedure in Fortis Hospital, Mulund and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 13966 - 22171 | 1151411 - 1825455 |
| Stage II (Glenn Procedure) | 11486 - 20374 | 912687 - 1623838 |
| Stage III (Fontan Procedure) | 14255 - 22060 | 1160469 - 1812180 |
- Address: Fortis Hospital Mulund, Industrial Area, Bhandup West, Mumbai, Maharashtra, India
- Facilities related to Fortis Hospital, Mulund: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Max Super Speciality Hospital, Saket
Delhi, India
Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.
Herzliya Medical Center
Herzliya, Israel
Apart from in-detail treatment procedures available, Herzliya Medical Center located in Herzliya, Israel has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- 350+ leading doctors in senior positions working with the Hospital
- Single & Double Standard Rooms
- VIP Suites and Decor rooms
- 20 Departments
- 19 Outpatient Clinics
- 12 Institutes
- 4 hospitalization Offices
- 7 Operating rooms
- 2 Pharmacies
- 12 VIP chambers
- IVF Centre
- Top specialties offered by the Hospital are- Hysterography, Eye Microsurgery, Ablation, Amniocentesis, Angiography, Ankylosing Spondylitis, Aorta Surgery, Arthroplasthy, Bone Marrow Biopsy, Brain Tumor Surgery, Breast Cancer, Breast Lift, etc.
Rehabilitation Clinic Malvazinky
Prague, Czechia
Rehabilitation Clinic Malvazinky located in Prague, Czechia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- School of Walking (after lower limb amputation)
- Spacious Gym
- Functional Training Area
- Hydrotherapy Area
- Therapeutic Pool
- Electrotherapy Area
- Sauna Bath Area
- Superior Rooms equipped with Adjustable Beds, Clean restroom, TV, Radio, and Wi-fi
- Specialized Clinics
Eregli Anadolu Hospital
Zonguldak, Turkey
Types of Norwood Procedure in Eregli Anadolu Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Stage I (Norwood Procedure) | 20182 - 27805 | 621615 - 831896 |
| Stage II (Glenn Procedure) | 11215 - 22973 | 344132 - 682895 |
| Stage III (Fontan Procedure) | 16996 - 24399 | 517241 - 731470 |
- Address: M
- Facilities related to Eregli Anadolu Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities
Taoufik Clinique
Tunis, Tunisia
Taoufik Clinique located in Tunis, Tunisia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Laboratory services and High end medical imaging equipment is present at this clinic.
- Emergency care services are also available.
- The clinic has a health checkup center as well as an operation theatre.
- The important disciplines at this hospital are cardiology, orthopedics, cosmetic surgery, oncology, urology, bariatric surgery, and gastroenterology among others.
- Some cardiac conditions treated here are peripheral vascular disorder, heart valves disorder, cardiac muscle diseases, and acute and chronic pericarditis.
- Orthopedic and spine surgery which also includes treatment of sports related injuries, and disorders of both upper and lower limb.
- Cancer treatment is performed in Taoufik Clinique through chemotherapy, surgery, and radiation therapy.
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+99Process 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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