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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:
- 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.
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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Get Help Explore Hospitals ( 93 )
American Heart of Poland
Ustron, Poland
American Heart of Poland located in Ustron, Poland is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- The biggest European spa resort in Ustron is also an exclusive part of the American Heart of Poland.
- The healthcare facility has highly advanced diagnostics.
- A seamless prevention and rehabilitation process is followed here.
- Surgeries performed here have the best success rates.
- Telemedicine facilities are provided for the patients post treatment.
Meliva Kardiolita Hospital, Vilnius
Vilnius, Lithuania
Kardiolita Hospital, Vilnius located in Vilnius, Lithuania is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- An outpatient department, 56-beds for inpatients
- 13 advanced operation theatres
- 24-hour intensive care unit
- Emergency Department
- Gynecology Center
- Vascular Center
- ENT Center
- Neurology Center
- General and Abdominal Surgery Center
- The staff also takes care of your air travel and pick & drop facility
The Madras Institute of Orthopedics and Traumatology
Chennai, India
Types of Norwood Procedure in The Madras Institute of Orthopedics and Traumatology and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 11732 - 18669 | 969597 - 1553951 |
| Stage II (Glenn Procedure) | 9427 - 17045 | 769288 - 1370895 |
| Stage III (Fontan Procedure) | 11560 - 18433 | 967844 - 1522140 |
- Address: MIOT International, Mount Poonamallee Road, Sathya Nagar, Manapakkam, Chennai, Tamil Nadu, India
- Facilities related to The Madras Institute of Orthopedics and Traumatology: Interpreter, SIM, Airport Transfer, Accommodation
Manipal Hospital, Ghaziabad
Ghaziabad, India
Founded in 2010, Manipal Hospital-Ghaziabad (formerly Columbia Asia Hospital) is a well-known multispecialty hospital accredited by the National Accreditation Board for Hospitals and Healthcare Providers (NABH). With 100 beds, the hospital is committed to providing effective and reasonably priced healthcare in a clean and safe setting. The hospital has several departments that are known for their expertise, including Orthopaedics, Internal Medicine, Gastroenterology, Plastic Surgery, Obstetrics and Gynecology, ENT, and more. Due to this recognition, the hospital is now regarded as one of the best medical establishments in the Ghaziabad area.
Vinmec Hai Phong
Ha noi, Vietnam
- Vinmec Hai Phong International Hospital has been providing medical services since June 2018.
- It is located at a strategic intersection in Le Chan District, Hai Phong, offering convenient access for patients.
- The hospital covers nearly 30,000 square meters and includes eight stories above ground and one basement level.
- With a capacity of 200 inpatient beds, it delivers modern and comfortable care in a well-designed facility.
- The hospital serves thousands of outpatients annually, providing comprehensive consultations and treatments.
- The hospital performs a wide range of minimally invasive surgeries, including laparoscopic colectomy, joint replacement, and bronchoscopy, promoting faster recovery and less pain.
- It handles complex emergency procedures like resuscitation for cardiac arrest, severe trauma, and critical care conditions with high success rates.
- Specialised obstetric and gynaecological surgeries are conducted, such as hysterectomy and fertility procedures, using advanced laparoscopic techniques for improved outcomes.
- Patients benefit from a private, respectful environment with attentive care focused on their well-being.
- The medical staff includes highly skilled and compassionate doctors, known for their dedication and professionalism.
- Physicians regularly undergo training and collaborate internationally to keep up with the latest medical advancements.
- The hospital is equipped with cutting-edge diagnostic tools, including a 640-slice CT scanner, a 3.0 Tesla MRI, multifunctional ventilators, and a Cath Lab with 2D DSA technology.
- Vinmec Hai Phong is part of the Vinmec Healthcare System, the only private network in Vietnam with JCI-accredited hospitals.
- It plays a vital role in Northern Vietnam, setting a high standard for healthcare delivery in the region.
- The emergency and intensive care teams have successfully treated complex, life-threatening conditions like cardiac arrest and multiple trauma cases.
- The hospital has pioneered several critical procedures in the region, particularly in the intensive care unit (ICU) and resuscitation care.
- Its surgical department performs minimally invasive procedures such as laparoscopic colectomy, orthopaedic surgeries, and bronchoscopies.
- In women’s health, the hospital has managed high-risk cases like placental complications and eclampsia, with excellent outcomes.
- It also offers advanced laparoscopic gynecologic surgeries, including hysterectomies and infertility treatments.
- Vinmec Hai Phong consistently achieves a patient satisfaction rate above 95%.
- In a government health quality audit, the hospital earned an impressive 4.4 out of 5 rating.
- During the COVID-19 crisis, the hospital swiftly implemented safety protocols and resumed operations within 24 hours of sanitisation.
- Patient testimonials highlight positive experiences, including pain-free recovery after hernia surgery, effective cancer care, and safe childbirth procedures.
Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
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Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
IRCCS Ospedale San Raffaele
milan, Italy
- Premier multi-speciality research hospital specialising in molecular medicine, gene therapy, and cardiovascular care.
- Part of Gruppo San Donato (GSD) and affiliated with Università Vita-Salute San Raffaele.
- Treats around 1.5 million patients annually, including many international visitors.
- Designated as a European Reference Centre (ERN GUARD-Heart) for complex heart conditions.
- Offers advanced services in cardiac surgery, electrophysiology, oncology, urology, gene therapy, plastic surgery, and diagnostic imaging.
- Equipped with state-of-the-art operating theatres, diagnostic labs, and 1,640 patient beds.
- Provides multilingual support, patient-focused care, and on-site pharmacies, labs, and cafeterias.
- Ranked among the World’s Best Specialised Hospitals (2025) for cardiology and cardiac surgery.
BGS Gleneagles Global Hospitals
Bangalore, India
Types of Norwood Procedure in BGS Gleneagles Global Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 13891 - 22028 | 1174354 - 1857714 |
| Stage II (Glenn Procedure) | 11230 - 20463 | 920967 - 1692066 |
| Stage III (Fontan Procedure) | 14289 - 22377 | 1160379 - 1854045 |
- Address: BGS Gleneagles Global Hospitals, Sunkalpalya, Bengaluru, Karnataka, India
- Facilities related to BGS Gleneagles Global Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Manipal Hospital, Yeshwantpur
Bangalore, India
Types of Norwood Procedure in Manipal Hospital, Yeshwantpur and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 14147 - 22081 | 1130615 - 1867317 |
| Stage II (Glenn Procedure) | 11326 - 20606 | 919046 - 1656997 |
| Stage III (Fontan Procedure) | 14064 - 22254 | 1172158 - 1822663 |
- Address: Manipal Hospital Yeshwanthpur, 1st Main Road, Malleswaram, Bengaluru, Karnataka, India
- Facilities related to Manipal Hospital, Yeshwantpur: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
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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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