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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Kaplan Medical Centre
Rehovot, Israel
Kaplan Medical Centre located in Rehovot, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Located in an area of 240 dunams of lawns, trees and lovely corners that provides the medical center pastoralism and tranquility, and soak up a relaxed atmosphere among our patients
- Hearing and Speech Institute
- Childrens Auditorium
- Hybrid Catheterization Room
- purchase of a new CT (256 slices)
- In the coming years, it is planned to develop: a rehabilitative geriatric medical center, a maternity club, an eye clinic and a heart center - the largest in the Middle East
- Blood Bank
- Pharmacy services
- Accommodation in Hospital Campus
- Maternity club
VPS Lakeshore Hospital
Kochi, India
Types of Norwood Procedure in VPS Lakeshore Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12676 - 20217 | 1039733 - 1660576 |
| Stage II (Glenn Procedure) | 10105 - 18281 | 834671 - 1494658 |
| Stage III (Fontan Procedure) | 12718 - 20203 | 1044070 - 1664437 |
- Address: VPS Lakeshore Hospital, Nettoor, Maradu, Ernakulam, Kerala, India
- Facilities related to VPS Lakeshore Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Clinique Internationale Marrakech
Marrakesh, Morocco
Apart from in-detail treatment procedures available, Clinique Internationale Marrakech located in Marrakesh, Morocco 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, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A resuscitator for cardiac conditions
- Team for emergencies consisting of cardiologist and physician specialising in emergencies
- 250 healthcare personnel with over 50 doctors
- Many therapeutic sections covered in treatment
- Clinique Internationale Marrakech, Marrakesh, Morocco provides latest diagnostic and treatment related facilities present
- 5 Operating Theaters
- 3 resuscitation units
- 2 blocks of cardiovascular catheterization
- 100 bed capacity
- Special suites with a comfort section
- A neonatal pediatric resuscitation section
Hannibal International Clinic
Tunis, Tunisia
Apart from in-detail treatment procedures available, Hannibal International Clinic located in Tunis, Tunisia 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:
- It has a capacity of 180 beds spread all over the 11 floors
- Patients have comfort during their stay. Each room is furnished with LCD Screen, free Wi-fi, Phone, Safe, Refrigerator, Newspaper service, Mobility access
- Diverse rooms option such as normal rooms, suite rooms, etc., are available for the patients
- It has state-of-the-art equipment and infrastructure; in order to provide a restful and comfortable environment to the patients
- As it is near the Tunisia- Carthage Airport, therefore it gets efficient for the hospital to serve International patients
- Operating rooms are equipped with MEDglas concept consisting of MEDglas door & wall
Quironsalud Marbella Hospital
Marbella, Spain
Apart from in-detail treatment procedures available, Quironsalud Marbella Hospital located in Marbella, 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:
- The hospital is present in an area of 10.500 square meters.
- A 24- hour emergency service for all kinds of emergency scenarios, even pediatric.
- There is a specialised radiology department as well as a hemodialysis unit.
- The hospital also consists of an Intensive Care Unit with a laboratory.
- Also present are a functional test area with physiotherapy services in addition to functional recovery.
- Wide network of Insurance partners both national and international.
- A professionally managed international patient care center.
- There are more than 25 medical specialties
- The number of rooms are: 65 plus private rooms, over 14 consultation rooms.
- There are also more than 5 operation theatres with 2 endoscopy rooms
- Ultrasound, MRI, CAT scan are also present as per needs and requirements.
Manipal Hospital, Dwarka
Delhi, India
Types of Norwood Procedure in Manipal Hospital, Dwarka and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12626 - 20338 | 1044411 - 1670275 |
| Stage II (Glenn Procedure) | 10100 - 18276 | 836357 - 1492753 |
| Stage III (Fontan Procedure) | 12690 - 20302 | 1037382 - 1663282 |
- Address: Manipal Hospital Dwarka, Palam Vihar, Sector 6 Dwarka, Dwarka, New Delhi, Delhi, India
- Facilities related to Manipal Hospital, Dwarka: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Guven Hospital
Ankara, Turkey
Types of Norwood Procedure in Guven Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Stage I (Norwood Procedure) | 20381 - 27967 | 606585 - 847122 |
| Stage II (Glenn Procedure) | 11262 - 22143 | 337634 - 682003 |
| Stage III (Fontan Procedure) | 17137 - 24834 | 507757 - 740278 |
- Address: Kavakldere, G
- Facilities related to Guven Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
Dr. Rela Institute and Medical Centre
Chennai, India
Types of Norwood Procedure in Dr. Rela Institute and Medical Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 13945 - 22990 | 1151073 - 1883285 |
| Stage II (Glenn Procedure) | 11110 - 20628 | 922049 - 1678249 |
| Stage III (Fontan Procedure) | 14083 - 22770 | 1129931 - 1834793 |
- Address: Dr. Rela Institute & Medical Centre - Multispeciality Hospital in Chennai, India, CLC Works Road, Nagappa Nagar, Chromepet, Chennai, Tamil Nadu, India
- Facilities related to Dr. Rela Institute and Medical Centre: Interpreter, SIM, Accommodation, Airport Transfer
Vinmec Times City
Ha noi, Vietnam
- Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
- It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
- The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
- It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
- The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
- Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
- The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
- It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
- The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
- On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
- With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Vinmec Phu Quoc Hospital
Phu Quoc, Vietnam
- Phu Quoc Island lacked access to modern, high-quality healthcare infrastructure suitable for both its residents and the growing number of tourists.
- The local healthcare system faced challenges in meeting international standards for emergency, diagnostic, and speciality care.
- There was a strong demand for a facility that could offer comprehensive and reliable medical services across a wide range of specialities.
- Vinmec Phu Quoc General Hospital was launched in June 2015 as part of the Vinmec Healthcare System to close this healthcare gap.
- Spanning over 10,000 square meters, the hospital comprises six stories and features nearly 150 patient beds to cater to a diverse range of medical needs.
- Operates in line with internationally recognised standards, such as those outlined by the Joint Commission International (JCI), to ensure patient safety and service excellence.
- Outfitted with advanced diagnostic and treatment technologies, including MRI, CT scanners, digital X-rays, and more to support high-precision care.
- Maintains 24/7 emergency response capabilities to address critical cases at any time.
- Engages highly qualified healthcare providers, including doctors and specialists who have trained and worked at prestigious hospitals both within Vietnam and internationally.
- The hospital’s design emphasises eco-friendliness and natural lighting, fostering a therapeutic environment for patients.
- To offer premium healthcare services on Phu Quoc Island, aligned with international benchmarks and suitable for both domestic and global patients.
- To contribute to Vinmec’s vision of becoming a leader in academic medicine through research, education, and clinical excellence.
- To ensure that every patient receives compassionate, ethical, and highly skilled care tailored to their unique health needs.
- To position Vinmec Phu Quoc as a trusted medical destination that combines advanced technology, modern infrastructure, and exceptional patient service.
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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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