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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 Quironsalud Torrevieja Hospital: Costs, Top Doctors, and Reviews

Torrevieja, Spain

  • ISO 9001

Quironsalud Torrevieja Hospital located in Torrevieja (Alicante), Spain is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The national and international partners of Quironsalud Torrevieja Hospitalmake it a healthcare centre of excellence.
  • The technological upgrades in the hospital have made it the choice of patients in specialties such as Nephrology, Neurology, Orthopedics, Cardiac surgery etc.
  • There are over 35 medical specialties in the hospital.
  • The number of private rooms in the hospital are more than 70 and 45 plus consultation rooms and more than 6 operation theatres.
  • The number of suites are 4 suites and there are 4 royal suites.
  • Ultrasound machines, linear accelerators and even PET-CT, MRI, CAT scan options are present.
Norwood Procedure in Medstar Antalya Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI
  • Medstar Antalya Hospital has been providing patients with modern medical services since 2009.
  • It is part of the trusted Memorial Health Group, which is known for expert healthcare in Turkey.
  • The hospital is situated on a large campus and features advanced medical equipment and facilities.
  • It has 124 comfortable beds for patients and five fully prepared operating rooms for surgeries.
  • There are 33 intensive care beds, including specialised units for newborns who require additional support.
  • The hospital treats many health issues like cancer, heart problems, brain conditions, and more.
  • Modern machines, such as MRI, CT, and PET-CT, help doctors identify and treat problems quickly and safely.
  • Medstar meets international safety and care standards and is trusted by both local and global patients.
  • Care plans are made specially for each person, and emotional well-being is also supported.
  • Its location in Antalya makes it easy to reach and ideal for people coming from other countries for treatment.
Norwood Procedure in Vinmec Smart City Hospital: Costs, Top Doctors, and Reviews

Ha noi, Vietnam

  • Joint Commission International, or JCI
  • Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
  • Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
  • There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
  • To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
  • The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
  • Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
  • The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
  • It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
  • A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
  • Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
  • The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
  • The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
  • It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
  • By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
  • The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
Norwood Procedure in Vinmec Da Nang: Costs, Top Doctors, and Reviews

Da Nang, Vietnam

  • Joint Commission International, or JCI
  • Positioned in the Hoa Cuong Bac Ward of Da Nang’s Hai Chau District, along the well-known April 30th Street.
  • Spans a total area of over 37,000 square meters, featuring nine floors above ground and a basement, with 222 inpatient beds.
  • Carries out bariatric surgery using minimally invasive techniques to support effective weight loss and quicker recovery.
  • Offers comprehensive cardiac services, including diagnostics, surgeries, and 24/7 monitoring, utilising state-of-the-art equipment.
  • Performs hysterectomies through both open and laparoscopic procedures, based on individual medical requirements.
  • Internationally accredited by JCI, affirming its commitment to world-class healthcare standards and patient safety.
  • Manned by highly skilled medical staff who prioritise personalised attention and patient well-being.
  • Equipped with modern medical technology to support accurate diagnosis and advanced treatment methods.
  • Houses dedicated departments such as emergency medicine, oncology, paediatrics, women’s health, and diagnostic imaging.
  • Features complete diagnostic support, including laboratory testing and advanced imaging systems.
  • Serves both children and adults with a modern, patient-centred approach to general and specialised care.
  • Offers preventive healthcare services, including vaccinations, maternity monitoring, rehabilitation, and regular wellness exams.
  • Operates as a part of the Vinmec healthcare network, developed by Vingroup to provide high-quality private medical care throughout Vietnam.
Norwood Procedure in Vinmec Nha Trang: Costs, Top Doctors, and Reviews

Nha Trang, Vietnam

  • Joint Commission International, or JCI
  • Located on Tran Phu Street in Vinh Nguyen Ward, Nha Trang City, is a prime area easily accessible to residents and tourists.
  • Built on a total area of over 19,000 ?, with eight above-ground floors and one basement, designed to support modern healthcare delivery.
  • Provides private inpatient rooms, each with one bed, ensuring comfort and personalised care for every patient.
  • Holds international accreditation from a globally recognised body (JCI), reflecting a strong commitment to safety, quality, and patient-centred care.
  • Equipped with advanced imaging systems and diagnostic tools to support accurate and timely treatment.
  • Offers services across primary specialities, including cardiology, paediatrics, obstetrics, surgery, and diagnostics.
  • Utilises digital healthcare systems to streamline operations and enhance treatment precision.
  • Staffed by a team of experts who are regularly trained through partnerships with global medical institutions in countries like France, Japan, the U.S., and Singapore.
  • Welcomes both Vietnamese and international patients, promoting high-quality care and regional medical tourism.
  • Operates as part of a nationwide private hospital network developed by Vingroup, focused on delivering premium healthcare across Vietnam.
  • Built with strict sterilisation and infection control standards to protect patient health.
  • Continuously updates its technology and practices to align with global medical advancements.
Norwood Procedure in Vinmec Can Tho Hospital: Costs, Top Doctors, and Reviews

Can Tho, Vietnam

  • Joint Commission International, or JCI
  • Located in the heart of Can Tho city, it addresses the growing healthcare needs of the Mekong Delta region.
  • Regional access to international-standard medical services was limited, especially in southern Vietnam.
  • Rising demand for modern infrastructure and specialised healthcare due to population growth and urbanisation.
  • Established as the 9th hospital in the Vinmec Healthcare System, covering 41,000+ ? with six floors and 155 beds.
  • Launched with 21 medical specialities and centres, supported by advanced medical equipment and highly qualified personnel.
  • Implemented cutting-edge technology (e.g., 3.0 Tesla MRI, 512-slice CT scanner, digital mammography, AI-integrated mobile X-ray).
  • Rolled out incentive programs for community engagement (e.g., free health screenings, discounted cancer checkups).
  • Built an expert-led service model focused on early screening, precise diagnosis, and modern treatment protocols.
  • To deliver world-class healthcare locally and reduce the need for patients to travel to major cities for treatment.
  • To improve public health outcomes in the Mekong Delta by combining advanced technology with expert care.
  • To align with Vinmec's mission of providing high-quality, patient-centred care and promoting innovation in Vietnamese healthcare
Norwood Procedure in Batra Hospital: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • More than 35 years of trusted healthcare service
  • Multi-specialty tertiary care with over 30 departments
  • Comprehensive preventive, diagnostic, and therapeutic care under one roof
  • International patient coordination team for seamless overseas care
Norwood Procedure in Sri Ramachandra Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

2.9 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Norwood Procedure in Sri Ramachandra Medical Centre and its associated cost

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Stage I (Norwood Procedure)12636 - 202901042031 - 1661808
Stage II (Glenn Procedure)10160 - 18264833085 - 1501274
Stage III (Fontan Procedure)12685 - 202761038841 - 1660787
  • Address: Sri Ramachandra Medical Centre, Sri Ramachandra Nagar, Porur, Chennai, Tamil Nadu, India
  • Facilities related to Sri Ramachandra Medical Centre : SIM, TV inside room, Accommodation, Choice of Meals
Norwood Procedure in Jaypee Hospital: Costs, Top Doctors, and Reviews

Noida, India

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

Types of Norwood Procedure & Its Cost at Jaypee Hospital

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Norwood-Sano Procedure16,500 - 18,5001353000 - 1517000
Norwood-Rastelli Procedure20,000 - 22,0001640000 - 1804000
Norwood-Damus Procedure17,500 - 19,5001435000 - 1599000

Factors affecting Norwood Procedure cost in Jaypee Hospital

Cost FactorsCost Range (USD)Cost Range (INR)
Surgeon's fees3,000 - 3,500246000 - 287000
Anesthesia fees1,800 - 2,400147600 - 196800
Preoperative testing700 - 1,00057400 - 82000
Medical equipment and supplies1,500 - 2,000123000 - 164000
Intensive Care Unit (ICU) Charges5,000 - 6,000410000 - 492000
Operating room fees2,500 - 3,000205000 - 246000
Nursing care1,300 - 1,800106600 - 147600
Medications700 - 1,00057400 - 82000
Administrative fees700 - 1,00057400 - 82000
Type of Room charges (per day)400 - 50032800 - 41000
Follow-up visits300 - 40024600 - 32800
Rehabilitation2,000 - 2,500164000 - 205000
Norwood Procedure in Fortis Hospital, Shalimar Bagh: Costs, Top Doctors, and Reviews

Delhi, India

4.5 ( 4 Reviews )
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Types of Norwood Procedure & Its Cost at Fortis Hospital, Shalimar Bagh

Treatment OptionApproximate Cost Range (USD)Approximate Cost Range (INR)
Norwood-Sano Procedure15,000 - 17,0001230000 - 1394000
Norwood-Rastelli Procedure18,000 - 20,0001476000 - 1640000
Norwood-Damus Procedure16,000 - 18,0001312000 - 1476000

Factors affecting Norwood Procedure cost in Fortis Hospital, Shalimar Bagh

Cost FactorsCost Range (USD)Cost Range (INR)
Surgeon's fees2,500 - 3,000205000 - 246000
Anesthesia fees1,500 - 2,000123000 - 164000
Preoperative testing600 - 90049200 - 73800
Medical equipment and supplies1,200 - 1,50098400 - 123000
Intensive Care Unit (ICU) Charges4,000 - 5,000328000 - 410000
Operating room fees2,000 - 2,500164000 - 205000
Nursing care1,000 - 1,50082000 - 123000
Medications600 - 90049200 - 73800
Administrative fees600 - 90049200 - 73800
Type of Room charges (per day)300 - 40024600 - 32800
Follow-up visits200 - 30016400 - 24600
Rehabilitation1,500 - 2,000123000 - 164000

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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

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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