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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Aakash Healthcare Super Speciality Hospital
Delhi, India
Types of Norwood Procedure & Its Cost at Aakash Healthcare Super Speciality Hospital
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Norwood-Sano Procedure | 14,500 - 16,500 | 1189000 - 1353000 |
| Norwood-Rastelli Procedure | 18,500 - 20,500 | 1517000 - 1681000 |
| Norwood-Damus Procedure | 16,000 - 18,000 | 1312000 - 1476000 |
Factors affecting Norwood Procedure cost in Aakash Healthcare Super Speciality Hospital
| Cost Factors | Cost Range (USD) | Cost Range (INR) |
|---|---|---|
| Surgeon's fees | 2,500 - 3,000 | 205000 - 246000 |
| Anesthesia fees | 1,500 - 2,000 | 123000 - 164000 |
| Preoperative testing | 500 - 800 | 41000 - 65600 |
| Medical equipment and supplies | 1,000 - 1,500 | 82000 - 123000 |
| Intensive Care Unit (ICU) Charges | 4,000 - 5,000 | 328000 - 410000 |
| Operating room fees | 2,000 - 2,500 | 164000 - 205000 |
| Nursing care | 1,000 - 1,500 | 82000 - 123000 |
| Medications | 500 - 800 | 41000 - 65600 |
| Administrative fees | 500 - 800 | 41000 - 65600 |
| Type of Room charges (per day) | 300 - 400 | 24600 - 32800 |
| Follow-up visits | 200 - 300 | 16400 - 24600 |
| Rehabilitation | 1,500 - 2,000 | 123000 - 164000 |
Aster Medcity
Kochi, India
Types of Norwood Procedure in Aster Medcity and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12668 - 20282 | 1037842 - 1667296 |
| Stage II (Glenn Procedure) | 10162 - 18348 | 832790 - 1503559 |
| Stage III (Fontan Procedure) | 12654 - 20290 | 1036047 - 1666348 |
- Address: Aster Medcity Hospital, South Chittoor, Kochi, Kerala, India
- Facilities related to Aster Medcity: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Tel Aviv Sourasky Medical Center -Ichilov Hospital
Tel Aviv, Israel
Tel Aviv Sourasky Medical Center -Ichilov Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The center possesses high end infratsructure with latest technologies which are upbgraded on a regular basis.
- There are 60 departments in Tel Aviv Sourasky Medical Center
- The center has as many as 6 institutions:
- Ichilov General Hospital
- Ted Arison Medical Tower
- Dana-Dwek Children's Hospital
- Sammy Ofer Heart & Brain Building
- Adams Health Science & Rehabilitation Building (in the planning stage)
- Lis Maternity and Women's Hospital
- Patient Care Numbers (annual) are as follows:
- 400,000 patients
- 36,000 surgeries
- 220,000 ER visits
- 12,000 births
- The bed capacity of the center is 1300.
- Good success rates during treatment for the majority of conditions.
Max Smart Super Speciality Hospital
Delhi, India
Types of Norwood Procedure in Max Smart Super Speciality Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Stage I (Norwood Procedure) | 12687 - 20381 | 1044044 - 1668068 |
| Stage II (Glenn Procedure) | 10172 - 18265 | 829274 - 1497884 |
| Stage III (Fontan Procedure) | 12748 - 20264 | 1042757 - 1668490 |
- Address: Max Smart Super Speciality Hospital, PRESS ENCLAVE ROAD, Saket Institutional Area, Saket, New Delhi, Delhi, India
- Facilities related to Max Smart Super Speciality Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Thumbay University Hospital, Ajman
Ajman, United Arab Emirates
Types of Norwood Procedure in Thumbay University Hospital, Ajman and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| Stage I (Norwood Procedure) | 22963 - 27772 | 83169 - 103627 |
| Stage II (Glenn Procedure) | 16571 - 22106 | 60870 - 81063 |
| Stage III (Fontan Procedure) | 24305 - 32139 | 89713 - 116702 |
- Address: Thumbay University Hospital - Ajman - United Arab Emirates
- Facilities related to Thumbay University Hospital, Ajman: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Meliva Kardiolita Hospital, Kaunas
Kaunas, Lithuania
Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania 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. 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
- 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
Amrita Hospital
Faridabad, India
Founded in 1998 by Mata Amritanandamayi (Amma), the Amrita Institute of Medical Sciences and Research Centre is one of India’s leading healthcare institutions, accredited by ISO, NABH, and NABL. With 2 branches, 7 medical colleges, and a network of 800+ doctors and 2,600+ beds, it offers comprehensive care across 81 specialties and 12 super-specialty departments, supported by 60+ modern operating theatres and 534 critical care beds. The Faridabad campus, a world-class multispeciality facility, houses advanced centers for oncology, neurosciences, cardiac sciences, gastro-sciences, mother and child care, and trauma care, along with India’s most comprehensive infectious disease unit. Guided by a mission of compassion and innovation, Amrita Hospitals combine cutting-edge medicine with humanitarian service to empower communities and promote holistic well-being.
Rajagiri Hospital
Kochi, India
- Rajagiri Hospital, Kochi, Kerala, is a leading multi-speciality tertiary care hospital known for providing world-class medical services with advanced technology and compassionate care.
- Accredited by JCI, NABH, and NABL, the hospital offers comprehensive treatment across specialities like Cardiology, Oncology, Neurology, Gastroenterology, Orthopaedics, Nephrology, Urology, and Paediatrics, making it a trusted healthcare destination in South India.
Bukit Tinggi Medical Centre
Kuala Lumpur, Malaysia
As a tertiary care hospital, Bukit Tinggi Medical Centre (BTMC) is committed to providing high-quality, reasonably priced healthcare.
With a focus on patient care and a team of committed medical professionals and personnel, we want to realize our ambition of becoming Klang's go-to healthcare provider. Orthopedics, neurosurgery, cardiac surgery, obstetrics and gynecology, pediatrics and rehabilitation, aesthetic surgery, and other specialties are all part of our multidisciplinary team approach. Additionally, BTMC has a Health Screening Center that provides a range of health packages to meet the requirements of diverse patient types.
IRCCS Policlinico San Donato
milan, Italy
- Leading multi-speciality research hospital, specialising in cardiovascular care, established in 1969.
- Part of Gruppo San Donato (GSD) and affiliated with the University of Milan.
- Serves around 300,000 patients annually, including international patients.
- Recognised as a European Reference Centre (ERN GUARD-Heart) for congenital heart diseases.
- Offers advanced services in cardiac surgery, electrophysiology, diagnostic imaging, plastic surgery, and metabolic health.
- Equipped with 10 advanced operating theatres, hemodynamics & electrophysiology labs, and 430 patient beds.
- Multilingual support and patient-centred care, with on-site pharmacies, laboratories, and cafeterias.
- Ranked among the World’s Best Specialised Hospitals (2025) for cardiology and cardiac surgery.
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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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