Online Consultation For Norwood Procedure Doctors in India

The Norwood Procedure is a complex, life-saving open-heart surgery performed on newborns with Hypoplastic Left Heart Syndrome (HLHS)—a congenital heart defect in which the left side of the heart is underdeveloped. It is the first of three staged surgeries, followed by the Glenn and Fontan procedures.

The Norwood Procedure demands advanced neonatal cardiac ICU care, 24/7 cardiac anesthesiology, and a multidisciplinary congenital heart team.

• NABH- or JCI-accredited pediatric cardiology centers
• Pediatric cardiac surgeons with Norwood/HLHS surgery experience
• On-site cardiac catheterisation lab, ECMO, and neonatal ICU
• In-house pediatric cardiologists, cardiac anesthesiologists, and intensivists
• Access to Glenn and Fontan follow-up for staged procedures

Yes. Pre-surgical virtual consultations are strongly advised for:

• Sharing fetal echocardiography reports (if diagnosed prenatally)
• Post-birth cardiac ultrasound and oxygen saturation levels
• Clarifying the surgical timeline, hospital stay, risks, and cost
• Understanding the full 3-stage surgical pathway

• Fetal echocardiography or neonatal echo findings
• Any NICU interventions already received
• Baby’s birth weight, oxygen needs, and feeding tolerance
• Genetic testing (if done), screening labs, and family history
• Local cardiologist's notes and queries

• Day 1–2: Admission, labs, cross-match, echo re-evaluation
• Day 3: Surgery (open-heart with heart-lung bypass)
• Day 4–14: Pediatric ICU stay and ventilatory support
• Day 15–21: Step-down care, feeding optimization, oxygen therapy
• Day 22–28: Discharge preparation and home care training

Total Stay in India: 4–6 weeks

• 100+ pediatric open-heart surgeries
• Experience with hypoplastic left heart repairs, arterial switch, ECMO-supported cases
• Multidisciplinary coordination with NICU, anaesthesia, cardiology, and nutrition teams

In Your Session:

• Review of diagnosis: HLHS subtype, aortic atresia, ASD/VSD, etc.
• Echocardiogram review and oxygen saturation status
• Surgical steps explained: BT shunt/Sano, RV-PA conduit
• Survival rates, ICU course, and long-term prognosis
• Post-op care plan: infection prevention, feeding protocols
• Follow-up schedule for Glenn and Fontan stages

• Dedicated pediatric anesthesiology and cardiopulmonary bypass team
• Invasive monitoring: arterial lines, central venous catheters
• 24/7 ICU with ventilation, ECMO, CRRT
• Strict sterility, neonatal pain management, and antibiotic stewardship
• Gradual feeding and extubation protocols
• Discharge with caregiver training, medication chart, and cardiac follow-up booklet

Being a high-risk surgery, it carries rare but serious complications:

• Bleeding, infection, or arrhythmias
• Ventricular dysfunction or shunt blockage
• Need for ECMO in poor cardiac output
• Long-term: Fontan failure or arrhythmias

With experienced centers, survival rates for Stage 1 Norwood in India range from 65–85%, and long-term outcomes improve with timely Glenn and Fontan completion.

Yes. MediGence offers online second opinions to:

• Confirm HLHS diagnosis and surgery readiness
• Discuss Glenn/Fontan sequencing and alternatives
• Review fetal echo results if still antenatal
• Provide clarity on cost, outcome, and long-term care

Second opinions help ensure:

• Stage-appropriate timing
• Surgeon experience match
• Confident preparation for parental counselling and financial planning