What is Aortic Valve Replacement Surgery Cost in Turkey?
Rheumatic heart disease is one of the most common heart diseases, which results in permanent heart valve damage. If left untreated it may also lead to severe heart conditions such as congestive heart failure and ultimately death. The best possible solution to this end-stage ailment is replacement of damaged heart valves.
The average cost of aortic valve replacement surgery in Turkey ranges between USD 14000 and USD 18000. This cost mentioned includes the price of the prosthetic valve, cardiac surgeon fees, anaesthesia and OT charges, medical consumables, and a hospital stay for 3-7 days.
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WhatsApp UsWhat is Aortic Valve Replacement Surgery?
The heart is the primary organ involved in blood circulation containing flaps-like structures called valves.
Aortic valve is one of the heart valves, which maintains blood flow to the aorta and ensures that oxygen-rich blood does not flow back into the left ventricle. Any complication associated with this bicuspid valve leads to insufficient blood supply and intermixing of oxygenated and deoxygenated blood.
Sometimes, due to underlying conditions, these aortic valves can't function properly due to the following conditions:
Aortic stenosis
The valve becomes narrow and stiff due to calcification or some genetic disorder. As a result of which aortic valve doesn’t open or close properly, leading to a condition known as aortic stenosis.
Atherosclerosis
Deposition of plaques containing cholesterol, calcium, and other fatty substances builds up and hardens inside the arteries. These can partially or entirely limit blood circulation to the heart, a condition referred to as atherosclerosis.
Congenital heart conditions
The aortic valve is a tricuspid valve. However, some genetic defects during pregnancy, children are born with a two-cusped aortic valve instead of three. This bicuspid aortic valve is referred to as hereditary congenital heart defect that limits the heart's function.
Infective endocarditis
A significant inflammation in the heart, with fevers, chills, and fatigue caused by bacterial infection leads to infective endocarditis. This infection reaches to the valves, thus reducing its capacity to control the blood flow.
Aortic valve regurgitation
In this heart condition, the aortic valve fails to close tightly, which leads to backward leakage of blood into the left ventricle of the heart leading to the following symptoms:
Shortness of breath
Persistent chest pain
Irregular heartbeat
Feeling of dizziness followed by fainting
To treat such conditions, cardiac surgeons perform aortic valve replacement surgery. In this procedure, they replace the damaged valve with a prosthetic valve. The two types of prosthetic valve includes:
Mechanical Valves: Made from artificial materials, usually pyrolite carbon (covered in a polyester knit fabric ring), they are durable and can last a lifetime. However, patients with mechanical valves need to take anticoagulants for their entire lives to prevent complications of blood clots.
Biological Valves: As the name suggests, these are made from biological tissue or animal valves,derived from pigs or cows. Though it doesn't require lifelong blood-thinning medication, they may deteriorate over time and need to be replaced
What are the Types of Aortic Valve Replacement Surgery?
Aortic valve replacement surgery can be categorised into the following types based on the degree of invasiveness-
Surgical aortic valve replacement
In this method, large incisions are made in the patient’s chest to reach the heart valve. Then, the cardiac surgeon replaces the damaged aortic valve with a prosthetic valve. Since it is an open-heart surgery, it allows cardiac surgeons to directly visualise the inside of the heart and then perform the surgery.
Minimal invasive aortic valve replacement
This technique is known for creating minimal incisions to perform the aortic valve replacement surgery. Minimal invasiveness ensures faster recovery and less chances of infection.
Transcatheter aortic valve replacement/implantation
This is an advanced form of minimal invasive technique, in which a cardiac surgeon inserts a catheter into the heart through which the prosthetic valve is inserted there pushing the damaged valve behind it.
What are the Key Factors That Affect the Aortic Valve Replacement Surgery Cost in Turkey?
Cardiac patients can make informed decisions about their treatment by knowing the potential costs of aortic valve replacement surgery. This can help them plan ahead, consider cost-effective strategies, and avoid financial stress.
The key factors affecting the aortic valve replacement cost in Turkey are listed below.
Type of prosthetic valve used
The price of aortic valve replacement can vary based on the valve selected, including mechanical and biological options. Certain valves, like self-expandable or balloon-expandable designs, may be more costly due to their specific features. TAVI procedures typically involve a biological prosthetic valve.
Hospital location and cardiac's surgeon expertise
The hospital's location and distance from major cities in Turkey also impact the cost. Top hospitals, undoubtedly, provide better services that may add some expenses to the overall transaction. Also, surgeons at top cardiac hospitals in Turkey may charge extra fees because of their high skill and expertise.
Additional stay at hospital/ICU
In particular, in cardiac complexities, the patient may have to stay for some additional days in the ICU for post-operative care. Thus, the additional hospital stay costs around USD 200 to USD 400 on a per-day basis.
What are the Costs Associated with Aortic Valve Replacement Before and After the Procedure?
Before aortic valve replacement, cardiac surgeons recommend various tests and examinations to understand the extent of the damage caused to the aortic valve. Even after the replacement procedure is over, follow-ups are necessary to ensure that the prosthetic valve is functioning efficiently. These affect costs of aortic valve replacement surgery in Turkey and should not be overlooked by the patients and their families.
Pre-procedural examination cost (complete blood count, electrocardiogram, echocardiogram, coronary angiography, CT scan, nuclear stress test, etc.) USD 300 to USD 400
Post-procedural cost (follow-up consultations and medications): USD 250 to USD 400
What is the Cost of Aortic Valve Replacement Surgery in Turkey Vs. Other countries?
Cost of Aortic Valve Replacement | USD |
|---|---|
Turkey | 16000 |
India | 9500 |
What should be Post Aortic Valve Replacement Surgery Care?
After replacing a natural valve with a prosthetic one, it's crucial to monitor for potential complications that may arise post-surgery. The complications such as Infections, bleeding, and other medical issues require immediate attention.
Some essential measures for post-surgery care includes:
Follow medical guidance
Patients should strictly follow their doctor's instructions related to medications, follow-up appointments, and dietary recommendations.
Limit Physical Activity
It’s recommended to avoid strenuous activities initially to allow the body’s immune system to adjust to the prosthetic valve and heal properly.
Monitor for Infections
In case of any signs of infection and symptoms such as discomfort or fever, doctor should be informed immediately to avoid further complications
Participate in Cardiac Rehabilitation
These programs can help the patient recover after aortic valve replacement surgery and improve cardiovascular health. This also reduces the risk of heart problems that may arise. Through supervised exercise and dietary guidance, patients learn to manage their cardiac health.
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Frequently Asked Questions Related to Aortic Valve Replacement Cost
A day before the surgery, a physical examination of the person and some tests are done to assess one’s health, including chest X-ray, electrocardiogram (ECG), blood tests, echocardiogram, and coronary angiogram. All the tests are usually covered in the medical package.
There are different types of valves used for aortic valve surgery depending upon the patient’s condition. These include Open Aortic Valve Replacement (AVR) via Sternotomy, Transcatheter Aortic Valve Implantation (TAVI), and Minimally Invasive Cardiac Surgery (MICS). AVR is for low-risk patients, TAVI is used for patients who are at risk from complications of AVR whereas MICS is a fast method among all three. However, the most expensive procedure among all the three is TAVI.
In addition, AVR and MICS can last up to a lifetime and TAVI has a life span of approximately five years but more research is required on it.
All the pharmaceutical expenses and medical consumables are included in the medical package during the patient’s stay in the hospital however, these benefits are not covered once the patient is discharged.
Post-surgery, the patient is usually advised to stay in the hospital for a week to recover. However, it may take a month for the patient to recover fully. The package covers the patient’s stay in the hospital although, depending upon the facilities and type of room, the package cost may increase.
After surgery, the patient has monitored for the risk of infection or increased blood pressure. He is also assisted in managing discomfort or pain and is helped in walking and doing exercise. All these services are included in the package. The patient might also go for personal sessions for breathing exercises after discharge. In addition, the patient may require medication for at least three months following surgery.
With respect to the follow-ups, the patient may need to see his cardiologist six to eight weeks after the surgery and the doctor then recommends the number of follow-ups required according to the patient’s condition.
Depending upon the health insurance cover the person has taken, the costs are covered. Some premium covers provide full cost whereas some others provide the partial cost of the treatment.
The aortic valve replacement procedure puts immense strain on the body and may require alternative approaches that include aortic valve balloon valvuloplasty, TAVI, and sutureless aortic valve replacement.
Everything You Need to Know About Aortic Valve Replacement: Q&A
Before the Procedure · 26 Questions
Mechanical valves usually last 20 years or more.
Mechanical valves last longer than tissue valves. They are less likely to wear out or break down. If you are age 50 or younger, a mechanical valve may be a good choice.
However, the patient has to follow a strict blood thinner medication regime. Hence, the tissue valve is advised for older people to avoid the risks of blood thinners.
Mechanical valves are made from carbon and metal. Tissue (biological or bioprosthetic) valves are usually made from animal tissue, or sometimes from human tissue (in which case they may be called homograft valves), that has been treated to make sure it is not rejected by the body.
A still poorly addressed issue of mechanical valve prostheses is the noise they produce. This is perceived by many patients, many are happy to hear their heart constantly beating, but some dislike the noise.
Mechanical valves in some patients have lasted as long as 25 years without problems. Tissue valves in some patients have lasted as long as 15 years without problems.
There are ways to strengthen the heart valve firstly, Get moving as your heart is a muscle and as with any muscle, exercise is what strengthens it., Quit smoking, Lose weight, Eat heart-healthy foods and don't take the stress.
Your treatment depends on the severity of your condition. You may need surgery to repair or replace the valve. Left untreated, aortic valve stenosis can lead to serious heart problems.
That is absolutely right. If your surgeon felt, he will not be able to achieve the desired results in minimally invasive surgery, he will not offer it in the first place.
There are two main types of heart replacement valves to choose from — mechanical and biological, Doctor will advise according to the patient age, lifestyle, food habits etc.
When valves are damaged or diseased and do not work the way they should they may need to be repaired or replaced.
Tissue valves can last 10-20 years, and usually don't require the long-term use of medication.
These tissues are treated and neutralized so that the body will not reject them.
Tissue heart valves (sometimes called “bioprosthetic” valves) are harvested from animal heart valves (porcine) and have passed the tests on human trials before being used.
A third, small difference between the two valve options is sound. Tissue valves work silently, while mechanical valves can make a quiet clicking noise that some people find bothersome, especially when trying to fall asleep.
Tissue valves in some patients have lasted as long as 15 years without problems.
There are ways to strengthen the heart valve firstly, Get moving as your heart is a muscle and as with any muscle, exercise is what strengthens it. Quit smoking, Lose weight, Eat heart-healthy foods and don't take the stress.
Your treatment depends on the severity of your condition. You may need surgery to repair or replace the valve. Left untreated, aortic valve stenosis can lead to serious heart problems.
When valves are damaged or diseased and do not work the way they should they may need to be repaired or replaced.
There are two main types of heart replacement valves to choose from — mechanical and biological, Doctor will advise according to the patient.
This surgery is usually done for the individuals aged between 53 to 92 years
That is absolutely right. If your surgeon felt, he will not be able to achieve the desired results in minimally invasive surgery, he will not offer it in the first place.
In aortic valve replacement the doctor removes the aortic valve and then replaces it with a mechanical or valve which is being made from cow, pig or human heart.
Aortic tissue valve will lasts up to 10 to 20 years and there be no use of taking medicines for long term. If the person is young and needs a tissue valve replacement the need for other surgery or other valve replacement is very less.
Aortic valve replacement will treat the aortic valve diseases and then help to restore normal blood flow, reduce the symptoms and then increase the life expectancy and preserve the function of your heart muscles.
Aortic valve replacement is needed for two reasons either the valve has become narrowes or the opening of the valve has become smaller which obstructs the flow of blood out of the heart. The aortic valve allows the blood to flow back through in the heart.
Yes, aortic valve replacement is a major surgery it involves removing a faulty or damaged valve and then replacing it with a new valve made from synthetic material or animal tissue. This surgery is not suitable for everyone and it will take time to recover.
During the Procedure · 3 Questions
The procedure of aortic valve replacement will take around two to four hours to complete.
Aortic valve replacement is being done by cardiologist.
In this procedure, doctor will make an incision in your chest and then removes the aortic valve and then replaces it with mechanical valve which are made from either cow, pig or human heart.
Post the Procedure · 8 Questions
After an aortic valve replacement, you'll usually need to stay in the hospital for about a week. The time it takes to fully recover varies depending on factors like your age and overall health.
Your breastbone will usually heal in about 6 to 8 weeks, but it maybe 2 to 3 months before you feel your normal self again.
Exercising will help to speed up your recovery and it's a key component of a healthy lifestyle. Exercise increases your fitness levels, helps control blood pressure, weight and cholesterol and keep you relaxed.
After an aortic valve replacement, you'll usually need to stay in the hospital for about a week. The time it takes to fully recover varies depending on factors like your age and overall health.
Your breastbone will usually heal in about 6 to 8 weeks, but it maybe 2 to 3 months before you feel your normal self again.
Exercising will help to speed up your recovery and it's a key component of a healthy lifestyle. Exercise increases your fitness levels, helps control blood pressure, weight, and cholesterol and keep you relaxed.
You will need to be in hospital for about a week after surgery.
The time it takes to fully recover varies depending on factors like your age and overall health. Your breastbone will usually heal in about 6 to 8 weeks, but it may be 2 to 3 months before you feel your normal self again.
After your aortic valve replacement surgery you have to regularly monitor your blood pressure, breathing and heart rate. You have to carefully watch your incision site. You should walk regularly and then increase your activity.
Some of the risks of aortic valve replacement are bleeding, blood clots, heart rhythm, problem, infection and stroke.
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