Cost of Mitral Valve Replacement in Mumbai
Mitral Valve Replacement is a procedure in which the diseased mitral valve of a patient's heart is replaced by either a mechanical or tissue valve.
Mitral Valve Replacement procedure involves the removal of the defective mitral heart valve and replacing it with a new valve.
The surgery team will remove the heart-lung machine and will wire the breastbone back together. Later, the incision is stapled back to the skin.
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Inclusions in the package
The cost of Mitral Valve Replacement includes:
- Preoperative diagnostic tests cost [blood tests, a chest X-ray, an echocardiogram (ECG) and an electrocardiogram (EKG)].
- Surgery cost (cost is different for different types of the valve)
- Type of Valve (2 variables are available - Mechanical valve and Tissue Valve)
- Medicine cost (blood thinners, antibiotics, etc.)
- Patient's hospital stay
Factors affecting cost of Mitral Valve Replacement
The overall cost of the procedure also varies based on the patient's condition and preferences. Some of these factors are:
- Type of hospital and room opted (General, Twin sharing or single room)
- The severity of the disease
- Post-surgical complication, if it happens (such as bleeding, blood clot, infection, etc)
- Cost of Blood products (if required)
- An extended stay at the Hospital
- Cost of Accommodation during follow-ups, in case the patient is not a local resident
Success Rate
Frequently Asked Questions Related to Mitral Valve Replacement Cost
Before mitral valve replacement or repair surgery, an echocardiogram is done to obtain information about your heart condition. Other tests also done include X-rays, CT scans, lung tests, and blood tests. All the aforementioned tests are covered in the package.
Medications are required to treat irregular heartbeats and other complications related to mitral valve prolapse. These are a part of the package when you’re at the hospital, but if you buy the medication from outside the hospital, it is not included in the package.
In a mitral valve replacement surgery, a surgeon extracts the mitral valve from the patient and replaces it with a mechanical valve or a valve made out of a pig, cow, or human heart tissue. Mechanical valves last longer than other types of valves, hence, they cost slightly more than than other.
The stay of the patient in the hospital depends on the improvement in their health. Usually, they have to stay in the hospital for 5 to 10 days after the surgery. Follow-up visits are necessary in about 6 to 8 weeks and you will be able to feel nomal in about 2 to 3 months after the surgery.
After the surgery, you will be on constant medications prescribed to you by your doctor and would also need to get physical therapy and exercise to gain strengh. If there is infection, you will have to go for a revision surgery, but it is not covered in the package.
Mitral valve replacement surgery is typically covered under most health plans. Health insurance policies cover costs such as hospitalization, prescription drugs, etc.
TAVR is an comparatively cheaper alternative to open-heart mitral valve replacement surgery with lesser downtime. Transcatheter aortic valve implantation (TAVI) can also be done based on your case. Please consult with your doctor before choosing any procedure.
Everything You Need to Know About Mitral Valve Replacement: Q&A
Before the Procedure · 7 Questions
Several factors can increase your risk of mitral valve disease, including:
Older age, History of certain infections that can affect the heart, History of certain forms of heart disease, History of use of certain drugs, Heart conditions present at birth (congenital heart disease) and Radiation to the chest.
Mitral valve disease occurs when the mitral valve doesn't work properly allowing blood to flow backward into the left atrium.
If left untreated, mitral valve disease can lead to serious, life-threatening complications such as heart failure or irregular heartbeats called arrhythmias.
There are less risk of infection, Less need for life-long use of blood-thinning medication and the structure of the mitral valve is important to the proper functioning of the heart, so preserving the patient's valve ultimately improves the heart function.
Surgery should also be considered when a patient develops atrial fibrillation, which is an irregular heartbeat. Surgery is also recommended in most asymptomatic patients who have a severe leak.
In asymptomatic patients with severe mitral regurgitation, surgery improves long-term survival.
Mitral valve replacement surgery is being done to replace a poorly working mitral valve with an artificial valve. This surgery will help the blood flow through your heart and out of your body. In mitral valve replacement surgery the doctor will replace the poorly working mitral valve with an artificial valve.
Mitral valve replacement is needed only if the mitral valve is not working properly. Surgical repair of the mitral valve can be done. Some of the common conditions required for mitral valve replacement includes ischemic heart disease, infection of heart valves, heart failure and rheumatic fever.
When you prepare for surgery your doctor will decide which valve will be the best for you. Your surgeon will replace the valve with biological or mechanical valve. You should not eat or drink anything after midnight and before the surgery and avoid taking blood-thinning medicines.
During the Procedure · 4 Questions
Hospital stay is about 7-8 days for this procedure.
During the procedure, the surgeon opens your chest to get to your heart and the diseased valve. The procedure varies from patient to patient, lasting a minimum of two hours and often longer.
Some of the tests which you need to undergo before surgery includes chest x ray, ECG, blood tests, echocardiogram and coronary angiogram.
An incision is being made in the middle of your chest, to get access to your heart breast bone will be separated. Heart lung machine is being attached which acts as heart and lung during the procedure, then your surgeon will remove your current mitral heart valve and then replace it with a new valve. At last your breastbone will be stitched together.
Post the Procedure · 9 Questions
The normal recovery time after a heart valve surgery is usually four to eight weeks and maybe shorter after minimally invasive surgeries.
You will feel tired and sore for the first few weeks after surgery. You may have some brief, sharp pains on either side of your chest. Your chest, shoulders and upper back may ache. The incision in your chest may be sore or swollen.
There is hardly any need for in-person visits with treating surgeons post 4 weeks of the procedure.
The doctor will advise for the tests that can be conducted in the home country and results can be shared electronically for review.
These symptoms usually get better after 4 to 6 weeks. You will probably be able to do many of your usual activities after 4 to 6 weeks.
After your mitral valve replacement you will be taken to the recovery room. You will immediately notice relief from symptoms. Tubes may be placed in your chest for breathing which can be uncomfortable. Bandages will be placed over the incision.
The risk of the surgery depends on your overall health, age and other factors. Some of the common risks of the procedure includes infection, bleeding, irregular heart rhythms, blood clots, anaesthesia complications, continuous leaking of valve. Some of the other risk of the procedure includes chronic illness, lung problems, obesity, infections, higher age
You will feel some soreness, but you shouldn’t feel severe pain. If you need it, you can ask for pain medicine.
You are required to stay in hospital for 5 days after surgery.
You should avoid lifting heavy objects for few weeks after surgery. Before going for any medical or dental procedure inform your doctor about it. Follow all the instructions given by your doctor to prevent infection.
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