What is Mitral Valve Replacement Surgery Cost in Turkey?
The rate of cardiac diseases is increasing rapidly, as a result of which mitral valve replacement surgery has become the most frequently performed heart surgery in Turkey.
The average cost of mitral valve replacement surgery in Turkey ranges between USD 15500 and USD 17500. This includes the price of the prosthetic valve, anaesthesia and OT charges, any medical consumables, surgeon fees and a hospital stay for 3-7 days.
What is Mitral Valve Replacement Surgery?
The heart consists of valves within its chambers. These valves control the speed of blood flow and prevent it from flowing backwards.
Mitral valve maintains blood flow to the left ventricle and ensures that oxygen-rich blood does not flow back into the left atrium.
Some of the common complications in mitral valve are as follows:
Mitral valve regurgitation
In this heart condition, the mitral valve fails to close properly and backward leakage of blood into the left atrium of the heart is seen.
These lead to symptoms such as shortness of breath, persistent chest pain, irregular heartbeat, and dizziness.
Mitral valve stenosis
In this condition, the mitral valve gets narrow and stiffened due to which it is unable to open or close properly. This stiffening is caused as a result of calcification or some genetic disorder, a condition known as mitral stenosis.
Mitral valve prolapse/Barlow syndrome
In this condition, the flaps of mitral valves get enlarged or stretched. During contraction of cardiac muscles, these enlarged flaps bulge out, This is prolapse leading to leakage of blood into the left atrium.
To treat these conditions and their associated symptoms, cardiac surgeons perform mitral valve replacement surgery. During this procedure, they replace the damaged valve. The two types of prosthertic valve used are:
Mechanical Valves: Prepared from artificial materials, usually pyrolite carbon, covered in a polyester knit fabric ring, these mechanical valves are durable and can last a lifetime. However, patients with mechanical valves need anticoagulants to prevent blood clots.
Prosthetic Valves: These are extracted from biological tissue or animal valves. It doesn’t require lifelong blood-thinning medication. However, they may degrade over time and hence need to be replaced.
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WhatsApp UsWhat are the Types of Mitral Valve Replacement Surgery?
Based on the invasiveness of the approach, the mitral valve replacement surgery can be categorised into the following types-
Surgical mitral valve replacement
This is a conventional method in which cardiac surgeons create large incisions in the patient’s chest to access the mitral heart valve. Then, prosthetic valve replaces the damaged mitral valve.
Because it’s an open-heart surgery, the cardiac surgeon can see the inside of the heart directly and then carry out the surgical procedure.
Minimal invasive mitral valve replacement
This technique involves making small incisions to perform mitral valve replacement surgery. These minimal incisions lead to quicker recovery times and lower the risk of infection due to reduced exposure.
Transcatheter mitral valve replacement/implantation (TAVR/TAVI)
This is an advanced and minimally invasive technique. A cardiac surgeon inserts a catheter into the heart to deliver a prosthetic valve, which pushes the damaged valve at the back.
What are the Key Factors that Affect the Mitral Valve Replacement Surgery Cost in Turkey?
The cost considerations for mitral valve replacement surgery enable cardiac patients and their families to plan the treatment, explore any cost-saving options, and prepare for any unexpected financial strain that may arise from urgent medical needs.
The key factors affecting the mitral valve replacement cost in Turkey are listed below.
Type of prosthetic valve used
The cost associated with the mitral valve replacement surgery procedure may vary based on the selection of valve type which could be mechanical or biological valves. Certain valves may be costly due to their particular design, like self-expandable or balloon-expandable models.
Hospital reputation and cardiac surgeon expertise
Top cardiac hospitals in Turkey provide better services that may add some expenses to the overall treatment. At the same time, experienced cardiac surgeons at top hospitals may charge extra fees for ensuring comprehensive care to their cardiac patients.
Additional stay at hospital/ICU
Some cardiac complexities may require additional care at the ICU for post-operative care. This additional ICU stay costs around USD 250 to USD 400 on a per-day basis.
What are the Costs Associated with Mitral Valve Replacement Before and After the Procedure?
Before mitral valve replacement, cardiac surgeons perform various health check-ups and examinations to analyse the extent of the mitral valve damage. After the surgery, follow-ups are necessary to ensure that the prosthetic valve is functioning efficiently, these costs can be summed up as follows:
Pre-procedural examination cost (complete blood count, echocardiogram, electrocardiogram, coronary angiography, CT scan, heart cath, nuclear stress test, etc.): USD 300 to USD 400
Post-procedural cost (follow-up consultations and medications): USD 250 to USD 400
What is Mitral Valve Replacement Cost in Turkey Vs. Other Countries?
Cost of Mitral Valve Replacement | USD |
|---|---|
Turkey | 16500 |
India | 9500 |
What should Post-Mitral Valve Replacement Surgery Care be?
Prosthetic valve replacement carries a higher risk of infection and complications compared to natural valves. Hence, regular monitoring is crucial during the initial weeks. Turkey's National Health Policy prioritises cardiovascular prevention through nationwide promotion of healthy lifestyles. Some of the recommendations are as follows:
Regular Follow-ups
Patients should visit their cardiac surgeons regularly for detecting and addressing potential complications, ensuring a healthy recovery.
Limit Strenuous Activities
Patients should allow their body to heal and adjust to the new valve. Hence, heavy lifting and intense exercise should be avoided during the initial recovery phase.
Monitor for Infection
Patients should be vigilant for signs of infection, such as fever or chills. If noticed, it should be reported to prevent prosthetic valve endocarditis.
Attend Cardiac Rehabilitation
Specialised cardiac rehabilitation programs in Turkish hospitals offer supervised exercise and dietary guidance to aid recovery and minimise future heart complications.
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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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