What is the Cost of Heart Surgery in India? List of Best Heart Surgery Hospitals in India

Everything You Need To Know About Heart Surgery

The heart is a vital organ and it is important to maintain its health for the effective functioning of the human body. There are several types of procedures that can help correct cardiac disorders, and when none of them works, heart surgery is an effective solution.
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There are different types of heart surgery that help correct cardiac defects that cannot be treated with the help of any other surgery. Each type of heart surgery has its own purpose and a cardiac surgeon is the best person to assess which type of surgery is required by a patient as a part of cardiac treatment.
Heart surgery is a tedious, sensitive and risky procedure. However, the benefits associated with each type of heart surgery are many. Typically, the results of a heart surgery are highly positive and the patient is able to live a quality life after undergoing surgery to correct cardiac defects. Only an experienced cardiac surgeon is able to decide which surgery needs to be conducted for the treatment of heart patients. There are risks and benefits associated with both traditional and minimally invasive surgery.

Best Candidates For Heart Surgery

Heart surgery is required in case of patients suffering from the following conditions:
  • Blocked coronary artery
  • Heart failure
  • Abnormal heart rhythms
  • Damaged heart that requires replacement
  • Damaged portions of heart that require repair
  • Reduced heart function and performance warranting a need for medical device implantation
  • Coronary heart disease (CHD)
  • Damaged heart valve requiring replacement and repair
Heart surgery is also an option for patients suffering from heart damage, whose condition has not improved despite trying other treatment methods, including lifestyle changes, medical procedures and medicines.

Who conducts a heart surgery?

The heart surgery is conducted by a team of specialist doctors, which includes a cardiothoracic doctor, a cardiologist and a primary care doctor. These are chief surgeons who first assess whether the patient actually requires a heart surgery or not.

Before Heart Surgery: Patient Assessment

The cardiac specialists will first conduct a thorough medical evaluation of the heart patient to figure out whether a heart surgery is required or not. However, this evaluation is not applicable in the case of emergency patients, who have has a major heart attack or stroke and may need an immediate heart surgery to ensure survival. Typically, the patient assessment before heart surgery is divided into two categories – general interview and diagnostic tests.
During the general interview, the doctor asks the patient about the medical history, family history of heart disease, past conditions, its symptoms and course of treatment, duration of symptoms, age and general health, including the presence of other medical conditions such as diabetes and hypertension. Patients may also be required to undergo certain blood and cholesterol tests at this stage.

Diagnostic Tests

Based on the findings of the general interview, the doctor may order a few diagnostic tests to assess the severity of heart damage and the kind of treatment required. Some of these diagnostic tests for heart problems include:
Stress Test: Doctors diagnoses specific types of heart disease by making the heart pump at a faster rate. This is done as a part of a stress test, during which heart is made to work harder. During the test, an electrocardiogram is done and blood pressure is monitored, in addition to a few other parameters.
Electrocardiogram (EKG): This non-invasive test is used to measure the electric activity of the heart. EKG lets doctors see the rhythm of the heart, whether the heart is beating in a regular or an irregular fashion. It also lets doctors record the electrical strength of the impulses as they travel through the heart.
Cardiac CT Scan: This test lets doctor take clear, coloured pictures of the heart with the help of an X-ray machine by injecting a special dye into the vein. It lets doctors diagnose whether there are any thickening in the coronary artery or if the patient is suffering from an aneurysm.
Cardiac MRI: This test makes use of radio and magnetic waves to create live images of the beating heart on a computer. The computer shows images of beating heart and vessels carrying blood and is used to assess the function and size of the heart and its different parts.
Angiography: A coronary angiography is used to look inside the coronary artery. This is done by inserting a catheter into the arm, neck or groyne and injecting a dye into the bloodstream, which flows through the coronary artery. The flow of dye along with the blood lets doctor identify the normal flow of blood through the heart and check for any kind of blockages.
Echocardiography: Echo is a painless and non-invasive procedure that makes use of sound waves to create take moving pictures of the heart as it beats. Echo checks for normal functioning of the heart muscles and valves, and also shows the size and shape of the heart on the screen. It lets doctors identify the areas of the heart that seems not working well, where there are less blood flow and areas of injury.

Types of Heart Surgery

These are different types of heart surgery, one of which is selected by the cardiac surgeon based on the condition of the patient and the final diagnosis. Each of these surgeries has different benefits and they help treat different conditions. Before the surgery, the patient is informed about the pros and cons associated with the surgery, the risks involved and the amount of time that it will take for the patient to recover after the surgery. Some patients like to go for minimally-invasive surgery for aesthetic reasons, while others still prefer to go for traditional open heart surgery. Some of the common heart surgery procedures include:
  • ASD Heart Port Surgery
  • Coronary Angiography
  • Coronary Angioplasty
  • CABG (Coronary Bypass Surgery)
  • Ventricular Septal Defect Closure
  • Right Heart Catheterization
  • Atrial Septal Defect Closure
  • Aortopulmonary Window
  • Arteriovenous Fistula with Graft
  • Bentall Procedure
  • Automatic Implantable Cardioverter Defibrillator Implantation
These procedures have different functions. Some of these functions and the respective treatment are discussed below.

Treatment of Heart Disease

Coronary Artery Bypass Grafting (CABG)

This type of heart surgery is used to improve the flow of blood in patients suffering from CHD. Over a period of time, plaque build-up takes place in the arteries that supply blood to the heart. These plaques harden over a period of time and reduce the flow of blood in the heart, causing a peculiar chest pain called angina. Such plaques are also at an increased risk of rupture, leading to the formation of a blood clot that interferes with the flow of blood. This may result in heart attack. During CABG, a healthy artery is connected to the blocked artery, forming a new pathway for blood to flow into the heart. The blood, thus, “bypasses” the blocked portion of the artery and thus restores the normal flow of blood. During the procedure, several blockages can be bypassed at a time.

Coronary Angioplasty

Also known as percutaneous coronary intervention (PCI), coronary angioplasty is a nonsurgical procedure used to open up the narrowed or blocked the coronary artery. It is performed with the help of a thin needle which places an inflated balloon in the blocked part of the artery. The inflated balloon opens up the blocked artery and improved blood flow. During the same procedure, a mesh tube called stent may also be placed to keep the blocked artery open and to support its inner wall.

Treatment of Faulty Valves, Septal Defects

Any fault or defects in the valves of the heart that control the flow of blood from one chamber of the heart and in the septa that divide the two atria or ventricles is treated with the help of a procedure called heart catheterization. Heart catheterization is a technique by which a thin and flexible tube called a catheter is inserted into a large artery in the arm, groyne or leg. The catheter carries a deflated balloon, which is inflated once inside to create a gap that allows the blood to flow normally or to place a clip that closed any holes in the walls.

Heart Valve Repair or Replacement

To achieve valve replacement or repair, the catheter is used to either place an inflated below or a clip that holds the valve in position and allows smooth flow of blood from one chamber to another. This, in turn, helps prevent mixing of pure and impure blood in the chambers.

Atrial or Ventricular Septal Defect Closure

To achieve atrial or ventricular septal defect closure in the catheter is guided to reach the site of the defect and place a closure device there. The closure device is typically made of mesh and metal. The catheter is pulled out once the closure device is in its place. The closure device effectively closes the hole in the atrial or ventricular septa and is permanently place there.

Treatment of Arrhythmia

Arrhythmia refers to the irregular beating of the heart. The rhythm of the heartbeat is a patient suffering from arrhythmia is either too fast or too slow. It is a life-threatening condition that is treated by placing a medical device or an implant. However, the first line of treatment for arrhythmia includes medications. The second line of treatment is a surgery. It can be used to implant the following two devices to regularise the heart rate:
Pacemaker: A pacemaker is a small device, which is connected to the chambers of the heart with the help of wires. The device itself is placed under the skin of the chest. This device sends electrical impulses, when required, to regularise the beating of the heart.
Implantable cardioverter defibrillator (ICD): It is another small device placed under the skin of the chest that sends strong impulses to the brain whenever it senses heart arrhythmia. The shock sent to the brain restores the normal beating of the heart.

Treatment of Heart Failure

For patients suffering from end-stage heart failure, heart transplantation is an option. During this procedure, the damaged or non-functional heart is replaced with a healthy heart derived from a donor. Until a suitable donor is registered, the patient is treated with the help of a total artificial heart (TAH) or ventricular assist devices (VAD).

Recovery After Heart Surgery

The patient undergoing heart surgery will be required to recover at the hospital and at home before he or she can return back to their normal daily routine. During the stay at the hospital. The patient may be given extra oxygen through a mask and put on intravenous fluids until the patient is able to drink by himself or herself. Recovery at home after a heart surgery may take a long time. A doctor guides patients to take care of their incision and check for any signs of infection at the site of the wound. Some patients may experience chest pain, muscle pain, constipation, mood swings, vomiting, depression, sleeping problems and loss in appetite after the surgery. However, these heart surgery side effects last for only a few days and the person is eventually able to return back to their normal activities.

Heart Surgery Cost in India

The cost of all heart surgeries in India is less than what it costs in the UK and the US. These cost of popular heart surgery in India is summarised in the table below:
Heart Surgery Cost in India
CABG (Coronary Artery Bypass Grafting) $5800
Coronary Angiography in India $500
Coronary Angioplasty in India $4450
Single Valve Replacement (St. Jude Valve) in India $8400
Double Valve Replacement (2 St. Jude Valves) in India $10000
Pediatric Cardiac Surgery in India $4300
MVR/AVR $8600
Pacemaker Implant Single Chamber in India $4500
Pacemaker Implant Double Chamber in India $6200
Robotic Heart Surgery in India $11000

Best hospitals for Heart Surgery in India, Thailand, Malaysia & UAE

Best Heart Surgery Hospitals in India

Artemis Hospital, Gurgaon View Hospital
Aware Global Hospital, Hyderabad View Hospital
BLK Super Speciality Hospital, Delhi View Hospital
Medanta The Medicity, Gurgaon View Hospital
Indraprastha Apollo Hospital, Delhi View Hospital
Kokilaben Dhirubhai Ambani Hospital, Mumbai View Hospital
Global Health City, Chennai View Hospital
Fortis Memorial Research Institute, Gurgaon View Hospital
Dharamshila Cancer Hospital View Hospital
Max Super Specialty Hospital Saket View Hospital

Best Heart Surgery Hospitals in the United Arab Emirates

Zulekha Hospital, Dubai View Hospital
Al Zahra Hospital, Dubai View Hospital
Thumbay Hospital, Dubai View Hospital
Saudi German Hospital, Dubai View Hospital
Zulekha Hospital, Sharjah View Hospital
Canadian Specialist Hospital, Dubai View Hospital

Best Heart Surgery Hospitals in Thailand

Vejthani Hospital, Bangkok View Hospital
BNH Hospital, Bangkok View Hospital

Best Heart Surgery Hospitals in Malaysia

KPJ Ampang Puteri Specialist Hospital, Kuala Lumpur View Hospital
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