Heart Valve Replacement Surgery Cost in India

How much does heart valve replacement surgery cost in india?

Heart Valve Replacement Surgery Cost from top hospitals may start from $4000 in India. This cost can be less or more depending upon the hospital, experience of doctors, quality and type of implant used and many more parameters.

Heart Valve Replacement Surgery Price No. of Travelers Days in Hospital Total Days in India
USD 4,000 2 8 9

The cost of valve replacement surgery in India is cheaper than a majority of countries in the world. This is primarily because of numerous excellent facilities for cardiac surgeries and the fact that valves used for the surgery are mostly manufactured and are available within the boundaries of the country.

By giving the highest quality of medical treatment at an affordable cost, India has established itself as one of the most popular hubs to get treatment from around the world. It is especially known for all cardiac surgery, including cardiac bypass, heart valve replacement and coronary angioplasty bypass grafting (CABG).

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Cost of Heart Valve Replacement in India and other Countries:

An estimated comparison for the treatment of valve replacement surgery cost in India and other countries is given in the table below:

Country Price (USD)
India $4000
US $134,300
Singapore $34,500
Israel $55,700
Spain $27,400
Poland $22,500
Mexico $10,600

What are the Factors Affecting Cost of Heart Valve Replacement Surgery in India?

The total cost of heart valve replacement surgery in India depends on several factors. Some of these factors include the following:

  • Type of valve used
  • Number of valves replaced
  • Duration of hospital stay
  • Choice of hospital
  • Doctor’s fees
  • Hospital charges
  • Anesthesia cost

What is Heart Valve Replacement Surgery?

The human heart has four different valves – mitral, aortic, tricuspid and pulmonic valves. The function of these four valves is to ensure that the blood flows only in one direction. These valves are strategically located to control the flow of blood from one chamber of the heart to another and finally to the outside of the heart through the artery.

The mitral and the tricuspid valve control the flow of blood from the atria to the ventricles. The aortic and the pulmonary valve, on the other hand, control the flow of blood from the ventricles to the outside of the heart.

There are certain types of heart valve diseases that warrant the need for heart valve replacement. Aortic stenosis and mitral regurgitation are two such conditions that may prove deadly if not treated on time.

Aortic valve and mitral valve are the two valves that get damaged most commonly due to several reasons. The other two valves – tricuspid and pulmonary – rarely get damaged in a person’s lifetime. Heart valve replacement can treat both these conditions.

Depending on the heart disease that the patient has, the following types of heart valve replacement surgeries can be conducted in India:

Aortic Valve Replacement Surgery in India

The aortic valve is an outflow valve that is located on the heart’s left side. It is responsible for allowing the blood to flow from the left ventricle, the heart’s main chamber for pumping blood. The valve is also responsible for closing to prevent leakage or backflow of the blood back into the left ventricle. The surgery for replacement or repair of an aortic valve is needed by people who have a congenital defect or disease that leads to stenosis or regurgitation.

The most common type of congenital valve problem is a bicuspid valve. Normally, people have aortic valve with three sections of tissue or leaflets and this is called a tricuspid valve. People with a faulty valve has only two leaflets, and therefore called as a bicuspid valve.

The decision and success of an aortic valve replacement depends on the following factors:

  • Patient’s age
  • Patient’s overall health
  • Whether other medical conditions are there
  • Heart functioning

Mitral Valve Replacement Surgery in India

The mitral valve is also present on the heart’s left side, but it is an inflow valve. This valve allows the flow blood from the left atrium to the left ventricle. A defective valve, caused due to a congenital defect, infection, or a degenerative disease, doesn’t fully open or close. If the valve is very narrow, it might make the entry of blood difficult, causing it to back up. This can create pressure on the lungs. If the valve won’t close properly, the blood may go back and into the lungs. In a mitral valve replacement, the fault valve is removed and a metal or a biological valve is put in its place.

Double Valve Replacement Surgery in India

This surgery is for patients with problems in both the aortic and the mitral valve.

Transcatheter aortic valve replacement (TAVR)

It is a minimally invasive procedure that has been approved by the Food and Drug Administration (FDA) to treat aortic stenosis. As this is not an open-heart surgery, the chest wall or sternum is not opened to access the heart. In TAVR, the surgeon guides the thin tubes catheters from an artery near the groin to reach up to the aortic valve. The procedure can performed by making a small incision on the chest and entering through a large artery or the tip of the left ventricle, or the surgery can performed by using the robot assistance (robot-assisted heart surgery).

It is an effective treatment option for people who cannot undergo an open operation or who are at moderate risk for surgery. The minimally invasive technique allows for a faster recovery, shorter hospital stay and less post-operative pain. The best cardiology hospitals in India offer TAVR/TAVI procedures to patients who are eligible for this kind of procedure.

Transcatheter mitral valve replacement is also an option for some people. In this, the mitral valve is replaced by making a small incision on the left side of the chest. Being a minimally invasive procedure, it also provides the advantage of less surgical trauma and postoperative discomfort. It might be an option for people who can’t undergo an open surgery. 

Who needs to undergo for Heart Valve Replacement Surgery?

Patients suffering from regurgitation or stenosis of any of the valves are recommended to undergo heart valve replacement. These two conditions may prove fatal if not treated on time.

Regurgitation

  • This condition is characterized by insufficiency, incompetence, and leakage of the valve.
  • The valve does not close completely and as a result, the blood starts to move backward through the valve.
  • An inappropriate flow of blood thus makes the heart pump faster.
  • This puts an additional strain on the heart muscles.

Stenosis

  • This condition results when the narrowing of the valve takes place.
  • This reduces the flow of blood in the heart and as a result, the overall heart function is reduced.
  • Valvular stenosis may point to the narrowing of any of the valves in the heart.
  • The heart has to beat much faster and harder to maintain the flow of the blood and combat valvular insufficiency.

In addition to Regurgitation or Stenosis of the valves, heart valve replacement is also recommended in case of the following conditions:

  • Calcification of the valves
  • Enlarged heart muscles (cardiomyopathy)
  • An aortic aneurysm repair
  • Syphilis or infective endocarditis

What are the Symptoms for Heart Valve Replacement?

The inappropriate functioning of the valves leads to the insufficient functioning of the heart. As a result, a certain set of heart valve disease symptoms start to appear, which must be identified on time and a cardiologist must be consulted afterward.

The following are some of the symptoms of heart valve disease:

  • Heart palpitations
  • Shortness of breath
  • Weight gain
  • Weakness
  • Dizziness
  • Swelling or water retention in the feet, ankles, and abdomen

What Medical Tests are Helpful for Detecting Heart Valve Problems?

Following medical tests are required for detecting valve problems:

  • Transesophageal echocardiography
  • Radionuclide scans
  • Cardiac catheterization or angiogram
  • Magnetic resonance imaging (MRI)
  • Echocardiography

What are the Types of Valve used for Heart Valve Replacement Surgery in Indian hospitals?

There are primarily two types of replacement valves: mechanical, tissue/bioprosthetic. Another type of valve replacement that can be used, although less often, is donor valve from a human, also called homograft. This type is mostly considered for patients with a medical condition that affects their valve, for example infective endocarditis (infection in the heart layer). Human valve replacements have a risk of developing severe calcification in the donor aortic wall over time, which in turn increases the likelihood of needing a subsequent surgery.

Both types of heart valve replacements have their own pros and cons. The choice of valve type recommended by the surgeon depends on certain patient related factors, such as:

  • Age 
  • Presence of any other medical conditions
  • Personal preference

Bioprosthetic valve replacement in India

Tissue valves, also known as bioprosthetic valve, are made from donors’ valves of animal or other animal tissue. These tissues are generally strong and flexible for a valve replacement. The lifespan of a tissue valves is around 10-20 years. Although, this might not be problem for elderly patients, it can be a disadvantage for younger patients. This is because it is highly likely that tissue replacement valve might have to be replaced once they complete their lifespan. The patient will undergo a second replacement over time. However, the advantage of this type of valve is that doesn’t require the long-term use of medication such as blood-thinner. 

The surgeon will consider the durability and medication options as well as risks for subsequent replacement surgeries. The good news is that a well-performed surgery has an excellent long-term success rate. It is important to choose the best heart hospital and an experienced cardiovascular surgeon who has a good track record in valve surgeries.

Biological valves are considered to be the best option for people who:

  • Are over 65 years of age
  • Suffer from a kidney disease
  • Are pregnant
  • Cannot take medications for long time as associated with mechanical valve
  • Have job that requires high level physical activity or take part in recreational sport that may increase the risk of bleeding or injury.

The biological valves can be obtained from different sources, including:

Bovine (cow): This type of biological is obtained from tissue surrounding the cow’s heart, and is not actually a valve. The cow tissue is strong as well as flexible, and it is treated prior to the surgery to prepare it for the body. This important so it makes the body accept the foreign tissue without any negative immune response. A possible problem with bovine valves is that they can develop calcification over time that may narrow the valve opening and decrease blood flow.

Porcine (pig): These valves are actual valves obtained from the pig heart. It is also treated prior to the surgery to avoid being rejected by the body. They are less likely to calcify that cow valve but perform similarly and have more chances of tearing over time.

Mechanical Valve

These valves are made of durable materials such as carbon and metal. They generally long-lasting longer than a biological type of replacement valve, and most of the mechanical valves last throughout the rest of the patients’ lifetime. They are a suitable replacement option for younger patients. 

With a manufactured valve, patient will require a blood thinning medication throughout their lives. The blood thinner is needed to prevent the formation of blood clots, and this is important for a person with a mechanical valve because if a clot lodge in the valve flaps or hinges, it can cause a malfunction. A clot might break off from some other part of the body and travel (embolism) through the bloodstream to lodge into a blood vessel and may cause heart attack or stroke.

Homografts

A homograft, or allograft, is obtained from a donor. A patient who receives a homograft is not required to take anticoagulation medications for the rest of their lives. However, the availability of donors for homograft valves is limited.

How can Lyfboat assist you getting Valve Replacement Surgery in India?

World's Most Trusted Medical Advisory & Discount Platform

Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer for value replacement surgery. In some cases we are able to reduce the cost of value replacement by negotiating by upto 20% of what hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

What are the Preparations for Heart Valve Replacement in India?

  • Once the disease is confirmed, the doctor may advise you to take certain precautions to prevent it from getting damaged any further.
  • In addition, certain medications may be prescribed to treat or control the condition.
  • If nothing helps and the condition of the patient gets worse, a surgical intervention in the form of heart valve replacement is often recommended.
  • Before the surgery, you must plan for a one-week hospital stay.
  • Additionally, you should make arrangements at home and have a support system in place for your recovery period.
  • You should stop smoking as early as you can.
  • Inform your surgeon about all the medications that you are taking or if you have a pacemaker.
  • Inform the doctor if you are pregnant or suspect pregnancy.

What happens during a Heart valve replacement surgery in India?

A heart valve replacement surgery is carried out under a general anaesthetic which means patient remains unconscious and pain free during the procedure. An anaesthesiologist will continuously monitor the patient’s heart rate, blood pressure, breathing rate, and oxygen level while the surgeon operates. A breathing tube is inserted through the throat into the lungs and connected to a ventilator. It will help the patient breathe during the surgery. Once the patient is asleep, a catheter is inserted into the bladder to drain urine.

Then, the surgeon proceeds with the following steps for an open surgery:

  • The skin over the surgical site is first cleansed using an antiseptic solution. An incision (cut) is made on the centre of the chest, starting from below the neck to just above the navel. 
  • The breastbone, known as sternum, is cut through and divided in half using a special instrument. The two halves of the breastbone are separated and spread apart to expose the heart.
  • For an open heart valve replacement surgery, the heart has to be stopped for a while to allow the surgeon to perform the operation. The patient will be put on a heart bypass machine that will circulate the blood throughout the body. Once the bypass machine completely diverts blood for pumping, the heart is stopped by using an injection with a solution.
  • Once the heart has stopped, the surgeon will remove the diseased or damaged valve of the patient and replace it with an artificial valve, mechanic or bioprosthetic. 
  • After the procedure has been completed, the bypass machine circulating the blood through the body will divert the blood back into your heart. The tubes to the machine will be removed. The heart will be then shocked using small paddles to restart the heartbeat and pumping.
  • As the heart starts to beat again, it will be observed for a while to assess its proper functioning and the valve placement.
  • Then the sternum is rejoined and wires are used to sew it together.
  • The surgeon will close the incision and the skin over the sternum with sutures or surgical staples.
  • A sterile bandage or wound dressing will be placed over the stitches on the incision site.
  • The blood and other fluids will be drained from the chest, around the heart, by inserting tubes into your chest and using a suction device.

After the surgery, the patient is taken to Intensive Care Unit (ICU) where the medical team will continuously monitor the functions of vital organs. Then they will be shifted to a normal recovery room for a few days (usually 5 to 7 days). The doctor will keep a check on the surgical wound and heart’s functioning during this time. The medical team will guide you through recovery and help with cardiac rehabilitation program. There will be certain restrictions such as not lifting heavy weight, taking part in strenuous activities and more for some time. The surgeon will provide all the necessary instructions when the patient gets discharged and go home. 

How is the Recovery after Heart Valve Replacement Surgery in India?

  • The patient is immediately transferred to the intensive care unit (ICU) from the recovery room after the surgery.
  • He or she is monitored around the clock and once the health is stable, transfer to a normal hospital room takes place.
  • The patient is expected to stay in the hospital for at least five to six days and is advised to start moving a bit and walk for improvement in blood circulation.
  • This helps speed up recovery after heart valve replacement.
  • Some patients are recommended cardiac rehabilitation for improvement in strength and quality of life after surgery.
  • There are certain medications that the patient is recommended to take every day to maintain normal functioning of the heart and prevent any complications.
  • Typically, the patient is required to visit the surgeon regularly for a few follow-up tests.
  • The frequency of visit varies from one patient to the other. Some may be required to see the surgeon every month initially. The frequency is then reduced to once in three or six months.

What are the Advantages of Valve Replacement Surgery in India?

  • Great reduction in heart disease symptoms
  • Improved quality of life-threatening
  • Improved heart function
  • Increase in overall lifespan

What are the Risks of Heart Valve Replacement Surgery in India?

  • Heart infection is known as endocarditis
  • Formation of blood clots

What are the Alternatives to Heart Valve Replacement Surgery?

There is no alternative to heart replacement surgery that can permanently relieve the symptoms of the cardiac disorder that you have by targeting the root cause. Percutaneous balloon valvuloplasty is an alternative procedure that can help relieve the symptoms but cannot treat the actual cause or problem.

Why consider India for Heart Valve Replacement Surgery?

  • State-of-the-art hospitals
  • Highly experienced surgeons
  • English-speaking staff
  • Affordable cost of treatment
  • Modern facilities and equipment
  • Advanced infrastructure in hospitals
  • No waiting time
  • Highest quality of treatment

Frequently asked Questions (FAQs) about Valve Replacement Surgery in India

Q: Does low-cost valve replacement surgery in India promise successful treatment?

The doctors who conduct heart valve replacement in India make the best attempt to deliver positive outcomes. Low cost of valve replacement does not mean that the quality of treatment is compromised with. The treatment and the quality of care remain the same as that of any other country in the world.

Q. How long does a replaced heart valve last?

The life of the valve used depends on the type and quality of material used. While mechanical valves last for over a lifetime, tissue valves and homografts last for around 10 to 15 years.

Q: How much can I really save?

By choosing to undergo heart replacement in India, you can save around 60 to 70 percent of your money that you would otherwise spend in any other country with similar quality of treatment.

Q: Can I choose my own hotels according to my budget?

You can communicate your preference at the time of package selection and a hotel will be arranged for your as per your taste, preference, and budget.

Q: What makes heart valves abnormal?

There are several reasons that make heart valves abnormal or reduce their efficiency to work perfectly. Some of these reasons include the following:

  • Infection
  • Congenital heart defect
  • Rheumatic fever
  • Degeneration of valve muscles
  • Valvular insufficiency
  • Valvular stenosis

Best Hospitals for Heart Valve Replacement in India

The top cardiac hospitals in India conduct both the types of procedures. Aortic valve replacement is carried out when there is a problem or defects in the structure of functioning of the aortic valve. On the other hand, mitral valve replacement is carried out when there is a problem or defect in the structure and function of the mitral valve.

  • Hospitals in the country provide the highest quality of medical care that too at an extremely affordable price.
  • The presence of supportive and highly efficient medical and nursing staff, no waiting time, high quality of care and 24X7 assistance are some of the factors that attract hundreds of patients from across the world to India.
  • There are many hospitals in India that conduct heart valve replacement. They are located in different states.
  • The best hospital for heart valve replacement in India are located in states that are well-connected through all major international and domestic flights and possess some of the highly affordable and comfortable hotels.
  • Hospitals also offer attractive packages to the patients traveling from abroad. This package typically takes care of the boarding, lodging, food, telephone, internet and local traveling needs of the patient and the attendant.
  • Only the best cardiologists in India are allowed to conduct the heart valve replacement surgery, especially considering its sensitivity and the intricacies involved.
  • The top hospitals make sure that the patient is handled by only a highly experienced cardiac surgeon and that all his or her medical and surgical needs are carefully dealt with and fulfilled.
  • The doctors that conduct heart replacement are specially trained and educated from abroad.
  • They hold a great expertise in handling all types of medical and surgical emergencies and specialize in conducting heart valve replacement with maximal care and minimal supervision.

List of some famous valve replacement surgeons in India:

Dr. Naresh Trehan

50+ years of Experience

Dr. Naresh Trehan

50+ years of Experience

Dr. Ajay Kaul

36+ years of Experience

Dr. Ajay Kaul

36+ years of Experience

Dr. Anil Bhan

37+ years of Experience

Dr. Anil Bhan

37+ years of Experience

Dr. Manish Bansal

18+ years of Experience

Dr. Manish Bansal

18+ years of Experience

Valve Replacement Surgery Videos

Happy Lyfboat Patients

Last Modified: June 18, 2020  |   Created on: July 19, 2018
Heart
Vanshika Rawat

Written By Vanshika Rawat

Vanshika Rawat is an experienced content developer. She is very knowledgeable in the field of science and healthcare and has worked under brilliant scientists during her higher education. Vanshika obtained her degrees in Masters in Science and Bachelors in Science (Microbiology with Hons.) from renowned institutions - Panjab University and University of Delhi.
Dr. Surbhi Suden

Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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