Tetralogy Of Fallot (TOF) Surgery Cost In India

What is Tetralogy Of Fallot?

Tetralogy of Fallot (TOF) is a rare condition caused by a combination of four heart defects that are present at birth, and it causes oxygen-poor blood to flow out of the heart and into the rest of the body.

How is the Procedure Performed?
TOF usually involves surgery in the first year of life, followed by ongoing care.

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Who is the Right Doctor for Tetralogy Of Fallot Treatment?

The right doctor for TOF is a Pediatric Cardiologist along with a Neonatologist.
Tetralogy of Fallot can be detected while the baby is still in the mother’s uterus when a fetal ultrasound displays a heart abnormality. The doctor can also diagnose it shortly after birth if they hear a murmur during a heart exam or if the baby’s skin color is bluish.

Overview :

The heart is the most important organ for the survival of any living being as it has the most important jobs of all the organs as it pumps blood throughout the body for all the organs to work with efficiency. As important as the heart may be, it still is considered one of the more delicate and vulnerable of the organs in the body. The heart should be maintained like a well-oiled machine for the rest of the human body to function with efficacy. If the heart is stressed even a little more than it should be, then the whole body might have to suffer the consequences in the long run.

What exactly is Tetralogy of Fallot?

Tetralogy of Fallot is a form of heart disorder that is present at birth (congenital). It is defined as the combination of four heart defects. These disorders affect the structure of the heart causing oxygen-poor blood to flow from the heart to the rest of the body. Those defects being – ventricular septal defect (VSD), pulmonary stenosis, right ventricular hypertrophy and overriding aorta.

What defects makeup to form Tetralogy of Fallot?

Pulmonary Stenosis :

There is a decrease in the normal flow of blood because of a muscular obstruction just below the pulmonary valve in the right ventricle. There may also be a decrease noticed in the size of the pulmonary valve.

Right Ventricular Hypertrophy :

This defect occurs when the blood pumping action of the heart requires more work than necessary to pump the blood throughout the body forcing the walls of the heart to thicken or swell, which in turn make the heart more stiff and weak leading to the eventual failure of the heart.

Ventricular Septal Defect (VSD) :

In this disorder, there is a hole in the wall between the two ventricles (lower heart chambers). This hole allows the deoxygenated blood from the right ventricle (after circulating through the body) to flow into the freshly oxygenated blood in the left ventricle (to be sent to all the organs).

Overriding Aorta :

In normal cases, the aorta which is the main artery that leads out to the rest of the body subdivides the left ventricle. But in the case of tetralogy of fallot (TOF), the position of the aorta is shifted slightly to the right, positioning it right above the ventricular septal defect. Due to this, the aorta receives blood from both the ventricles mixing the deoxygenated blood from the right ventricle with the fresh-oxygenated blood from the left ventricle.
Some adults or children who suffer with TOF may also be experiencing some other form of heart defect as well, such as the atrial septal defect (a hole between the upper heart chambers), abnormalities of the coronary arteries or a right aortic arch.

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Preliminary diagnosis for Tetralogy of Fallot (TOF) :

As soon as the diagnosis proves the existence of TOF in the newborn, the immediate focus of the medical experts will be to check for the oxygen levels of the child and determine whether the child is in the safe zone. Soon after the birth, if the child is found out to have lower oxygen levels than required, then an infusion of prostaglandin is normally initiated to keep the ductus arteriosus open which provides additional blood flow and increases the oxygen level in the child. After this, the child will generally be required to undergo surgery in the neonatal period. In the case of infants with mild cyanosis (discolouration due to low oxygen level) or normal oxygen levels, the discharge usually takes place in the first or the second week.

How to know the eligibility for the treatment of TOF?

The medical experts will determine a specified treatment for the infant on the basis of several conditions. These conditions include – health of the child, age and medical history, severity of the disorder & allergy or compatibility with specific medications or procedures. Depending on these factors, the determination and application of a procedure will be carried out for the betterment of the child.

Diagnosis and Treatment for Tetralogy of Fallot :

The child with TOF will experience TET spells, in which the child will suddenly develop blue lips, nails and skin because of agitation or crying or even feeding. These spells are caused by a sudden fall in the level of oxygen in the blood. Mild TET spells can be dealt with by using beta-blockers such as propranolol but severe and acute episodes will have to be tackled with a swift intervention with intranasal fentanyl or morphine.

Total Surgical Repair :

This procedure is considered a curative method for TOF. This method has two main steps – widening of the narrowed pulmonary vessels and closing of the ventricular septal defect. Careful resection of the heart muscle is done to relieve the stenosis of the right ventricular outflow tract which is enlarged using a patch hence repairing the VSD. Depending on the cardiac anatomy, the patient may require additional reconstructive or reparative surgery.

Palliative Surgery :

This surgery is performed as a temporary alternative for Total Surgical Repair as in some infants it is impossible to carry out this procedure. In this surgery, a shunt (tube) is placed between the artery that divides the aorta and the pulmonary artery. One end of the shunt is sewn to the pulmonary artery and the other to the aorta. This improves the travel of blood to the lungs. This shunt is removed during the procedure for total surgical repair.

Success Rate :

The success rate of the Tetralogy of Fallot (TOF) Surgery in India is the highest during the first year after birth and reduces till the age of 25. The success rate of the Tetralogy of Fallot (TOF) Surgery in India is the highest within one year of birth, i.e., 98.6% and falls to 94.5% at the age of 25. 

Risk Factors :

The risk factors associated with the Tetralogy of Fallot (TOF) include the occurrence of viral conditions such as rubella (German measles), poor nutrition and alcohol consumption during pregnancy, age of the mother is above 40, and history of Tetralogy of Fallot to name a few.

Tetralogy of Fallot (TOF) Surgery  cost in India

The cost of the Tetralogy of Fallot (TOF) Surgery in India starts from $4800. Some factors that influence the procedure cost include the expertise of the Pediatric Heart Surgeon in India, medical facilities available at the respective hospital, and the hospital’s location.

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Fortis Escorts Hospital New Delhi

Number of beds:  310
ICU Beds:                 158
Airport Distance: 19 KMs

About Hospital:

• It was established in 1988 and is JCI accredited.
• Fortis Escorts Heart Institute is a premier multi-disciplinary hospital providing tertiary care and is recognized worldwide for its clinical excellence in cardiac care.
• The 310-beded hospital is a globally renowned centre boasting admirable outcomes for interventions like Cardiac Bypass Surgery, Minimally Invasive Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery.

Fortis Memorial Research Institute

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

About Hospital:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

Max Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:  20kms

About Hospital:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

Medanta The Medicity Hospital

Number of beds:  1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief About:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

BLK-Max Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

About Hospital:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

About Hospital:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

Manipal Hospital Dwarka New Delhi

Number of beds:  480
ICU Beds:                 118
Airport Distance: 8 Km

About Hospital:

• Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.
• The world-class medical centre is a part of Manipal Education and Medical Group (MEMG), one of India’s forerunner healthcare groups.
• These Hospitals as an entity came into existence in 1991 with the launch of a hospital in Bangalore. Today, the group has 15 hospitals in India and an international presence with a hospital in Malaysia.

Jaypee Hospital Noida Delhi NCR India

Number of beds:   525
ICU Beds :               150
Airport Distance: 32 KMs

About Hospital:

• The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
• Jaypee Hospital, Noida is established in the year 2014. This hospital is a NABH accredited and a multi-specialty hospital.
• Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
• This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

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We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing local sim card
• Arranging video consultation with specialist doctor if case requires