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wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Explains your medicines so your home doctor can continue them","document":"letter about your medicines","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"you will be given a letter about your medicines and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Sets out regular follow-up blood tests your home doctor needs to arrange","document":"blood test arrangements (warfarin)","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"If you take warfarin you will receive information and arrangements for follow-up blood tests with your GP or local clinic, which you will need to have regularly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Desk work after open sternotomy surgery; physical jobs take longer. Transcatheter or minimally invasive approaches may be faster."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any major in-hospital complication, mostly atrial fibrillation; stroke 1-3%, re-operation for bleeding 2-5%, 30-day mortality 1-4%."},"contraindications":["Prohibitive surgical risk or very limited life expectancy (relative)","Active uncontrolled sepsis or systemic infection (unless treating endocarditis)","Severe irreversible end-organ failure making surgery unsurvivable","Cannot tolerate long-term anticoagulation (relative, mainly mechanical valves)","Severe frailty or advanced dementia (relative)","Valve disease not hemodynamically significant or asymptomatic without surgical criteria"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated open surgical valve replacement including 1-2 days in intensive care/step-down; longer if complications arise."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking early; moderate exercise, often via cardiac rehab, after sternal healing and clearance. Heavy lifting and contact sports later."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to stable symptom improvement and sternal healing; cardiac remodeling can continue longer."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After uncomplicated open surgery, once discharged, wound check, echocardiogram and stable anticoagulation or INR are done; surgeon clearance required."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early postoperative wound and clinical check, with anticoagulation monitoring as relevant."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Surgeon or cardiologist review with ECG and baseline echocardiography."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Follow-up echocardiography and cardiology review, then periodic lifelong surveillance."}}],"indications":["Severe symptomatic aortic stenosis unsuitable for repair or transcatheter treatment","Severe aortic or mitral regurgitation that is not repairable","Severe mitral stenosis unsuitable for balloon valvotomy","Valve disease causing heart failure, low ejection fraction, ventricular dilation","Infective endocarditis with valve destruction","Failed valve repair or degenerated bioprosthesis"],"main_risks":["Bleeding requiring re-operation","Stroke or thromboembolism","Atrial fibrillation and other arrhythmias","Heart block requiring a pacemaker","Infection, including sternal wound infection or prosthetic valve endocarditis","Acute kidney injury","Valve-related complications such as thrombosis, paravalvular leak or structural deterioration","Anticoagulation-related bleeding with mechanical valves","Death"],"pain":"Moderate to significant chest wall pain for the first days to weeks after sternotomy, controlled with analgesia; it gradually eases over several weeks.","preparation":["Cardiology and cardiac surgical assessment including echocardiography","Coronary angiography or CT angiography when indicated","Blood tests, ECG and chest imaging","Dental and infection screening","Review of current medications with the surgical team","Fasting before surgery as instructed","Smoking cessation and optimization of other conditions","Discussion of valve type (mechanical vs. tissue) and anticoagulation implications"],"recovery_timeline":[{"phase":"Intensive care and hospital stay (days 0-10)","description":"Ventilator weaning, monitoring, drain and pacing wire removal, mobilization and early walking.","restrictions":["Sternal precautions","No driving"]},{"phase":"Early home recovery (weeks 1-6)","description":"Progressive walking, wound healing, fatigue gradually improving, anticoagulation monitoring as relevant.","restrictions":["No heavy lifting, pushing or pulling","No driving until cleared"]},{"phase":"Rehabilitation and return to activity (weeks 6-12)","description":"Sternum largely healed; return to work and graded exercise, often with cardiac rehabilitation.","restrictions":["No heavy lifting or contact sports until full sternal healing"]},{"phase":"Long-term follow-up (3 months onward)","description":"Echocardiographic surveillance and ongoing valve care, including endocarditis prevention measures.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after open surgical replacement, with progressive walking and often cardiac rehabilitation."},"result_longevity":"Depends on valve type and patient factors: mechanical valves are durable but require lifelong anticoagulation, while tissue valves may degrade over time and sometimes need reintervention.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Valve reintervention within 10 years; higher for tissue valves in younger patients, lower for mechanical valves."},"scars":"Typically a midline sternotomy scar down the chest; minimally invasive approaches use smaller scars. Drain sites leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation under one hospital admission."},"stages":[{"code":"valve_replacement_surgery","label":"Valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Survival at 5 years after isolated surgical valve replacement","value":85,"unit":"percent","horizon":"5 years","population":"Adults with isolated aortic or mitral valve replacement, elective, without major comorbidity","evidence_status":"limited"},"techniques":[{"name":"Conventional open surgical valve replacement (median sternotomy)","suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat shorter recovery and smaller scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one isolated valve replacement on cardiopulmonary bypass; excludes anesthesia preparation and ICU recovery."},"initial_assessment_documents":["Recent echocardiogram report","Cardiologist report with valve diagnosis","Coronary angiography or cardiac CT report","Recent ECG report","Current medication list including anticoagulants","Recent blood test results including INR and creatinine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks including 5-10 hospital nights and early check before flying. Later follow-up done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how much experience the surgeon has treating your specific heart valve condition","scope":"procedure","source":{"url":"https://renaissance.stonybrookmedicine.edu/node/14676","host":"renaissance.stonybrookmedicine.edu","quote":"How much experience does the surgeon have in treating their specific condition?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your treatment questions to the medical 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booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick 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heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"id":"H1","text":"The surgeon works through small cuts between the ribs","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Minimally invasive heart surgery uses small cuts between the ribs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17233-minimally-invasive-heart-surgery","host":"my.clevelandclinic.org","quote":"Most people return to their usual activities within two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Selected patients with suitable anatomy at experienced centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"May allow somewhat shorter recovery and smaller scar."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders must have a visa to visit India unless they are Overseas Citizen of India 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pages","source":{"url":"https://www.gov.uk/foreign-travel-advice/india/entry-requirements","host":"gov.uk","quote":"To enter India, your passport must have an ‘expiry date’ at least 6 months after the date you arrive and have at least 2 blank pages.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Carry medication into India in its original packaging with a doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/India.html","host":"travel.state.gov","quote":"Carry medication in its original packaging with a doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Most hospitals in India require advance payment or insurance confirmation before treatment","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/India.html","host":"travel.state.gov","quote":"Most hospitals require advance payment or insurance confirmation before treatment.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"In India, dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/india/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","china","colombia","cyprus","czech-republic","dominican-republic","germany","greece","israel","italy","japan","kazakhstan","lithuania","mexico","poland","republic-of-korea","romania","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.44,"count":67,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Heart valve replacement in India typically costs from _op_2_price_from_ to _op_2_price_to_. Total expenses depend on the valve type, surgical technique, and hospital tier in major hubs like Delhi, Gurgaon, and Chennai. In the US, similar procedures cost around _price_compare_US_average_ on average. India offers savings of around _price_percent_discount_%. Standard international packages usually include the prosthesis, hospital stay, and diagnostic tests.</p>\n\n<ul>\n<li><strong>TAVI:</strong> _op_724_price_from_ to _op_724_price_to_ for minimally invasive transcatheter implantation.</li>\n<li><strong>Replacement of the aortic valve:</strong> _op_795_price_from_ to _op_795_price_to_.</li>\n<li><strong>Valvuloplasty:</strong> _op_1306_price_from_ to _op_1306_price_to_ for heart valve repair.</li>\n<li><strong>Minimally invasive approach:</strong> Adds approximately 20-30% to the cost compared to open-heart surgery.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing mid-range clinics in Gurgaon or Delhi offers the best value. Facilities like Fortis Gurgaon and Medanta Hospital provide world-class care. Their packages start around $3,400. In contrast, premium centers like Artemis Hospitals or Apollo Hospital Indraprastha offer JCI-accredited excellence. These facilities typically run about $6,500 to $7,000. Higher-tier clinics often include 5-star services like private suites and dedicated interpreters. India remains a top choice for complex cardiac sciences with 99.6% success rates.</p>","faq":[{"q":"Is India a good place for Heart Valve Replacement procedure?","a":"<p>According to Bookimed, India is a great destination for Heart Valve Replacement.</p>\n<ul>\n<li>The country has several world-class medical institutions, such as Artemis Hospital, Global Hospital Chennai and Mumbai, BLK Hospital, and BGS Global Hospital, which specialize in various medical fields.</li>\n<li>These hospitals have highly experienced doctors of different specialties who treat patients from all over the world.</li>\n<li>For example, Global Hospital Chennai is the world's leader in the number of successful liver transplants, and Global Hospital Mumbai is the first to transplant the liver simultaneously with the surgical treatment of spinal tuberculosis.</li>\n<li>Patients are satisfied with the work of Indian doctors, medical staff, and coordinators who accompany them throughout the treatment process.</li>\n<li>In terms of numbers, Gleneagles Global Hospitals Medical Group, which includes Global Hospital Chennai and Mumbai, accepts 2 million patients annually.</li>\n<li>Also, Global Hospital Bengaluru gives treatment to over 53,000 patients annually, and doctors of this hospital have performed more than 30,000 operations.</li>\n<li>The success rate of these hospitals is high, as patients report good results after the operations.</li>\n<li>For example, one patient reports that their mother's surgery went very well, and another patient reports that they received an innovative drug that gave them hope for recovery.</li>\n<li>Medical tourists come to India from different countries.</li>\n<li>Patients recommend changing dollars to rupees before going to India.</li>\n</ul>"},{"q":"How long does it take to get Heart Valve Replacement in India?","a":"Heart Valve Replacement trip to India can take around 2-3 weeks."},{"q":"Which hospital is best for Heart Valve Replacement in India?","a":"<p>Bookimed's rating has revealed the top 5 hospitals in India for Heart Valve Replacement:</p>\n\n<ol>\n<li><strong>Artemis Hospitals</strong><br></li>\n<li><strong>Global Hospital Chennai</strong><br></li>\n<li><strong>BLK Super Speciality Hospital</strong><br></li>\n<li><strong>Global Hospital Mumbai</strong><br></li>\n<li><strong>BGS Gleneagles Global Hospital</strong><br></li>\n</ol>"},{"q":"Who is the best Heart Valve Replacement doctors in India?","a":"<p>Bookimed has identified the top doctors in India who excel in performing Heart Valve Replacement:</p><ol><li><strong>Shahid Mahdi</strong>, Gastroenterology, Heart Surgery</li><li><strong>Sandeep Attawar</strong>, Heart Surgery, 25 years experience</li><li><strong>Subhash Chandra</strong>, Heart Surgery</li><li><strong>Ajay Kaul</strong>, Heart Surgery, 42 years experience</li><li><strong>Anil Kumar Kansal</strong>, Heart Surgery, 27 years experience</li></ol>"}],"h2":[{"text":"Яка вартість заміни серцевого клапана в Індії?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з заміни серцевого клапана у Індії: 23 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Заміна серцевого клапана в Індії","kind":"content"},{"text":"Отримайте медичну консультацію щодо заміни серцевого клапана в Індії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"FAQ з заміни серцевого клапана в Індії","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}