San Donato Hospital leads Italy in heart care with over 20,000 valve operations and a 97% success rate. The center first introduced TAVI in Italy and performs 9,000+ heart surgeries every year. Diagnostics like an ECG start around $40, while a pre-operative heart assessment costs about $1,100–$1,800. Aortic valve replacement, including minimally invasive TAVI, typically runs $30,000–$55,000. These surgical packages generally cover the hospital stay, ICU care, and the prosthetic device at this ISO-certified facility.
","text_type":"mt_wow_description","best_texts":{"techniques":"Heart valve operations, transcatheter aortic valve implantation (TAVI), radiofrequency catheter ablation","good_fit_for":"Complex valve repairs and minimally invasive replacements","why_its_ranked":"Performs 20,000+ heart valve operations with a 97% success rate. Offers TAVI for less invasive valve replacement. Top-ranked in Italy for cardiac surgery volume."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":30000,"price_to":55000,"currency":"USD","id":14017},"operation":{"id":795,"name":"Replacement of the aortic valve","alias":"replacement-of-the-aortic-valve"}},{"prices":{"price_from":40000,"price_to":46000,"currency":"USD","id":8708},"operation":{"id":2,"name":"Heart Valve Replacement","alias":"heart-valve-replacement"}}],"reviews":[],"clinic":{"id":298,"alias":"irccs-policlinico-san-donato","name":"San Donato Hospital","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/298-6ab44dd379f2e.png","short_description":"San Donato Hospital is an IRCCS-accredited cardiology and cardiac surgery center. It performs over 9,400 heart and blood vessel operations each year – the most in Italy. Core specialties include cardiology, cardiac surgery, arrhythmology, and rehabilitation.
San Raffaele Hospital performs over 52,000 surgeries annually, including advanced cardiovascular procedures for aortic valve insufficiency. The hospital's cardiovascular surgery team includes Dr. Ottavio Alfieri, an award-winning cardiac surgeon with _doctor_595_years_ of experience who has performed over 15,000 cardiac procedures and developed the widely used \"Alfieri Mitral Repair\" technique.
San Raffaele Hospital is a top European research center with Italy's IRCCS accreditation. It achieved the world's first stem cell therapy for severe combined immune deficiency. Its main specialties are oncology, neurosurgery, and cardiovascular surgery.
Dr. Giuseppe Speziale specializes in minimally invasive aortic valve procedures, having performed thousands of complex cardiac surgeries. He trained at La Sapienza University and serves as Vice President of GVM Care & Research. The cardiology team operates with advanced techniques for valve replacements and repairs. The hospital treats 15,000+ patients annually with a dedicated cardiac surgery department.
Ospedale San Carlo di Nancy is a Rome hospital founded in 1932 and part of GVM Care & Research. It treats around 15,000 patients each year. The hospital is accredited by the Italian National Health Service.
Maria Cecilia Hospital handles over 15% of cardiac surgeries in Italy, with complex aortic valve cases managed by a multidisciplinary Heart Team. Dr. Carlo Savini, a cardiac surgeon with international training at top European institutions, specializes in minimally invasive and percutaneous aortic valve procedures. He is a member of the International Society of Minimal Invasive Cardiac Surgery and the European Association for CardioThoracic Surgery.
Maria Cecilia Hospital is the founding hospital of the GVM Care Research network in Italy. It handles over 15% of the country’s cardiac surgeries and treats 9,000 patients a year. Its main specialties are cardiac surgery, electrophysiology, neurosurgery, diabetic foot care, and weight loss surgery.
Prof. Giuseppe Speziale specializes in minimally invasive valve surgery and holds leadership positions at multiple cardiac surgery departments. He serves as National Coordinator of Cardiac Surgery for GVM Care & Research and founded Mitral Academy to advance restorative techniques. A recipient of the 2021 Top Doctors Award, he has authored over 90 publications and contributed to Springer’s “Advances in Treatments for Aortic Valve and Root Diseases”. His expertise includes minimally invasive repair of mitral and aortic valves, thoracic aortic surgery, and coronary revascularization.
Ospedale Santa Maria is an Italian Health Service-accredited hospital founded in 1969. It is a national reference for male and female infertility treatment and medically assisted reproduction. The hospital also runs a dedicated Breast Unit for breast cancer prevention and treatment.
Dr. Castriota leads the Protected TAVR study, pioneering brain protection during aortic valve replacement. He practices at Maria Cecilia Hospital.
Dr. Fausto Castriota is an interventional cardiologist at Maria Cecilia Hospital in Italy. He is the principal investigator for the Protected TAVR study on brain protection. He serves as a Fellow of the European Society of Cardiology (FESC). Dr. Castriota holds dual specializations in cardiology and radiology.
Maria Cecilia Hospital is the founding hospital of the GVM Care Research network in Italy. It handles over 15% of the country’s cardiac surgeries and treats 9,000 patients a year. Its main specialties are cardiac surgery, electrophysiology, neurosurgery, diabetic foot care, and weight loss surgery.
Dr. Speziale specializes in minimally invasive aortic valve surgeries, bringing advanced techniques to Ospedale San Carlo di Nancy.
Dr. Giuseppe Speziale is a cardiac surgeon and Director of Cardiac Surgery at Santa Maria Hospital. He lives and works in Rome. He focuses on minimally invasive and noninvasive valvular surgeries. Dr. Speziale serves as the Vice President of GVM Care & Research. He treats complex conditions like atrial fibrillation and mitral valve prolapse.
Ospedale San Carlo di Nancy is a Rome hospital founded in 1932 and part of GVM Care & Research. It treats around 15,000 patients each year. The hospital is accredited by the Italian National Health Service.
Prof Speziale specializes in minimally invasive aortic valve surgery and leads cardiac surgery at multiple prestigious Italian hospitals. He's also Vice President of GVM Care & Research.
Dr. Giuseppe Speziale is a cardiac surgeon specializing in minimally invasive valve surgery at Ospedale Santa Maria. He is the National Coordinator of Cardiac Surgery for GVM Care & Research. Dr. Speziale earned the Top Doctors Award for his surgical expertise. He co-founded the Mitral Academy to improve restorative heart surgery techniques.
Ospedale Santa Maria is an Italian Health Service-accredited hospital founded in 1969. It is a national reference for male and female infertility treatment and medically assisted reproduction. The hospital also runs a dedicated Breast Unit for breast cancer prevention and treatment.
Dr. Ottavio Alfieri is a heart surgeon at San Raffaele Research Hospital in Milan. He developed the Alfieri Mitral Repair technique. This is now a global standard for treating mitral regurgitation. Dr. Alfieri has performed over 15,000 cardiac procedures during his career.
San Raffaele Hospital is a top European research center with Italy's IRCCS accreditation. It achieved the world's first stem cell therapy for severe combined immune deficiency. Its main specialties are oncology, neurosurgery, and cardiovascular surgery.
Aortic valve insufficiency treatment cost in Italy typically ranges from _op_795_price_from_ to _op_795_price_to_ for a surgical replacement, while minimally invasive transcatheter aortic valve implantation (TAVI) runs from _op_724_price_from_ to _op_724_price_to_. Total expenses depend on the surgical approach, prosthetic valve type, and clinic category. Patients can save approximately 25-40% compared to healthcare costs in the United States. Top treatment destinations include Milan, Rome, and Bologna.
\n\nTypical Aortic Valve Insufficiency Treatment Costs in Italy
\nBookimed Expert Insight: High-volume centers are best for complex valve repairs to ensure safety. San Donato Hospital performs over 9,400 heart operations annually, offering extensive experience in Italian cardiac care. For patients seeking advanced interventional cardiology, Maria Cecilia Hospital handles 15% of Italy’s cardiac surgeries. This makes it a primary choice for TAVI procedures under JCI-accredited standards.
"}},"texts":{"guide_mc":{"text":"Arrival
\nDiagnostics
\nTreatment plan development
\nTreatment
\nFollow-up
\nRehabilitation
\nOnly a doctor can accurately determine the most suitable diagnostic and treatment plan for you. Other diagnostic options might include a Chest X-ray, an Electrocardiogram (ECG), or a Stress Test. Besides medication and surgery, treatment options might also include Percutaneous Transluminal Valvuloplasty or Transcatheter Aortic Valve Replacement. Remember, treatment plans are individual and vary from case to case.
"}}},"faq":[{"id":"6a1b50f01f21c1a106035262","question":"What are the main surgical options for treating aortic insufficiency in Italy?","answer":"Italy offers advanced aortic insufficiency treatments ranging from minimally invasive valve repair to complex reconstructions. Leading Italian centers prioritize native valve preservation using reconstructive plastic surgery or valve-sparing root replacement. Specialized hospitals like San Donato Hospital perform over 9,400 cardiac operations annually.
Bookimed Expert Insight: Italian cardiac care is highly centralized, with Maria Cecilia Hospital alone handling over 15% of the country's heart surgeries. This high volume allows for niche specializations, such as endovascular brain protection during TAVI procedures performed by experts like Dr. Fausto Castriota. Choosing these high-volume centers often provides access to multidisciplinary heart teams that specialized in both open and transcatheter methods.
Patient Consensus: Patients emphasize the importance of finding a high-volume center for complex reconstructions like the Ross procedure. They note that Italian clinics offer quick organization with minimal paperwork compared to other European hubs.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1b5195e76e5d6112080892","question":"Does Italy follow the same medical guidelines as the US for timing valve surgery?","answer":"Italy follows European guidelines which parallel US standards but differ in intervention thresholds for asymptomatic patients. Italian centers use a 55% ejection fraction trigger for surgery. US centers wait for 60%. Italy also favors traditional surgery for patients under age 75.
Bookimed Expert Insight: Italian centers like San Donato Hospital perform over 9,400 cardiovascular operations annually. Our data shows a high concentration of expertise in Milan. This volume allows surgeons like Dr. Giuseppe Speziale to specialize in niche areas. These include minimally invasive repairs that traditional guidelines may not fully capture yet.
Patient Consensus: Patients note that Italian doctors often take a more conservative approach. Many report that serial testing is vital to catch subtle drops in energy before surgery.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1b522ee68dfe5e7d0a9835","question":"Is Transcatheter Aortic Valve Implantation (TAVI/TAVR) an option for isolated aortic insufficiency?","answer":"Transcatheter aortic valve implantation (TAVI) is an emerging option for isolated aortic insufficiency in patients facing high surgical risks. While technically demanding due to low calcification, specialized anchoring devices now allow for securing prostheses in non-calcified valves within leading Italian cardiac centers.
Bookimed Expert Insight: Italian centers like San Donato Hospital and Maria Cecilia Hospital maintain a significant edge in complex valve cases. Maria Cecilia Hospital alone handles over 15% of all cardiac surgeries in Italy. This high volume is critical for TAVI in aortic insufficiency because the procedure often requires off-label techniques or specialized anchoring systems. Dr. Fausto Castriota at Maria Cecilia Hospital is a leading expert in brain protection during these valve procedures. Choosing a high-volume center with researchers like Dr. Castriota ensures access to the latest protective protocols during complex TAVI implantations.
Patient Consensus: Patients emphasize finding surgeons with extensive experience in both plastic repair and radical valve replacement. They note how helpful it is when doctors, like Dr. Maisano Francesco, take the time to explain the specific anatomical reasons for choosing one valve approach over another.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1b52d16267dc0a67064dd2","question":"Do Italian hospitals provide English-speaking support for international patients?","answer":"Italian private hospitals and large university centers provide English-speaking support through dedicated international patient offices. Facilities like San Donato and San Raffaele in Milan employ multilingual coordinators. While senior specialists usually speak English fluently, nursing and administrative staff in smaller regional public hospitals often have limited proficiency.
Bookimed Expert Insight: Italian cardiac centers like Maria Cecilia Hospital and San Donato handle massive patient volumes, with some performing over 9,400 surgeries annually. Our data shows that these high-volume facilities prioritize international coordination because they manage thousands of foreign patients. Choosing a center with JCI accreditation usually guarantees a structured international department that handles everything from medical records to bedside translation.
Patient Consensus: Patients note that while surgeons like Dr. Maisano Francesco explain procedures clearly in English, having a dedicated translator is vital for daily ward interactions. Families emphasize that international departments are essential for handling logistics and communicating with the medical team 24/7.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}},{"id":"6a1b536fc39f860cda0c6133","question":"How long should I plan to stay in Italy for treatment and initial recovery?","answer":"Patients should plan to stay in Italy for 14 to 21 days for aortic valve treatment. This window ensures safe recovery before boarding long-haul flights. Duration depends on whether surgeons use transcatheter aortic valve implantation (TAVI) or open-heart surgery. A physician-issued `Fit to Fly` certificate is mandatory for international travel.
Bookimed Expert Insight: Milan serves as Italy's primary cardiac hub, with San Donato Hospital alone performing over 9,400 heart operations annually. Research hospitals like San Raffaele manage 300,000 patients every year. This massive volume means Italian surgical teams often prioritize high-turnover recovery protocols. Always secure flexible flight tickets because these high-volume centers may delay your discharge by 2 or 3 days to ensure complete cardiovascular stability.
Patient Consensus: Patients emphasize the need for a comfortable local apartment because hospital stays are often shorter than expected. Many note that having a dedicated translator helps navigate complex post-operative medication instructions before heading home.
","is_active":true,"category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"}}],"faqInSchema":true,"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Cyprus","alias":"cyprus","iso_code":"CY"},{"name":"Dominican Republic","alias":"dominican-republic","iso_code":"DO"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"Greece","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Japan","alias":"japan","iso_code":"JP"},{"name":"Lithuania","alias":"lithuania","iso_code":"LT"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Republic of 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"},"724":{"operation":{"name":"Transcatheter aortic valve implantation (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi","use_for_listing":true},"country_price":{"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":14000,"max_amount":26400,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":31000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":28000,"max_amount":38500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":49900,"max_amount":72100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IT":{"amount":30000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true,"IT":false},"description":"The procedure replaces a failing heart valve using a catheter, reducing invasion and recovery time.
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