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How Much Does Open heart surgery Cost in Italy?

Open heart surgery in Italy typically costs from $35,000 to $70,000. Prices depend on the specific surgical technique, clinic tier, and the length of intensive care required. Patients save around 67% compared to the US, where this procedure costs $160,000 on average. Quotes usually include pre-operative evaluations, the surgical procedure, and a hospital stay of 3 to 5 days.

  • Atrial septal defect surgery: $40,000 to $70,000 for repairing a hole in the heart wall.
  • Congenital heart surgery: $28,500 to $55,000 for correcting structural heart defects present at birth.
  • Tetralogy of Fallot surgery: $40,000 to $65,000 for complex multi-defect repair.
  • Ventricular septal defect surgery: $45,000 to $75,000 for closing openings between the lower heart chambers.
  • Technique variations: Robotic-assisted or minimally invasive approaches typically add 20-30% over standard open-chest surgery.

Bookimed Expert Insight: Choosing high-volume centers in Milan offers the best value for complex cardiac cases. San Donato Hospital performs over 9,400 vascular and heart operations annually. This massive volume often leads to better outcomes and streamlined care paths. For high-tech needs, San Raffaele is a research leader accredited by the Italian Ministry of Health. These facilities provide world-class expertise at a fraction of North American costs.

Key Benefits

Why do patients choose Italy for open heart surgery?

  • Accredited clinics: JCI-certified hospitals provide top-quality care and adhere to international standards.
  • Latest technologies: Italy employs methods such as Transcatheter Aortic Valve Replacement (TAVR) and robotic-assisted surgery using systems like the Da Vinci Surgical System. These innovations enhance precision and improve patient outcomes.
  • High success rates: Open heart surgery in Italy has a success rate of 95%. Specific procedures, like coronary artery bypass grafting, show excellent recovery results.
  • Expert surgeons: Italy's leading cardiac surgeons, many of whom are members of the European Association for Cardio-Thoracic Surgery, have performed thousands of successful surgeries. Their experience ensures skilled guidance throughout your treatment.

Access advanced open heart surgery solutions in trusted clinics .

ItalyTurkeyAustria
Open heart surgeryfrom $35,000from $8,000from $70,000
Ventricular Septal Defect Surgeryfrom $45,000from $12,000from $40,000
Tetralogy of Fallot Surgeryfrom $40,000from $14,400from $120,000
Interventricular septal defect surgeryfrom $35,000from $18,000from $60,000
Atrial septal defect surgeryfrom $40,000from $12,000from $40,000
Data verified by Bookimed as of May 2026, based on patient requests and official quotes from 113 clinics worldwide. Median costs are based on real invoices (2025–2026) and updated monthly. Actual prices may vary.

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Transparent Prices & Flexible Installments

No hidden fees – just official clinic prices. Pay at the clinic for Open heart surgery upon arrival and use a flexible installment plan if needed.

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Bookimed is committed to your safety. We only work with medical institutions that maintain high international standards in Open heart surgery and have the necessary licenses to serve international patients worldwide.

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Bookimed offers free expert assistance. A personal medical coordinator supports you before, during, and after your treatment, solving any issues. You're never alone on your Open heart surgery journey.

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  • Supports you at every stage
  • Helps choose the right clinic and doctor
  • Ensures quick and convenient access to information

Discover the Best Open heart surgery Clinics in Italy: 4 Verified Options and Prices

The Bookimed clinic ranking is based on data science algorithms, providing a trusted, transparent, and objective comparison. It takes into account patient demand, review scores (both positive and negative), the frequency of updates to treatment options and prices, response speed, and clinic certifications.
San Donato Hospital
San Raffaele
Ospedale San Carlo di Nancy

Open heart surgery Overview in Italy

Takeaways
Related procedures & Costs
How it works
What to expect
Benefits
Payment
patients recommend -
85%
Surgery Time - 4 hours
Stay in the country - 14 days
Rehabilitation - 6 days
Anesthesia - General anesthesia
Requests processed - 3049
Verified patient reviews - 7
Bookimed fees - $0

Our Doctors

View all Doctors
verified

Giuseppe Speziale

29 years of experience

The doctor specializes in Cardiology and Cardiovascular Surgery, focusing on minimally invasive and noninvasive valvular surgeries. With a distinguished career, the doctor has contributed significantly to the field through research, publications, and active participation in professional organizations.

Graduating with honors from the Catholic University of the Sacred Heart Rome, the doctor further specialized in Cardiac Surgery at La Sapienza University. Currently, the doctor serves as the Director of Cardiac Surgery at Santa Maria Hospital and Anthea Hospital, and is the Vice President of GVM Care & Research.

verified

Ottavio Alfieri

46 years of experience

The doctor is an acclaimed heart surgeon with over 15 years of experience in cardiac surgery, specializing in mitral valve repair. Known for developing the "Alfieri Mitral Repair" technique, which is the most widely used method for correcting mitral regurgitation. The doctor has performed over 15,000 cardiac procedures and authored more than 600 peer-reviewed articles and several books on cardiac surgery.

Currently serving as a Senior Consultant at the Cardiac Surgery Unit of San Raffaele Hospital, the doctor has previously directed the Cardiac Surgery Unit at the same institution and headed the Cardiac Surgery Department at the Civil Hospitals of Brescia. The doctor holds numerous patents for heart valve treatment devices and has received prestigious awards, including the 'Ambrogino d'Oro' and a gold medal from the European Cardiology Society.

Video Stories from Bookimed Patients

Bonnie
The surgeon was extremely knowledgeable, and I am very pleased with the international service provided.
Procedure: Open heart surgery

Reviews about Bookimed: Discover Patients' Insights

All reviews
Anonymous • Open heart surgery
Romania
Jul 15, 2021
Verified review.
Excellent
Сергей • Heart Valve Replacement
Russian Federation
Jan 31, 2022
Verified review.
"It is unfortunate that politics affects not only ordinary citizens, but also their children
We successfully operated on our daughter Nika Popova at the San Donato clinic (Italy). Thank you so much for the Bookimed service for the excellent organization of the trip. Our manager Aleksey Karaganov was always in touch and helped with all issues (visas, booking, medical and legal issues). The clinic, staff, ward are all at the highest level and the main thing is that real masters of their craft work there. Our attending physicians were delighted with the results of the most complicated heart surgery, the Ross operation. It is unfortunate that politics affects not only ordinary citizens, but also their children. I wish you patience, kindness and health to you and your loved ones, so that as many children from all over the world as possible can receive help. Thank you very much to Alexei and your entire team.
About Bookimed service
Very satisfied
Liliya Karachentseva • Aortic aneurysm surgery
Ukraine
Feb 28, 2024
Verified review.
Thanks to the consultation of Dr
We had an online consultation with Dr. Carlo de Vincentiis, through a female translator. The translator translated everything word for word, there were no barriers in communicating with the doctor. Before the consultation, a CT scan and ultrasound were sent to the clinic in advance. After studying the materials, Dr. Carlo de Vincentiis explained everything clearly and in detail. He told me how to live further, what to do... My only regret is that I did not go to this clinic earlier. After all, if we had contacted earlier, we could have lived these two years completely differently - fearing for life and health. Thanks to the consultation of Dr. Carlo de Vincentiis, I understand WE WILL LIVE!!! Let's enjoy life! Thanks a lot!!!
Humanity, understanding... everything that was missing in communication with our doctors.
About Bookimed service
Constantly in touch, all questions answered very thoroughly. Individual approach, understanding of the situation and interaction. I am grateful to YULIA, who, no matter what, was always in touch, thanks to her professional approach, she quickly organized an online consultation for us. THANKS A LOT!!!
Salwa • Consultation with a heart surgeon
Canada
Dec 18, 2023
Verified review.
So, he was very knowledgeable, very genius and expertise
It was full of information consultation and Dr Francesco Maisano was very generous in providing us with multiple solutions for my father's case with mentioning the best solution among them and why it was the best solution. So, he was very knowledgeable, very genius and expertise. I strongly recommend this service. One issue was that the bookimed was helpful, very fast in replying but the files I sent to them to share it with Dr Francesco Maisano, they didn't share it all, but it was fixed shortly. Overall, it was an excellent experience. Special thanks to Dr Francesco Maisano, thank you San Donato hospital and thank you Bookimed team.
Dr Francesco Maisano was expertise, knowledgeable and intelligent.
The files I sent to Bookimed wasn't shared all with Dr Francesco Maisano.
About Bookimed service
The team of Bookimed was helpful, active, but when they didn't share all of our files with the hospital, I found it a kind of negligence.
Светлана • Aortic valve insufficiency
Russian Federation
Apr 29, 2021
Verified review.
"I can safely recommend this doctor, operations are performed here every day, everything is thought out to the smallest detail and you do not care, as in Moscow, for example, what equipment or conditions for treatment are lacking
I'll tell you how it all happened, maybe it will help someone make their choice. I'll start with the fact that I was looking for a clinic for a long time to treat my son both in Europe and in Russia. The son is 5 years old, it was necessary to carry out a radical operation on the aortic valve, plastic or Rosa operation. The second is very difficult to perform, so it was important to find a surgeon with extensive experience. Alessandro Frigiola has a lot of experience. In Moscow, there are generally few reviews about Italian medicine, but after visiting here I can safely recommend this doctor, operations are performed here every day, everything is thought out to the smallest detail and you do not care, as in Moscow, for example, what equipment or conditions for treatment are lacking. I liked the San Donato clinic itself, despite the fact that almost no one speaks Russian, language barriers almost did not interfere, the staff are caring, they treat children with love. The atmosphere is pleasant here. Special thanks to the staff of international treatment organizations, the department may not write correctly, but I think it's clear. For all questions 24/7, you can contact them, Olga Gribova helped organize everything for a whole year. An excellent translator, Mariana, who also helps to communicate with doctors in the clinic and is constantly in touch if any problems arise. For all questions, even those that did not concern treatment, the girls always responded very responsively and helped. Thanks to them, the trip turned out to be much easier morally and with less worries. I was allowed to visit my son in intensive care. He stayed there for 2 days, and could have stayed less, but there were delays due to a smear on the covid, so they decided to keep him there, because the operation was difficult. Accommodation here is separate from the hospital, but Olga also helped with this issue. Everything was organized very quickly, there is no red tape with documents, as, for example, in Germany. As for the ward itself, in principle, everything is like everywhere else, I have no particular complaints.
About Bookimed service
Yes, thanks to Alexey, he helped me in choosing a clinic and simply gave me an objective opinion and support in a moment of confusion. Thank you!
Ioana Halunga • Consultation with a heart surgeon
Romania
Aug 3, 2021
Verified review.
The results were better than expected!
Doctor Maisano was great and had a lot of patience explaining the problem to me. It helped me a lot with taking a decision in how to proceed with the treatment. The Bookimed support was great. Always easy to reach out and communicate!
About Bookimed service
The support was great. Always easy to reach out and communicate!

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Updated: 02/28/2024
Authored by
Anna Leonova
Anna Leonova
Head of Content Marketing Team
A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.
Fahad Mawlood
Medical Editor & Data Scientist
General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.
Fahad Mawlood Linkedin
This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.

Our Open heart surgery Techniques: What Suits You Best?

When considering Open heart surgery, it’s important to understand the different techniques and which is best suited for you. Here’s a concise comparison of popular options:

Atrial Septal Defect Surgery

This procedure involves repairing a hole in the atrial septum to improve heart function and prevent complications.

Pros: Minimally invasive with a high success rate of 95%. Reduces the risk of heart failure and stroke.
Cons: Some patients may experience arrhythmias post-surgery. Requires hospital stay of 3-5 days.
Effectiveness: Success rate of 95% in closing the defect and improving heart function.
Duration: 2-4 hours
Recovery: 2-3 weeks
Best for: Patients with large atrial septal defects causing symptoms or heart enlargement.

Tetralogy of Fallot Surgery

This procedure corrects heart defects present from birth, improving oxygen flow and overall cardiac function.

Pros: Offers improved long-term survival rates, with over 90% of patients living into adulthood. Enhances quality of life significantly by alleviating symptoms like cyanosis and breathlessness.
Cons: Involves complex open-heart surgery, requiring extended recovery time. Potential complications include arrhythmias and residual heart defects.
Effectiveness: Success rate exceeds 95% in improving oxygen levels and heart function.
Duration: 3-6 hours
Recovery: 4-6 weeks
Best for: Infants and children with Tetralogy of Fallot, addressing four specific heart defects.

Ventricular Septal Defect Surgery

This cardiac operation involves repairing a hole in the septum between the heart's ventricles to improve blood flow and heart function.

Pros: High success rates with up to 95% effective in closing the defect. Minimally invasive options available, reducing recovery time.
Cons: Risks include potential for arrhythmias and the need for follow-up surgeries. Complications occur in about 5% of cases.
Effectiveness: 95% success rate in defect closure.
Duration: 3-6 hours
Recovery: 4-6 weeks
Best for: Congenital heart defects with a significant septal hole, improving oxygenation.

FAQ about Open heart surgery in Italy

These FAQs come from real patients seeking medical assistance through Bookimed. Answers are given by experienced medical coordinators and trusted clinic representatives.

What are the main risks and complications of open-heart surgery?

Main risks of open-heart surgery include bleeding, irregular heart rhythms like atrial fibrillation, and infections at the chest incision. Patients may juga face blood clots, stroke, or organ damage, particularly to the kidneys. Recovery involves managing potential cognitive changes and respiratory issues like pneumonia.

  • Arrhythmias: Irregular heartbeats occur in 30-50% of patients post-surgery.
  • Stroke risk: Complications affecting the brain occur in 2-5% of cases.
  • Sternal healing: The breastbone requires 6-12 weeks for full structural recovery.
  • Organ function: Bypass pump effects may cause temporary kidney failure or delirium.

Bookimed Expert Insight: While Italy ranks globally for cardiac care, top centers like San Donato Hospital perform over 9,400 procedures annually. High-volume IRCCS-accredited hospitals show better outcomes because their specialized teams manage complex risks like mediastinitis more effectively than smaller general facilities.

Patient Consensus: Many patients emphasize that cognitive fog can last longer than expected. They recommend arranging home help for 2-3 months to manage persistent fatigue during the sternum healing process.

How should I prepare for open-heart surgery in Italy?

Preparation for open-heart surgery in Italy focuses on medical optimization and logistical planning. Patients must stop smoking 6 weeks pre-op and manage blood sugar to aid sternum healing. Vital steps include dental clearance to prevent infections and arranging post-operative care for the 6-week driving ban.

  • Medical screening: Complete blood tests and dental exams to rule out potential surgical infections.
  • Physical optimization: Walk 20 minutes daily and quit smoking early to improve lung recovery.
  • Hospital logistics: Translate medical records into Italian and confirm 1-2 nights of intensive care.
  • Packing essentials: Bring front-fastening shirts, toiletries, and protein shakes to supplement hospital meals.

Bookimed Expert Insight: Milan serves as Italy's cardiac hub, featuring centers like San Donato Hospital which performs over 9,400 heart operations annually. Choosing high-volume IRCCS-accredited facilities often provides access to specialized English-speaking staff and the latest minimally invasive technologies not found in smaller regional clinics.

Patient Consensus: Many patients recommend hiring a local caregiver known as a badante before discharge. They also suggest joining support groups to help manage the common emotional challenges and temporary depression experienced during the long recovery phase.

Who is considered a good candidate for minimally-invasive or off-pump cardiac surgery offered in Italy?

Good candidates for minimally-invasive or off-pump cardiac surgery in Italy include patients with single-vessel disease, mitral valve issues, or high-risk profiles like renal failure or calcified aortas. These techniques avoid the heart-lung machine or full sternotomy, allowing for significantly faster recovery and reduced physical trauma.

  • Anatomical fitness: Ideal for isolated Left Anterior Descending (LAD) blockages or reachable valve defects.
  • High-risk profiles: Beneficial for elderly or frail patients with COPD or kidney disease.
  • Clinical indicators: Suitable for patients with stable vitals and Ejection Fraction (EF) above 40%.
  • Access limitations: Typically recommended for non-obese patients with Body Mass Index (BMI) under 30.

Bookimed Expert Insight: San Donato Hospital performs over 9,400 cardiovascular operations annually, marking it as a high-volume leader. Data shows that specialized Italian research hospitals (IRCCS) maintain better outcomes for complex off-pump cases. Patients should prioritize clinics performing at least 100 minimally invasive procedures yearly to ensure surgeon proficiency.

Patient Consensus: Patients often highlight the rapid mobile recovery, frequently returning home within four days. Many value the aesthetic benefit of smaller incisions and the reduced need for blood transfusions.

How long does open-heart surgery take and what happens immediately afterwards?

Open-heart surgery typically lasts 3 to 6 hours, though complex cases can extend beyond 8 hours. Patients transfer immediately to the intensive care unit for 24 to 48 hours. Specialized teams monitor vital signs through arterial lines and provide respiratory support using ventilators.

  • Intensive monitoring: Patients stay 1 to 2 days in the cardiac intensive care unit.
  • Respiratory support: Mechanical ventilators assist breathing for 4 to 6 hours after the surgery.
  • Fluid management: Chest tubes drain air and fluid while urinary catheters track kidney function.
  • Early mobilization: Nurses help patients sit up within 24 hours to prevent blood clots.

Bookimed Expert Insight: High-volume centers like San Donato Hospital in Milan perform over 9,400 cardiac procedures annually. This massive scale often correlates with streamlined recovery protocols. Their specific IRCCS accreditation confirms that patients benefit from research-driven postoperative care not found in smaller facilities.

Patient Consensus: Many patients describe feeling cold or thirsty immediately after waking up. They emphasize that while the initial intensive care tubes feel restrictive, the support provided by specialized cardiac nurses is deeply reassuring.

What does the recovery timeline look like after open-heart surgery in Italy?

Recovery after open-heart surgery in Italy typically lasts 6 to 12 weeks for a return to daily activities. Full physical healing and emotional stabilization generally occur within 6 to 12 months. Patients usually undergo intensive 3 to 4-week cardiac rehabilitation programs shortly after hospital discharge.

  • Hospital stay: Expect 5-7 days total, with 1-2 days in the intensive care unit.
  • Initial mobility: Patients often begin assisted walking and sitting in chairs by day 2.
  • Sternum protection: Sleep on back for 6 weeks and wear a postoperative chest belt.
  • Rehabilitation timing: Phase II cardiac rehabilitation typically starts between 2 to 4 weeks post-surgery.

Bookimed Expert Insight: Italian centers like San Donato Hospital handle over 9,400 heart operations annually, which is the highest volume in Italy. This massive case load allows Italian clinics to offer specialized, research-backed rehabilitation that integrates faster than average European protocols. Patients often reach recovery milestones 10% quicker when treated at research-focused IRCCS-accredited facilities.

Patient Consensus: Many patients find the first 2 weeks at home the most challenging due to fatigue. They often report that strictly following the 45-minute rest periods makes a significant difference in their energy levels by week 4.

Which Italian regions and hospitals are most experienced in open-heart surgery for international patients?

Lombardy, Lazio, and Emilia-Romagna represent Italy’s leading hubs for complex cardiac care. Milan serves as the primary gateway, hosting high-volume centers like San Donato Hospital. These facilities utilize IRCCS research status to provide advanced open-heart procedures for thousands of international patients annually.

  • Top region: Lombardy hosts Milan, the nation’s epicenter for advanced cardiovascular research and surgery.
  • High-volume center: San Donato Hospital performs over 9,400 heart and blood vessel operations annually.
  • Specialist expertise: Dr. Lorenzo Menicanti at San Donato has completed more than 15,000 heart surgeries.
  • Regulatory standards: Leading centers hold IRCCS accreditation, combining specialized clinical care with medical research.

Bookimed Expert Insight: Milan’s San Donato Hospital handles the highest volume of cardiac cases in Italy. This scale is vital for safety, as high-volume centers typically see better surgical outcomes. With 300,000 patients treated annually, the infrastructure for international visitors is exceptionally well-developed compared to smaller regional centers.

Patient Consensus: Patients frequently highlight the seamless coordination in Milan’s private wings. Many feel reassured by surgeons who have performed thousands of successful valve and bypass procedures.

Is the chest bone completely split open, and will the scar be very visible?

Standard open-heart surgery involves a median sternotomy where surgeons split the breastbone completely to access the heart. Afterward, they secure the bone with permanent titanium wires. While a 6 to 8-inch vertical scar remains, it typically fades significantly over 12 months.

  • Bone closure: Surgeons use stainless steel or titanium wires to reconnect the split sternum.
  • Healing timeframe: The breastbone reaches about 90% strength within 8 to 10 weeks.
  • Scar appearance: Incisions begin red and raised but generally flatten and lighten over time.
  • Minimally invasive options: Some Italian centers offer mini-sternotomies or robotic approaches for smaller scars.

Bookimed Expert Insight: Italian research centers like San Donato Hospital perform over 8,400 operations annually, often pioneering techniques that reduce incision size. Patients choosing clinics with IRCCS accreditation benefit from research-driven protocols that prioritize both structural bone healing and advanced wound management. This high surgical volume typically correlates with more refined closure techniques and better aesthetic outcomes for the final scar.

Patient Consensus: Patients often feel a sense of relief as the central chest scar transitions from a prominent red line to a faint, flat mark. Most focus on their improved heart function rather than the permanent nature of the surgical site.

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