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How Much Does Replacement of the aortic valve Cost in Italy?

Replacement of the aortic valve in Italy typically costs from $50,000 to $80,000. The total price depends on the chosen surgical technique, hospital tier, and the patient's specific medical needs. In the US, similar procedures cost around $162,500 on average. Italy offers savings of approximately 60%. Quotes usually include the surgical procedure, pre-operative evaluations, and essential intensive care stays.

  • Surgical valve replacement: Often ranges from 20-30% more when using robotic-assisted techniques in Milan.
  • Transcatheter Aortic Valve Implantation: Usually starts between $45,000 and $65,000 for private patients.
  • Diagnostic check-ups: Pre-surgical heart evaluations can add approximately $2,400 to the total budget.
  • Regional hubs: Main medical centers for cardiac surgery are located in Milan, Rome, and Bologna.

Bookimed Expert Insight: Italy is a powerhouse for cardiac care. San Donato Hospital performs over 9,400 heart operations annually. This high volume often leads to better patient outcomes. Choosing Milan-based IRCCS research hospitals ensures access to the latest valve technologies. Packages at premier clinics like San Raffaele typically run about $43,000. This provides elite care at a fraction of US private costs.

Key Benefits

Why choose Italy for replacement of the aortic valve?

  • Accredited clinics: Italy boasts JCI-certified hospitals that adhere to world-class healthcare standards and prioritize patient safety.
  • Latest technologies: Italy utilizes methods such as Transcatheter Aortic Valve Replacement (TAVR) with Edwards SAPIEN 3 and Medtronic CoreValve systems. These are known for their minimally invasive nature and quick recovery time.
  • High success rates: The success of replacement of the aortic valve procedures in Italy can reach up to 95%. This ensures excellent outcomes for patients with various conditions.
  • Expert surgeons: Italy's leading cardiac surgeons, many affiliated with the European Association for Cardio-Thoracic Surgery (EACTS), have performed thousands of successful aortic valve replacements. Their expertise and proficiency are well recognized.

Access advanced Replacement of the aortic valve solutions in trusted clinics .

Data verified by Bookimed as of May 2026, based on patient requests and official quotes from 60 clinics worldwide. Median costs are based on real invoices (2025–2026) and updated monthly. Actual prices may vary.

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Discover the Best Replacement of the aortic valve Clinics in Italy: 5 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
Maria Cecilia Hospital
Ospedale Santa Maria

Replacement of the aortic valve 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 - 30 days
Anesthesia - General anesthesia
Requests processed - 3049
Verified patient reviews - 7
Bookimed fees - $0

Our Doctors

View all Doctors
verified

Fausto Castriota

34 years of experience

Dr. Castriota is the principal investigator of the Protected TAVR study, evaluating brain protection during aortic valve replacement.

  • Graduated in Medicine and Surgery from the University of Milan
  • Specialized in Cardiology and Radiology at the University of Bologna
  • Fellowship at Arizona Heart Institute under Professor Diethrich
  • Member of multiple prestigious societies, including EAPCI and ISES
  • Author of 150+ publications and 20+ specialized chapters
verified

Prof Giuseppe Speziale

34 years of experience

Prof Giuseppe Speziale specializes in minimally invasive aortic valve surgery, leading cardiac surgery departments at multiple prestigious hospitals.

  • Director of Cardiac Surgery at Anthea Hospital and Città di Lecce Hospital
  • Co-Founder and President of the Scientific Committee of Mitral Academy
  • Author of over 90 publications in leading cardiology journals
  • Recipient of the 'Top Doctors Awards' in 2021
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
Randolph
Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.
Procedure: Radioembolization for liver cancer

Reviews about Bookimed: Discover Patients' Insights

All reviews
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!
Anonymous • Open heart surgery
Romania
Jul 15, 2021
Verified review.
Excellent

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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.

Fast Facts about Replacement of the aortic valve

Replacement of the aortic valve

This procedure involves replacing a diseased aortic valve with a mechanical or bioprosthetic valve to improve heart function.

Pros: High durability with mechanical valves lasting over 20 years. Bioprosthetic options reduce the need for lifelong anticoagulation therapy by up to 60%.
Cons: Requires open heart surgery, leading to longer recovery time compared to TAVI. Potential for complications during surgery, with a risk of 2-3% mortality.
Effectiveness: Success rate over 95% in improving symptoms and extending life expectancy.
Duration: 4-6 hours.
Recovery: 6-8 weeks.
Best for: Severe aortic stenosis or regurgitation in patients under 65 years old.
Prices: View costs of other techniques

FAQ about Replacement of the aortic valve 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 surgical approaches for aortic-valve replacement in Italy, and how do they differ?

Cardiologists in Italy utilize traditional open-heart surgery (SAVR), minimally invasive techniques, and transcatheter aortic valve replacement (TAVR). These approaches differ by incision size, recovery speed, and patient suitability, with Italian centers like San Donato Hospital in Milan performing over 9,400 cardiovascular procedures annually.

  • Traditional SAVR: Uses full chest incisions for younger patients needing durable mechanical valve replacements.
  • Minimally invasive SAVR: Employs partial sternotomies to reduce surgical trauma and speed up initial recovery.
  • TAVR approach: Features catheter-based insertion via the groin, avoiding major incisions and heart-lung machines.
  • Hospital stay: TAVR patients typically leave within 1–2 days, while SAVR requires 1 week.

Bookimed Expert Insight: Maria Cecilia Hospital handles over 15% of all cardiac surgeries in Italy, signaling a massive concentration of expertise. This volume suggests that Italian regional centers have specialized roles, where specific clinics dominate the national surgical workload through high-repetition mastery of complex valve replacements.

Patient Consensus: Many patients emphasize choosing SAVR for long-term valve durability exceeding 20 years. Conversely, TAVR is favored by older patients seeking to avoid sternotomy despite the higher risk of requiring a pacemaker.

Is the procedure safe and which professional standards apply?

Aortic valve replacement in Italy is safe, governed by strict European healthcare regulations and the Italian Ministry of Health IRCCS standards. Dedicated centers like San Donato Hospital perform over 9,400 heart operations annually. High safety levels are maintained through minimally invasive techniques and JCI-accredited surgical protocols.

  • Hospital accreditation: Facilities often hold IRCCS or JCI certifications for clinical excellence.
  • Surgeon expertise: Specialists like Dr. Fausto Castriota are European Society of Cardiology fellows.
  • Surgical standards: Multidisciplinary Heart Teams review cases to select the safest approach.
  • Technology access: Clinics utilize advanced TAVI and robotic systems for high-risk patients.

Bookimed Expert Insight: Italian cardiac centers demonstrate exceptional specialization hubs. For example, Maria Cecilia Hospital handles over 15% of all Italian cardiac surgeries. This high volume directly correlates with improved safety outcomes. Patients should look for hospitals listed in Newsweek's World's Best Hospitals for added quality assurance.

How long will I stay in Italy and what does a typical recovery timeline look like?

International patients typically stay in Italy for 14 to 28 days for aortic valve replacement. While hospital discharge occurs within 1 to 14 days depending on the technique, a full recovery timeline spans 6 to 12 weeks for most individuals.

  • Hospital stay: Expect 1–3 days for TAVR or 7–14 days for traditional open-heart surgery.
  • Fit-to-fly window: Surgeons require a follow-up echocardiogram and certificate around day 10–14 post-operation.
  • Early recovery: Limit activity to light walking and avoid lifting over 10lbs for 6 weeks.
  • Sternum healing: Bone recovery takes 6–8 weeks even if external incision sites appear fully healed.

Bookimed Expert Insight: High-volume centers like San Donato Hospital perform over 9,400 cardiac operations annually. This volume is critical because data shows experienced teams often reduce hospital stays to just 5 days for minimally invasive cases. Patients should choose clinics with IRCCS research status for access to the latest valve protocols.

Patient Consensus: Many patients suggest booking flexible flights and arranging a travel companion. Fatigue is common, and airlines frequently require a medical clearance certificate for solo travelers within 10 days of surgery.

Will I have visible scars and how are they managed

Aortic valve replacement in Italy typically leaves permanent scars, though their visibility depends on the surgical technique used. Most incisions fade to thin, flat lines over 12 to 18 months. Specialized clinics in Milan and Rome use advanced minimally invasive methods to reduce scarring and speed recovery.

  • Traditional sternotomy: Leaves a 6–8 inch midline chest scar that fades over 1–2 years.
  • Mini-sternotomy: Results in a 2–3 inch scar that is often hidden by standard clothing.
  • TAVR approach: Procedure uses small groin punctures with no chest incision, leaving no visible scars.
  • Scar management: Topical silicone sheets and sun protection for 1 year help flatten and lighten marks.

Bookimed Expert Insight: Italian centers like Maria Cecilia Hospital perform over 15% of the country's cardiac surgeries, offering high-volume expertise in TAVR. Patients choosing transcatheter approaches avoid chest incisions entirely, which is a major trend for those prioritizing aesthetics and rapid return to work.

Patient Consensus: Many patients find the scar looks most prominent at 6–12 weeks before improving. Starting gentle massage at 3–4 weeks is highly recommended to improve skin flexibility and texture.

Who is a suitable candidate—age, comorbidity and valve-type restrictions

Suitable candidates for aortic valve replacement in Italy include those with severe symptomatic stenosis or regurgitation. Eligibility depends on age, physical frailty, and the ability to tolerate anticoagulants. Italian clinics use multidisciplinary heart teams to select between minimally invasive, endovascular, or open-heart approaches.

  • Age criteria: Patients over 75 often receive TAVR via endovascular methods for faster recovery.
  • Surgical choice: Those under 60 typically undergo SAVR due to surgical valve long-term durability.
  • Comorbidity factors: High-risk patients with lung disease or frailty are prioritized for minimally invasive techniques.
  • Valve restrictions: Mechanical valves require lifelong blood thinners but offer superior longevity for younger patients.

Bookimed Expert Insight: Italian centers like San Donato Hospital perform over 9,400 heart operations annually. High-volume centers often treat complex cases that others might reject. If you have severe CAD combined with valve issues, look for clinics with IRCCS research accreditation. These facilities often provide access to combined endovascular and surgical protocols not available in smaller hospitals.

Patient Consensus: Patients value the multidisciplinary approach where cardiologists and surgeons jointly decide on valve types. Many report relief when offered minimally invasive options that significantly reduce their time spent in the ICU.

Which cities are recognised for high-volume valve programmes and what logistical/logistics help exists for international patients

Milan and Bologna are primary Italian hubs for high-volume aortic valve programmes, featuring IRCCS-accredited research hospitals like San Donato Hospital. These facilities provide clinical coordination, dedicated international departments, medical visa invitation letters, and specialized transfer services to streamline logistics for cardiovascular patients.

  • High-volume hubs: Milan houses San Donato, performing 9,400+ annual cardiac and valve operations.
  • Clinical coordination: Centers like San Raffaele offer preliminary record reviews and multidisciplinary heart teams.
  • Logistics support: Maria Cecilia Hospital in Bologna provides dedicated airport and hotel transfer services.
  • Research status: Leading centers hold IRCCS accreditation, combining advanced clinical care with medical research.

Bookimed Expert Insight: Milan dominates the Italian cardiac landscape with clinics like San Donato managing 300,000 patients annually. While smaller cities like Bari or Ravenna have expert surgeons, the Milan-based clusters offer the most robust dedicated infrastructure for managing heavy international patient flows and complex visa coordination.

Patient Consensus: Patients recommend contacting international coordinators directly to confirm accommodation partnerships. It is highly valued when clinics assist with post-operative follow-up and local orientation for family members.

What immediate post-operative precautions and long-term lifestyle adjustments are recommended

Post-operative care for aortic valve replacement in Italy involves immediate monitoring to prevent infection or clots and long-term anticoagulation management. Standard protocols include strict wound hygiene, respiratory therapy with incentive spirometers, and permanent lifestyle shifts centered on controlled nutrition and gradual low-impact mobilization.

  • Immediate wound care: Keep incision sites dry and original dressings intact for 48 hours.
  • Weight restrictions: Avoid lifting over 10 pounds for 6 to 12 weeks post-surgery.
  • Anticoagulant management: Perform weekly blood tests initially to maintain safe international normalized ratio levels.
  • Cardiac rehabilitation: Begin supervised walking programs immediately to improve circulation and prevent sarcopenia.
  • Dental prophylaxis: Use antibiotic prescriptions before any dental cleaning to prevent lifelong endocarditis risks.

Bookimed Expert Insight: Italian centers like Maria Cecilia Hospital and San Donato Hospital handle over 15% of the country cardiac surgeries, offering deep expertise in minimally invasive techniques. Research led by specialists like Dr. Fausto Castriota emphasizes using brain protection devices during valve replacement to maximize safety. Choosing these high-volume research hospitals often ensures access to advanced rehabilitation protocols that standard clinics may not provide.

Patient Consensus: Many patients find managing blood thinners and vitamin K intake more challenging than the physical recovery itself. They strongly recommend stocking low-sodium foods and using pill organizers to maintain routine during the first 3 months.

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