The National Research Cardiac Surgery Center specializes in atrial septal defect surgery, with experienced surgeons performing 600+ pediatric and adult procedures annually. Dr. Yurii Pia, with _doctor_1506_years_ of experience and 5,000+ successful operations, leads their cardiac surgery team. The procedure typically costs around $3,000. The center is among the world’s top 22 cardiac clinics, offering advanced techniques in both open and minimally invasive approaches.
National Research Cardiac Surgery Center is a JCI-accredited hospital in Astana and one of the world’s 22 best clinics for complex heart surgeries. It specializes in heart failure, valvular disease, and congenital malformations. Treats 6,000 patients annually.
The doctor is a highly experienced cardiac surgeon with over 20 years in the field, having successfully performed more than 5,000 operations.
Certified in both pediatric and adult cardiac surgery, the doctor specializes in minimally invasive heart surgery.
Additionally, the doctor is a leading researcher in advanced cardiac techniques, contributing significantly to the field.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":392,"alias":"national-research-cardiac-surgery-center","name":"National Research Cardiac Surgery Center","short_description":"National Research Cardiac Surgery Center is a JCI-accredited hospital in Astana and one of the world’s 22 best clinics for complex heart surgeries. It specializes in heart failure, valvular disease, and congenital malformations. Treats 6,000 patients annually.
Day 1
\nDay 2
\nDay 3
\nDay 4 - Day 7
\nWeek 2
\nWeek 4-8
\nWeek 12+
\nPlease note, every patient\"s recovery varies and the timeline may differ.
"},"overview":{"text":"This procedure involves repairing a hole in the atrial septum to improve heart function and prevent complications.
The operation patches a hole in the heart\"s wall, improving circulation and reducing strain on the heart.
"},"569":{"operation":{"name":"Interventricular septal defect surgery","alias":"interventricular-septal-defect-surgery","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":15500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":28000,"max_amount":46000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":18500,"max_amount":28500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"KZ":{"amount":4000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false,"KZ":true},"description":"The operation repairs a hole in the heart\"s wall, improving blood flow and reducing health risks, enhancing patient\"s life quality.
"},"663":{"operation":{"name":"Open heart surgery","alias":"open-heart-surgery","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":160000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":17600,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":13000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":49700,"max_amount":55300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This procedure involves operating on the heart itself, often to repair defects or blocked vessels, improving heart function.
"},"1302":{"operation":{"name":"Tetralogy of Fallot Surgery","alias":"tetralogy-of-fallot-surgery","use_for_listing":true},"country_price":{"US":{"amount":110000,"max_amount":185000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":16000,"max_amount":21000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":15000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":55000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":44200,"max_amount":49700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"The procedure corrects a four-way heart defect, improving blood flow and oxygen supply.
"},"1303":{"operation":{"name":"Ventricular Septal Defect Surgery","alias":"ventricular-septal-defect-surgery","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":125000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":24400,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":21000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"Repairs a hole in the heart\"s wall, improving its function, blood flow, and overall health.
"},"1494":{"operation":{"name":"Congenital heart surgery","alias":"congenital-heart-surgery","use_for_listing":false},"country_price":{"US":{"amount":75000,"max_amount":150000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":43000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":18000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":55900,"max_amount":78300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true}}}},"cityPrices":{"operation_prices":{"201":{"operation":{"id":201,"name":"Atrial septal defect surgery","alias":"atrial-septal-defect-surgery"},"city_price":[{"amount":3000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":318,"name":"Astana","alias":"astana","profile":{"city_id":318,"city_type":"Capital city of Kazakhstan","access":["Astana Airport (NQZ), 12 km from the city center"],"sources":["https://energyministerial.kz/astana/","https://en.wikipedia.org/wiki/Nursultan_Nazarbayev_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"060e46e2-3001-4a0b-9a89-a039c7a4be9f","link":"https://player.vimeo.com/video/1096287517?badge=0&autopause=0&player_id=0&app_id=58479","description":"The surgeon was extremely knowledgeable, and I am very pleased with the international service provided.","userName":"Bonnie","user_name":"Bonnie","preview":"https://i.vimeocdn.com/video/2030318859-4149da1264ab2e89bcbb52dca6fcf6685e01331bf0759c5970d93bf471ada2b9-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:07:06.966+00:00","clinicName":"Centro Médico Teknon","clinic":{"name":"Centro Médico Teknon","alias":"teknon-medical-center"},"clinicUrl":"/clinic/teknon-medical-center/","relations":{"operations":[{"name":"Open heart surgery","alias":"open-heart-surgery"},{"name":"Heart Valve Replacement","alias":"heart-valve-replacement"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-13T12:40:10.088Z","activeCountries":["KZ","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":951}},"direction":{"id":62,"name":"Pediatric Cardiac Surgery","alias":"children-s-cardiosurgery","name_forms":{"base_form":"Pediatric Cardiac Surgery","form_4":"pediatric cardiac surgeon","form_6":"pediatric cardiac surgeons","form_11":"pediatric cardiac surgeons"}},"illness_kind":{"id":62,"name":{"en":"Pediatric Cardiac Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to school or sedentary work after uncomplicated closure; sooner after minimally invasive surgery, later after sternotomy or physical work."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any early complication, mainly transient arrhythmia, effusion or wound issues; serious ones under 3%."},"contraindications":["Severe pulmonary hypertension with Eisenmenger physiology and right-to-left shunting","Active systemic infection or sepsis","Small asymptomatic defect without volume overload (relative)","Severe uncorrected coagulopathy or other prohibitive operative risk (relative)"],"days_in_clinic":{"min":3,"max":6,"unit":"nights","qualifier":"Uncomplicated open surgical closure on cardiopulmonary bypass, including brief intensive care monitoring; minimally invasive approaches may be shorter."},"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":"Strenuous activity and contact sports after sternal healing and cardiology clearance; light walking earlier."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Functional recovery by 3 months; right heart reverse remodeling over 6-12 months; assessed by echocardiography."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After surgery, once echocardiography and chest X-ray show no effusion and surgeon clears; sternotomy or pleural effusion may delay."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery day; wound review before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery day; cardiology review with ECG and echocardiography."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"From surgery day; echocardiographic review of residual shunt, rhythm and right heart size."}}],"indications":["Significant left-to-right shunt ASD: secundum, primum, sinus venosus, coronary sinus","Symptomatic ASD (exercise intolerance, chest infections, arrhythmia) or paradoxical embolism","Concomitant cardiac surgery requiring ASD closure"],"main_risks":["Bleeding requiring reoperation or transfusion","Atrial arrhythmias or heart block","Postoperative pericardial effusion or postpericardiotomy syndrome","Wound infection or sternal complications","Residual shunt","Air embolism or stroke","Pleural effusion","Risks of cardiopulmonary bypass and general anesthesia"],"pain":"Moderate postoperative chest pain for the first few days, controlled with analgesics; usually mild by 1-2 weeks.","preparation":["Preoperative echocardiography, ECG and blood tests","Cardiology and anesthesia assessment","Fasting before general anesthesia per hospital protocol","Review of current medications with the surgical team","Treat active infections before elective surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-6)","description":"Brief intensive care, removal of drains and pacing wires, mobilization, and echocardiography before discharge.","restrictions":["Splint chest when coughing","No lifting"]},{"phase":"Early home recovery (weeks 1-6)","description":"Gradually increasing walking and daily activity; sternal healing if sternotomy was used.","restrictions":["No heavy lifting or pushing","No contact play or sports"]},{"phase":"Return to full activity (weeks 6-12)","description":"Cardiology clearance and gradual return to normal exercise and sports.","restrictions":["Avoid high-impact activity until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated surgery; formal rehabilitation is usually not required."},"result_longevity":"Closure is generally intended to be permanent; long-term cardiology follow-up is advised for residual shunt, arrhythmia and pulmonary pressure, especially if closed later in life.","revision_rate_pct":{"min":0.5,"max":3,"unit":"percent","qualifier":"Reoperation or reintervention for bleeding, tamponade or significant residual shunt within first year."},"scars":"Midline sternotomy scar, or smaller right thoracotomy or minimally invasive scar depending on approach; scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; routine follow-up checks are counted separately."},"stages":[{"code":"surgical_closure","label":"Surgical closure of the atrial septal defect on cardiopulmonary bypass (direct suture or patch)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One-stage repair."},"success":{"metric":"Complete defect closure without significant residual shunt","value":98,"unit":"percent of patients","horizon":"Before discharge to 1 year","population":"Adults with secundum or other ASD undergoing elective surgical closure","evidence_status":"limited"},"techniques":[{"name":"Open surgical closure via median sternotomy with cardiopulmonary bypass (direct suture or patch)","suits_whom":"Larger or complex defects, primum or sinus venosus defects, or associated anomalies.","recovery":"Hospital stay about 4-6 nights; sternal precautions for about 6-8 weeks."},{"name":"Minimally invasive closure via right mini-thoracotomy or partial sternotomy","suits_whom":"Selected patients with uncomplicated defects at experienced centers, often for cosmetic reasons.","recovery":"Often slightly shorter stay and quicker return to activity."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for uncomplicated surgical ASD closure on cardiopulmonary bypass, excluding anesthesia induction and ICU stay."},"initial_assessment_documents":["Echocardiogram report with defect size and type","Echocardiogram video clips (if available)","Cardiologist's report or discharge summary","ECG tracing","Chest X-ray image or report","Cardiac catheterization or cardiac MRI report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days including 3-6 hospital nights and discharge checks. Later reviews can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Discuss how complications will be addressed with both healthcare professionals","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check whether follow-up care is scheduled at the same facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The advertisement does not provide comprehensive facility or provider qualifications","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourism websites marketing directly to travelers might not include (or make available) comprehensive details on the accreditations, certifications, or qualifications of advertised facilities or healthcare professionals.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F2","text":"The facility cannot explain how complications will be addressed","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F3","text":"An advert or information that guarantees 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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood, fluid or pus from the incision site","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Blood, fluid or pus coming from the incision site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Fainting or chest pain after ASD closure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16838-cardiac-implant-closure-devices-in-adults","host":"my.clevelandclinic.org","quote":"Contact your provider if you faint or have chest pain after receiving an ASD closure device.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Irregular heart rhythm","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Irregular heart rhythm, such as a fluttering feeling in your chest.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Blood, fluid or pus coming from the incision site. Chest pain. Confusion or fainting. Fever . Pain that gets worse or doesn’t get better with pain medication. Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Pain that gets worse or does not ease","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22461-asd-closure","host":"my.clevelandclinic.org","quote":"Pain that gets worse or doesn’t get better with pain medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Enables healthcare professionals to continue subsequent care","document":"care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications received.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","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":"T3","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 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