Ponderas Academic Hospital offers heart valve replacement with JCI accreditation and 10 international certifications. The procedure typically runs $16,000–$20,700. Dr. Cătălin Trifan, a distinguished cardiovascular surgeon with over _doctor_10104_years_ of experience, specializes in advanced valve repair and replacement procedures.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
Dr. Trifan specializes in advanced heart surgery with over _doctor_10104_years_ of experience, focusing on complex valve repair and replacement at Ponderas Academic Hospital.
Dr. Catalin Trifan is a cardiovascular surgeon at Ponderas Academic Hospital in Bucharest. He treats complex conditions such as coronary artery disease and heart valve defects. Dr. Trifan performs both open-heart surgery and minimally invasive cardiac procedures. He works at a JCI-accredited facility that treats 150,000 patients annually.
Ponderas Academic Hospital is a JCI-accredited private multi-specialty center in Bucharest. It holds 10 international accreditations including SRC and BSCE. Its main specialty is bariatric surgery.
Heart surgery is performed when:
\n\nAdditional examinations, medications, or lifestyle changes may be prescribed to avoid undergoing the procedure. Valve repair is a preferable alternative to replacement since it allows to preserve the heart and the valve. The procedure is performed on the open heart with the use of heart-lungs bypass machine. The success rate of the operation is up to 92%.
\n\nPhysicians make a decision whether a patient needs valve replacement based on examination results. In case of the following conditions, a doctor may prescribe the valve replacement:
\n\nAny patient with known heart issues must be cautious about above mentioned signs and perform check-ups whenever any of them manifest. Early diagnosis is crucial for this disease. Patients who are not aware of their condition, may suffer heart damage due to malfunctioning heart valves. This damage may lead to heart attacks, critical conditions and sudden death.
\n\nContraindications for heart valve operation:
\n\nMinimally invasive replacement operation
\n\nThe operation is performed while a patient is under general anesthesia. Heart-lung machine is used to sustain blood flow during the procedure. Minimally invasive surgery is conducted by a team of cardiac surgeons. Physicians utilize long instruments and optical devices that are inserted through a small incisions in patient’s chest. The procedure puts patient's body under less stress and is considered less risky.
\n\nMinimally invasive surgery presumes shorter patient hospital stay and quicker recovery.
\n\nTranscatheter aortic valve replacement (TAVR/TAVI)
\n\nTAVR is a minimally invasive replacement of aortic valve. Sometimes referred to as “implantation”(TAVI). A catheter is utilized in this procedure. During the operation surgeons reach patient’s heart through a small incision in the chest or through the vein. Once in position, replacement valve is either self installed or expanded and set with a balloon. TAVR is used in patients who are at high risk of surgery-related complications. TAVR is also applied for biological valves replacement.
\n\nReplacement of the heart valve (operation on the open heart)
\n\nIn cases when patient’s valve cannot be repaired, a replacement becomes viable. Damaged valve is removed and replaced with the mechanical or biological one. Biological valves are made of cow, pig, or human heart tissue. Biological valves degrade over time, so there will be a need for a replacement in 10-15 years.
\n\nPatients with mechanical valves need to take blood-thinning medicine for the rest of their lives to prevent formation of blood clots.
\n\nSurgeons will discuss all the details related to the valve type before the operation, including valve replacement surgery cost. Biological valves can be replaced utilizing catheters, without the need of open heart surgery.
\n\nHeart valve repair
\n\nValve repair operation is always chosen over the replacement. This procedure may include:
\n\nSome procedures may be carried out with the use of catheter, guided through patient’s artery. For example, narrowed valve opening is treated with balloon valvuloplasty. During this operation, a balloon attached to the catheter is guided to the narrowed valve. The balloon is then inflated, expanding the valve and allowing blood to pass freely.
\nBefore the operation a patient undergoes standard examinations:
\n\nPatients shouldn’t smoke 2 weeks before the operation, as it increases the risk of complications.
\n\nIf the operation is not minimally invasive, a patient is administered general anesthesia and connected to heart-lungs bypass machine. After that, the repairs or replacements are done. When it’s over, the heart is started and a patient is disconnected from heart-lung bypass.
\n\nThe operation takes 2-5 hours to complete, but may take longer if additional procedures are required.
\nRecovery
\n\nAfter the operation, a patient spends first 1-3 days in the Intensive Care Unit (ICU). In-hospital postoperative stay lasts for up to 2 weeks. Physicians may assign a special exercise regimen or rehabilitation program to a patient. During hospital stay patient’s vitals are constantly monitored, any pain syndromes are treated with anabolics, and antibiotics are issued if any signs of infection manifest.
\n\nRecovery period varies depending on patient’s overall health state. On average, patients can return to non-physically demanding work 4-6 weeks after the operation.
\n\nHome care
\n\nPatients are usually dismissed from the hospital 2 weeks after the operation. Physicians recommend commiting to 150 minutes of exercise weekly. It is also advisable that a patient quits smoking and/or drinking. Bad habits are known to reduce replaced valve’s life time and cause complications.
\n\nIf a patient has received mechanical valve, they should take blood-thinning medicine. Any doctor should be notified about that fact because thinned blood has greater potential for passing infections. Before performing any operations that may cause bleeding, patients need to be administered special antibiotic.
\n\nOutlook
\n\nThe operation is considered low-risk and doesn’t put organism under too much stress. Patients must always stay on lookout for possible signs of heart valve malfunction, because there is a little chance that replaced valve will fail. Usually it happens with biological valves 10-15 years after the operation. The symptoms are typical for heart valve malfunction and include fatigue, short breath, and lightheadedness. In such cases it is advisable to undergo another operation.
\nHeart valve replacement cost is influenced by the following factors:
\n\nSubmit a request on Bookimed website and our Medical Coordinator will contact you at earliest notice. You will receive answers to all questions regarding cost of mitral valve replacement surgery, what type of procedure is suitable for you, etc. We will also help you to pick the best hospital for heart valve replacement surgery and process all your paperwork. If needed, you will receive assistance in acquiring of visa and transfer.
\nDay 1
\nDay 2
\nDay 3
\nDay 4
\nDay 5-6
\nWeek 2
\nWeek 3-6
\nWeek 7
\nWeek 12
\nRemember, each patient\"s recovery is unique and may vary based on their health condition and the complexity of the heart valve replacement.
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Transcatheter or minimally invasive approaches may be faster."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any major in-hospital complication, mostly atrial fibrillation; stroke 1-3%, re-operation for bleeding 2-5%, 30-day mortality 1-4%."},"contraindications":["Prohibitive surgical risk or very limited life expectancy (relative)","Active uncontrolled sepsis or systemic infection (unless treating endocarditis)","Severe irreversible end-organ failure making surgery unsurvivable","Cannot tolerate long-term anticoagulation (relative, mainly mechanical valves)","Severe frailty or advanced dementia (relative)","Valve disease not hemodynamically significant or asymptomatic without surgical criteria"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated open surgical valve replacement including 1-2 days in intensive care/step-down; longer if complications arise."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking early; moderate exercise, often via cardiac rehab, after sternal healing and clearance. Heavy lifting and contact sports later."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to stable symptom improvement and sternal healing; cardiac remodeling can continue longer."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After uncomplicated open surgery, once discharged, wound check, echocardiogram and stable anticoagulation or INR are done; surgeon clearance required."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early postoperative wound and clinical check, with anticoagulation monitoring as relevant."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Surgeon or cardiologist review with ECG and baseline echocardiography."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Follow-up echocardiography and cardiology review, then periodic lifelong surveillance."}}],"indications":["Severe symptomatic aortic stenosis unsuitable for repair or transcatheter treatment","Severe aortic or mitral regurgitation that is not repairable","Severe mitral stenosis unsuitable for balloon valvotomy","Valve disease causing heart failure, low ejection fraction, ventricular dilation","Infective endocarditis with valve destruction","Failed valve repair or degenerated bioprosthesis"],"main_risks":["Bleeding requiring re-operation","Stroke or thromboembolism","Atrial fibrillation and other arrhythmias","Heart block requiring a pacemaker","Infection, including sternal wound infection or prosthetic valve endocarditis","Acute kidney injury","Valve-related complications such as thrombosis, paravalvular leak or structural deterioration","Anticoagulation-related bleeding with mechanical valves","Death"],"pain":"Moderate to significant chest wall pain for the first days to weeks after sternotomy, controlled with analgesia; it gradually eases over several weeks.","preparation":["Cardiology and cardiac surgical assessment including echocardiography","Coronary angiography or CT angiography when indicated","Blood tests, ECG and chest imaging","Dental and infection screening","Review of current medications with the surgical team","Fasting before surgery as instructed","Smoking cessation and optimization of other conditions","Discussion of valve type (mechanical vs. tissue) and anticoagulation implications"],"recovery_timeline":[{"phase":"Intensive care and hospital stay (days 0-10)","description":"Ventilator weaning, monitoring, drain and pacing wire removal, mobilization and early walking.","restrictions":["Sternal precautions","No driving"]},{"phase":"Early home recovery (weeks 1-6)","description":"Progressive walking, wound healing, fatigue gradually improving, anticoagulation monitoring as relevant.","restrictions":["No heavy lifting, pushing or pulling","No driving until cleared"]},{"phase":"Rehabilitation and return to activity (weeks 6-12)","description":"Sternum largely healed; return to work and graded exercise, often with cardiac rehabilitation.","restrictions":["No heavy lifting or contact sports until full sternal healing"]},{"phase":"Long-term follow-up (3 months onward)","description":"Echocardiographic surveillance and ongoing valve care, including endocarditis prevention measures.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after open surgical replacement, with progressive walking and often cardiac rehabilitation."},"result_longevity":"Depends on valve type and patient factors: mechanical valves are durable but require lifelong anticoagulation, while tissue valves may degrade over time and sometimes need reintervention.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Valve reintervention within 10 years; higher for tissue valves in younger patients, lower for mechanical valves."},"scars":"Typically a midline sternotomy scar down the chest; minimally invasive approaches use smaller scars. Drain sites leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation under one hospital admission."},"stages":[{"code":"valve_replacement_surgery","label":"Valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Survival at 5 years after isolated surgical valve replacement","value":85,"unit":"percent","horizon":"5 years","population":"Adults with isolated aortic or mitral valve replacement, elective, without major comorbidity","evidence_status":"limited"},"techniques":[{"name":"Conventional open surgical valve replacement (median sternotomy)","suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat shorter recovery and smaller scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one isolated valve replacement on cardiopulmonary bypass; excludes anesthesia preparation and ICU recovery."},"initial_assessment_documents":["Recent echocardiogram report","Cardiologist report with valve diagnosis","Coronary angiography or cardiac CT report","Recent ECG report","Current medication list including anticoagulants","Recent blood test results including INR and creatinine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks including 5-10 hospital nights and early check before flying. Later follow-up done at home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/city=buharest/procedure=protezirovanie-serdechnogo-klapana/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"procedureTexts":[{"operation_id":724,"operation_info":{"id":724,"name":"Transcatheter aortic valve implantation (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi"},"texts":{"overview":{"text":"A minimally invasive procedure to replace a narrowed aortic valve that fails to open properly.
The procedure replaces a failing heart valve using a catheter, reducing invasion and recovery time.
"}}},{"operation_id":795,"operation_info":{"id":795,"name":"Replacement of the aortic valve","alias":"replacement-of-the-aortic-valve"},"texts":{"overview":{"text":"This procedure involves replacing a diseased aortic valve with a mechanical or bioprosthetic valve to improve heart function.
The operation substitutes an impaired heart valve with a healthy one, enhancing blood flow and cardiac function.
"}}},{"operation_id":193,"operation_info":{"id":193,"name":"Plastic surgery for cardiac valve","alias":"plastic-surgery-for-cardiac-valve"},"texts":{"overview":{"text":"This procedure focuses on repairing or modifying existing heart valves to improve function and blood flow.
The operation modifies heart valves to improve blood flow, employing minimally invasive techniques for quick recovery.
"}}},{"operation_id":100,"operation_info":{"id":100,"name":"Surgery for acquired valvular heart disease ","alias":"surgery-for-acquired-heart-defects"},"texts":{"overview":{"text":"This procedure addresses issues in heart valves caused by disease, damage, or degeneration, restoring proper blood flow and heart function.
This procedure repairs or replaces damaged heart valves, improving blood flow and patient health.
"}}}],"illnessesByOperation":[{"id":3224,"alias":"mitral-valve-prolapse","name":"Mitral valve prolapse"},{"id":3225,"alias":"aortic-valve-insufficiency","name":"Aortic valve insufficiency"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}