Ponderas Academic Hospital offers specialized Ventricular Septal Defect Surgery with surgeons boasting over _doctor_10104_years_ of experience in cardiac care. The procedure may cost around $14,960–$16,400. Dr. Cătălin Trifan, a distinguished cardiovascular surgeon, brings over _doctor_10104_years_ of expertise in complex heart procedures, including minimally invasive techniques. The hospital holds JCI accreditation and provides comprehensive diagnostics, surgical intervention, and post-op monitoring.
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. 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.
Day 1 - Arrival
\nDay 2 - Pre-Operation
\nDay 3 - Operation
\nDay 4 - Day 7 - Post-Operation
\nWeek 2 - Week 4 - Rehabilitation
\nWeek 5 - Week 8
\nWeek 9 - Week 12
\nPlease note that each patient\"s recovery timeline may vary based on individual health conditions and the complexity of the surgery.
"},"overview":{"text":"This cardiac operation involves repairing a hole in the septum between the heart's ventricles to improve blood flow and heart function.
The operation patches a hole in the heart\"s wall, improving circulation and reducing strain on the heart.
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"},"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":49900,"max_amount":55500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"RO":{"amount":13900,"max_amount":14500,"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,"RO":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":44400,"max_amount":49900,"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"},"RO":{"amount":13900,"max_amount":14500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AZ":true,"DO":true,"RO":true},"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"},"RO":{"amount":13900,"max_amount":15000,"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,"RO":true}}}},"cityPrices":{"operation_prices":{"1303":{"operation":{"id":1303,"name":"Ventricular Septal Defect Surgery","alias":"ventricular-septal-defect-surgery"},"city_price":[{"amount":13900,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":2508,"name":"Bucharest","alias":"bucharest","profile":{"city_id":2508,"city_type":"Capital and largest city of Romania","access":["Henri Coandă Airport (OTP), 17 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Bucharest","https://en.wikipedia.org/wiki/Henri_Coandă_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"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Clinic","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Clinic","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolization for liver cancer ","alias":"radioembolization-for-liver-cancer"},{"name":"Radiofrequency ablation","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"responsibleDoctor":{"id":1682,"alias":"hasim-ustunsoy","name":"Hasim Ustunsoy","photo":"doctor/699ed71d22e22","advisory_text":"Prof. Dr. Haşim Üstünsoy is a cardiovascular surgeon specializing in robotic heart surgery, valve repair, and coronary artery bypass. He is a pioneer in robotic cardiac surgery using the Da Vinci system in Turkey.","advisoryText":"Prof. Dr. Haşim Üstünsoy is a cardiovascular surgeon specializing in robotic heart surgery, valve repair, and coronary artery bypass. He is a pioneer in robotic cardiac surgery using the Da Vinci system in Turkey.","specialities":[{"id":"crl.003","name":"Cardiovascular surgeon","illness_kind_id":23}]},"updatedAt":"2026-11-12T07:14:40.000Z","activeCountries":["RO","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":3049}},"direction":{"id":23,"name":"Heart Surgery","alias":"heart-surgery","name_forms":{"base_form":"Heart Surgery","form_4":"cardiac surgeon","form_6":"cardiac surgeons","form_11":"cardiac surgeons"}},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"After uncomplicated patch closure via sternotomy; desk work resumes earlier than heavy manual work, with surgeon clearance."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Major in-hospital complications, e.g., pacemaker-requiring heart block, residual shunt, reoperation; varies by defect, age, center."},"contraindications":["Eisenmenger/fixed pulmonary vascular disease; reversible resistance needs operability assessment","Active systemic infection or endocarditis (usually deferred unless urgent)","Small hemodynamically insignificant defect without complications (relative)","Prohibitive comorbidity or anesthetic risk (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated primary surgical closure with cardiopulmonary bypass, including 1-2 days in intensive care."},"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":"Light walking starts in hospital; strenuous exercise resumes about 6-12 weeks after surgery with clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Sternal healing and return to full activity; hemodynamic benefit is early, ventricular remodeling continues over months."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After uncomplicated discharge, counted from surgery, if no residual shunt, effusion or arrhythmia; requires surgeon or cardiologist clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Wound check, examination, often ECG or echocardiogram."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Cardiology review with echocardiography for residual shunt, valve function and rhythm."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term cardiology review; later intervals set by the cardiologist."}}],"indications":["Moderate-large VSD with significant shunt (Qp:Qs 1.5-2+)","Heart failure caused by the defect","LV dysfunction or progressive LV enlargement","Shunt-related pulmonary hypertension with acceptable vascular resistance","Prior infective endocarditis attributable to the defect","Aortic valve prolapse with progressive regurgitation","Large perimembranous, inlet or outlet defect unlikely to close"],"main_risks":["Residual or recurrent VSD","Heart block, possibly needing pacemaker","Right bundle branch block and other arrhythmias","Tricuspid or aortic valve regurgitation from valve injury","Left ventricular dysfunction","Bleeding","Wound or sternal infection","Low cardiac output after bypass","Stroke or air embolism (rare)","Pleural or pericardial effusion","Perioperative death (uncommon)"],"pain":"Moderate to significant sternotomy pain for the first several days, managed with multimodal analgesia, easing over 1-3 weeks.","preparation":["Echocardiography, ECG, chest X-ray and blood tests","Catheterization for pulmonary resistance if needed; CT/MRI for complex anatomy","Anesthesia and surgical team assessment","Fasting before surgery as instructed","Medication review by cardiology and surgical team","Treatment of active infection and dental screening where relevant"],"recovery_timeline":[{"phase":"Intensive care","description":"Monitoring, ventilation weaning, removal of chest drains and pacing wires over the first days.","restrictions":["Bed rest and monitoring"]},{"phase":"Ward recovery","description":"Early mobilization, pain control, wound care and rhythm monitoring until discharge.","restrictions":["Avoid lifting and pushing with the arms"]},{"phase":"Weeks 1-6 after discharge","description":"Gradual increase in walking and daily activity as the sternum heals. Light desk work often resumes after about 4-6 weeks.","restrictions":["Sternal precautions","No heavy lifting","No driving for a few weeks"]},{"phase":"Weeks 6-12","description":"Return to full activity with cardiology clearance.","restrictions":["Avoid contact or strenuous sport until cleared"]},{"phase":"At any time","description":"Seek urgent assessment for fever, wound discharge or sternal instability, breathlessness, fainting, palpitations, chest pain or poor feeding in infants.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Functional recovery after uncomplicated surgery; outpatient cardiac rehabilitation often added for adults."},"result_longevity":"Surgical closure is generally durable long term. Periodic cardiology surveillance is advised for arrhythmia, endocarditis and heart failure risk.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Reoperation for residual defect or valve problem after primary surgical closure; varies by defect type and center."},"scars":"Midline sternotomy scar of about 15-20 cm that fades over months; may widen or become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation under cardiopulmonary bypass."},"stages":[{"code":"surgical_closure","label":"Patch closure on cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation."}}],"qualifier":"Primary single-stage repair; pulmonary artery banding is a separate palliative approach."},"success":{"metric":"Freedom from significant residual shunt or reoperation","value":95,"unit":"percent","horizon":"Early to mid-term (hospital discharge to several years)","population":"Adults with isolated VSD after primary surgical patch closure","evidence_status":"limited"},"techniques":[{"name":"Surgical patch closure on cardiopulmonary bypass (transatrial approach for most perimembranous and inlet defects)","suits_whom":"Most adults with isolated VSD; defects unsuitable for devices.","recovery":"Sternotomy and bypass; longer recovery than transcatheter closure."},{"name":"Perventricular (hybrid) device closure","suits_whom":"Selected perimembranous or muscular defects in experienced centers.","recovery":"Avoids bypass and sternotomy; usually shorter recovery than surgical closure."},{"name":"Transcatheter device closure","suits_whom":"Selected muscular or some perimembranous defects, residual defects, or prohibitive surgical risk.","recovery":"No sternotomy or bypass; usually shorter recovery and hospital stay."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for primary patch closure under cardiopulmonary bypass, excluding intensive care."},"initial_assessment_documents":["Transthoracic echocardiogram report with VSD size and location","Echocardiogram video clips","Cardiology or cardiac surgery discharge summary","Chest X-ray report","12-lead ECG report","Cardiac catheterization report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; hospital 5-10 nights, fly home about 2-4 weeks after surgery. Later cardiology reviews usually local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon meets you before surgery and explains the operation, risks, and potential complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children/","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that pre-assessment evaluates suitability and fitness for surgery and anesthesia","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"It's very important that you come to this appointment, as this is when we assess your suitability and fitness for surgery and anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that preoperative tests assess heart, lungs, and kidneys","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"We do a number of tests to make sure that your heart, lungs and kidneys are working properly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that you can ask the treatment team questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check how aftercare will be coordinated after treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon will not meet you before surgery to explain risks and complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The treatment team will not answer your questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://kidshealth.org/en/parents/vsd.html","host":"kidshealth.org","quote":"If your child has trouble breathing, call your doctor or go to the emergency room right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound or chest drain site oozing 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