{"key":"op_193_US","page":{"url":"https://us-uk.bookimed.com/clinics/country=united-states/procedure=plastic-surgery-for-cardiac-valve/","procedure":{"id":193,"slug":"plastic-surgery-for-cardiac-valve","name":"Plastic surgery for cardiac valve","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"cardiology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":44,"iso":"US","name":"United States of America"},"currency":"USD","data_date":"2026-10-02"},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=united-states/procedure=plastic-surgery-for-cardiac-valve/","cost_url":"https://us-uk.bookimed.com/clinics/country=united-states/procedure=plastic-surgery-for-cardiac-valve/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":55000,"to":95000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":55000,"to":95000},"uk":{"from":42000,"to":62000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Princeton","from":92500},{"city":"San Diego","from":70000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":6500,"to":11000},{"country_iso":"FR","from":30000,"to":44000},{"country_iso":"GB","from":42000,"to":62000},{"country_iso":"IL","from":38000,"to":52000},{"country_iso":"TR","from":10000,"to":12000},{"country_iso":"MX","from":24000,"to":35000},{"country_iso":"DE","from":28000,"to":41000},{"country_iso":"CA","from":38000,"to":60000},{"country_iso":"AE","from":15000,"to":24000},{"country_iso":"TH","from":13500,"to":18500},{"country_iso":"PL","from":14000,"to":21000},{"country_iso":"KR","from":28000,"to":38000},{"country_iso":"CZ","from":17000,"to":26000},{"country_iso":"AT","from":28000,"to":39000},{"country_iso":"ES","from":46000,"to":52000},{"country_iso":"IT","from":35000,"to":55000},{"country_iso":"CN","from":14000,"to":25000},{"country_iso":"AU","from":38000,"to":54000},{"country_iso":"IN","from":6000,"to":9500},{"country_iso":"MY","from":13000,"to":19500},{"country_iso":"VN","from":8000,"to":13500},{"country_iso":"BR","from":15000,"to":24000},{"country_iso":"LT","from":12000,"to":18000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":0,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":81,"name":"Princeton Hospital at Plainsboro","city":"Princeton","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":103,"slug":"princeton","name":"Princeton","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":92500,"profile":{"status":"missing","reason":"not_collected"}},{"id":1703,"slug":"san-diego","name":"San Diego","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":70000,"profile":{"city_type":"Pacific coast city near Mexican border","access":["San Diego Airport (SAN), 5 km northwest of downtown"],"sources":["https://en.wikipedia.org/wiki/San_Diego","https://en.wikipedia.org/wiki/San_Diego_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Severe symptomatic regurgitation (mitral, tricuspid or aortic) with repairable valve","Asymptomatic severe regurgitation plus LV dysfunction, AF or pulmonary hypertension","Degenerative mitral disease (prolapse, flail leaflet) favoring repair over replacement","Selected endocarditis-related valve damage suitable for repair"],"contraindications":["Active infective endocarditis with uncontrolled sepsis (relative; timing individualized)","Valve unsuitable for repair; replacement preferred","Prohibitive risk from severe comorbidity or frailty (relative; heart team)","Uncontrolled coagulopathy or inability to undergo cardiopulmonary bypass"],"operation_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for a single-valve adult repair with cardiopulmonary bypass; concomitant procedures lengthen it."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation with one hospital admission."},"stages":[{"code":"valve_repair_surgery","label":"Valve repair under cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Typical uncomplicated adult standalone valve repair."},"hospital_nights":{"value":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated adult open valve repair, including 1-2 days in intensive care or step-down unit."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after adult open valve repair, including walking program and cardiac rehabilitation."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After open-heart surgery, once echocardiogram, chest X-ray and wound checks are satisfactory; depends on surgeon clearance and recovery."},"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Adult open-heart valve repair via sternotomy; desk work earlier, physically demanding work later; minimally invasive approaches may allow earlier return."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light exercise from 6 weeks; full exertion by about 12 weeks; cardiac rehab guides pace."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Functional recovery and reassessment by echocardiography; ventricular remodeling may continue longer."},"result_longevity":"Mitral repair is often durable for 15-20 years or longer, with most patients free from reoperation at 10 years. Durability varies with valve type, anatomy and surgeon experience.","main_risks":["Bleeding requiring re-exploration","Atrial fibrillation and other arrhythmias, sometimes requiring pacemaker","Stroke or thromboembolism","Infection (sternal wound or endocarditis)","Kidney injury","Residual or recurrent valve regurgitation or stenosis needing reoperation","Death (risk depends on age, valve and comorbidities)","Pleural or pericardial effusion"],"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any major or minor postoperative complication in hospital, mainly atrial fibrillation; operative mortality about 1-2%."},"revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent regurgitation or stenosis within 10 years."},"success":{"metric":"Freedom from reoperation after mitral valve repair","value":93,"horizon":"10 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Midline sternotomy scar about 15-25 cm in conventional surgery; smaller right thoracotomy scar with minimally invasive approaches.","pain":"Moderate to significant sternotomy-related chest pain for the first days to weeks, controlled with analgesics; less with minimally invasive approaches.","preparation":["Heart team assessment with echocardiography, often transesophageal","Coronary assessment (angiography or CT) as indicated","Blood tests, ECG, chest imaging, dental and infection screening","Medication review by surgical team; follow clinic fasting instructions","Smoking cessation and preoperative education on recovery"],"recovery_timeline":[{"phase":"Intensive care and ward","description":"Monitoring after bypass, removal of drains and pacing wires, early mobilization.","restrictions":["Splint chest when coughing","No driving or lifting"]},{"phase":"Weeks 1-6","description":"Home recovery with walking, wound care and echocardiographic follow-up.","restrictions":["Sternal precautions (avoid heavy lifting/pushing/pulling)","No driving until cleared"]},{"phase":"Weeks 6-12","description":"Sternal healing, cardiac rehabilitation, return to work and gradual activity.","restrictions":["Gradually increase exercise","Avoid heavy exertion until sternum heals"]},{"phase":"3-6 months","description":"Near-full recovery and repair reassessment.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; early post-discharge review."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Clinical review with echocardiography, ECG and medication review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Repeat echocardiography to confirm durability of repair."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","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":"C3","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}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","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":"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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Chest pain or pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Chest pain or pressure","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Drainage or pus around incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Drainage or pus around your incision","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Weight gain over three pounds in one week","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Weight gain of more than three pounds in one week","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Chest pain or pressure . Drainage or pus around your incision . Fever or chills","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":"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":"T2","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 English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"Adult open-heart valve repair via sternotomy; desk work earlier, physically demanding work later; minimally invasive approaches may allow earlier return."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any major or minor postoperative complication in hospital, mainly atrial fibrillation; operative mortality about 1-2%."},"contraindications":["Active infective endocarditis with uncontrolled sepsis (relative; timing individualized)","Valve unsuitable for repair; replacement preferred","Prohibitive risk from severe comorbidity or frailty (relative; heart team)","Uncontrolled coagulopathy or inability to undergo cardiopulmonary bypass"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated adult open valve repair, including 1-2 days in intensive care or step-down unit."},"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 exercise from 6 weeks; full exertion by about 12 weeks; cardiac rehab guides pace."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Functional recovery and reassessment by echocardiography; ventricular remodeling may continue longer."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After open-heart surgery, once echocardiogram, chest X-ray and wound checks are satisfactory; depends on surgeon clearance and recovery."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; early post-discharge review."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Clinical review with echocardiography, ECG and medication review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Repeat echocardiography to confirm durability of repair."}}],"indications":["Severe symptomatic regurgitation (mitral, tricuspid or aortic) with repairable valve","Asymptomatic severe regurgitation plus LV dysfunction, AF or pulmonary hypertension","Degenerative mitral disease (prolapse, flail leaflet) favoring repair over replacement","Selected endocarditis-related valve damage suitable for repair"],"main_risks":["Bleeding requiring re-exploration","Atrial fibrillation and other arrhythmias, sometimes requiring pacemaker","Stroke or thromboembolism","Infection (sternal wound or endocarditis)","Kidney injury","Residual or recurrent valve regurgitation or stenosis needing reoperation","Death (risk depends on age, valve and comorbidities)","Pleural or pericardial effusion"],"pain":"Moderate to significant sternotomy-related chest pain for the first days to weeks, controlled with analgesics; less with minimally invasive approaches.","preparation":["Heart team assessment with echocardiography, often transesophageal","Coronary assessment (angiography or CT) as indicated","Blood tests, ECG, chest imaging, dental and infection screening","Medication review by surgical team; follow clinic fasting instructions","Smoking cessation and preoperative education on recovery"],"recovery_timeline":[{"phase":"Intensive care and ward","description":"Monitoring after bypass, removal of drains and pacing wires, early mobilization.","restrictions":["Splint chest when coughing","No driving or lifting"]},{"phase":"Weeks 1-6","description":"Home recovery with walking, wound care and echocardiographic follow-up.","restrictions":["Sternal precautions (avoid heavy lifting/pushing/pulling)","No driving until cleared"]},{"phase":"Weeks 6-12","description":"Sternal healing, cardiac rehabilitation, return to work and gradual activity.","restrictions":["Gradually increase exercise","Avoid heavy exertion until sternum heals"]},{"phase":"3-6 months","description":"Near-full recovery and repair reassessment.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after adult open valve repair, including walking program and cardiac rehabilitation."},"result_longevity":"Mitral repair is often durable for 15-20 years or longer, with most patients free from reoperation at 10 years. Durability varies with valve type, anatomy and surgeon experience.","revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent regurgitation or stenosis within 10 years."},"scars":"Midline sternotomy scar about 15-25 cm in conventional surgery; smaller right thoracotomy scar with minimally invasive approaches.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation with one hospital admission."},"stages":[{"code":"valve_repair_surgery","label":"Valve repair under cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Typical uncomplicated adult standalone valve repair."},"success":{"metric":"Freedom from reoperation after mitral valve repair","value":93,"unit":"percent","horizon":"10 years","population":"Adults with degenerative mitral regurgitation and repairable anatomy","evidence_status":"limited"},"techniques":[{"name":"Mitral valve repair with annuloplasty ring and leaflet resection or neochords (open sternotomy)","suits_whom":"Adults with degenerative or functional mitral regurgitation with repairable anatomy","recovery":"Hospital stay about 5-10 days; return to usual activities in roughly 6-12 weeks."},{"name":"Minimally invasive (mini-thoracotomy or robotic) valve repair","suits_whom":"Selected adults at experienced centers without prohibitive anatomy","recovery":"May allow somewhat faster recovery; extent varies by approach."},{"name":"Tricuspid annuloplasty","suits_whom":"Adults with significant tricuspid regurgitation, often during left-sided valve surgery","recovery":"Similar to the accompanying open-heart operation."},{"name":"Aortic valve repair (e.g., cusp repair or annuloplasty)","suits_whom":"Selected adults or younger patients with aortic regurgitation and suitable cusps","recovery":"Similar to open-heart surgery; usually performed at specialized centers."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for a single-valve adult repair with cardiopulmonary bypass; concomitant procedures lengthen it."},"initial_assessment_documents":["Transthoracic echocardiogram report and images","Transesophageal echocardiogram report (if available)","Coronary angiography report","Recent ECG","Cardiologist letter with symptoms and NYHA class","Previous cardiac surgery or operative reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single open-heart operation; stay 2-3 weeks including 5-10 hospital nights, then fit-to-fly clearance. Follow-up echocardiograms usually done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","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":"C3","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}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","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":"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}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","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":"Chest pain or pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Chest pain or pressure","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Drainage or pus around incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Drainage or pus around your incision","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Weight gain over three pounds in one week","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Weight gain of more than three pounds in one week","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Chest pain or pressure . Drainage or pus around your incision . Fever or chills","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":"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":"T2","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 English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve disease is in its first stages","name":"Medicines for heart valve disease","source":{"url":"https://my.clevelandclinic.org/health/treatments/17089-heart-valve-surgery","host":"my.clevelandclinic.org","quote":"Medications often help during the first stages of valve disease.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your valve is narrow and you want a catheter-based option","name":"Balloon valvuloplasty","source":{"url":"https://my.clevelandclinic.org/health/treatments/17089-heart-valve-surgery","host":"my.clevelandclinic.org","quote":"A healthcare provider stretches a narrow valve using a catheter they thread through a blood vessel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your valve cannot be repaired","name":"Heart valve replacement","source":{"url":"https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease","host":"my.clevelandclinic.org","quote":"Surgeons have to replace valves they can’t repair.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":2}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"mitral-valve-repair","name":"Mitral valve repair with annuloplasty ring and leaflet resection or neochords (open sternotomy)","how_it_works":{"text":"A leaky mitral valve is fixed during open-heart surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17240-mitral-valve-repair","host":"my.clevelandclinic.org","quote":"Mitral valve repair is a type of open-heart surgery to fix a leaky valve and make it work the way it should.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-valve","name":"Minimally invasive (mini-thoracotomy or robotic) valve repair","how_it_works":{"text":"Smaller incisions are used to reach the heart and repair the valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Minimally invasive surgery uses smaller incisions to access your heart and repair your valve.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"tricuspid-annuloplasty","name":"Tricuspid annuloplasty","how_it_works":{"text":"Annuloplasty reinforces the valve so it closes more tightly","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"For example, they may do an annuloplasty to reinforce your valve and help it close more tightly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"aortic-valve-repair","name":"Aortic valve repair (e.g., cusp repair or annuloplasty)","how_it_works":{"text":"The valve is reinforced so it closes more tightly","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"For example, they may do an annuloplasty to reinforce your valve and help it close more tightly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"mitral-valve-repair","name":"Mitral valve repair with annuloplasty ring and leaflet resection or neochords (open sternotomy)","how_it_works":{"id":"H1","text":"A leaky mitral valve is fixed during open-heart surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/17240-mitral-valve-repair","host":"my.clevelandclinic.org","quote":"Mitral valve repair is a type of open-heart surgery to fix a leaky valve and make it work the way it should.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Adults with degenerative or functional mitral regurgitation with repairable anatomy","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 5-10 days; return to usual activities in roughly 6-12 weeks."},{"id":"minimally-invasive-valve","name":"Minimally invasive (mini-thoracotomy or robotic) valve repair","how_it_works":{"id":"H1","text":"Smaller incisions are used to reach the heart and repair the valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"Minimally invasive surgery uses smaller incisions to access your heart and repair your valve.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected adults at experienced centers without prohibitive anatomy","price_from":{"status":"missing","reason":"not_collected"},"recovery":"May allow somewhat faster recovery; extent varies by approach."},{"id":"tricuspid-annuloplasty","name":"Tricuspid annuloplasty","how_it_works":{"id":"H1","text":"Annuloplasty reinforces the valve so it closes more tightly","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"For example, they may do an annuloplasty to reinforce your valve and help it close more tightly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Adults with significant tricuspid regurgitation, often during left-sided valve surgery","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to the accompanying open-heart operation."},{"id":"aortic-valve-repair","name":"Aortic valve repair (e.g., cusp repair or annuloplasty)","how_it_works":{"id":"H1","text":"The valve is reinforced so it closes more tightly","source":{"url":"https://my.clevelandclinic.org/health/treatments/25184-aortic-valve-repair","host":"my.clevelandclinic.org","quote":"For example, they may do an annuloplasty to reinforce your valve and help it close more tightly.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected adults or younger patients with aortic regurgitation and suitable cusps","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to open-heart surgery; usually performed at specialized centers."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve disease is in its first stages","name":"Medicines for heart valve disease","source":{"url":"https://my.clevelandclinic.org/health/treatments/17089-heart-valve-surgery","host":"my.clevelandclinic.org","quote":"Medications often help during the first stages of valve disease.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your valve is narrow and you want a catheter-based option","name":"Balloon valvuloplasty","source":{"url":"https://my.clevelandclinic.org/health/treatments/17089-heart-valve-surgery","host":"my.clevelandclinic.org","quote":"A healthcare provider stretches a narrow valve using a catheter they thread through a blood vessel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your valve cannot be repaired","name":"Heart valve replacement","source":{"url":"https://my.clevelandclinic.org/health/diseases/17639-what-you-need-to-know-heart-valve-disease","host":"my.clevelandclinic.org","quote":"Surgeons have to replace valves they can’t repair.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":2}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"prescriptions","audience":"uk","volatile":false,"text":"UK prescriptions are not valid in United States of America","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"UK prescriptions are not valid in the US.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"hospital_payment","audience":"all","volatile":false,"text":"Some hospitals in United States of America ask non-US residents to pay a deposit when admitted","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"Some hospitals ask non-US residents to pay a deposit when admitted.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 911 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"Dial 911 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-05-10","version":1},"other_countries_with_page":["azerbaijan","colombia","cyprus","germany","greece","india","israel","italy","japan","lithuania","republic-of-korea","spain","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Plastic surgery for cardiac valve Cost in United States of America?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Discover the Best Plastic surgery for cardiac valve Clinics in United States of America: 1 Verified Option and Prices","kind":"content"},{"text":"Plastic surgery for cardiac valve Overview in United States of America","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Fast Facts about Plastic surgery for cardiac valve","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}