{"key":"op_1305_TR","page":{"url":"https://fr.bookimed.com/clinics/country=turkey/procedure=pediatric-aortic-valve-replacement/","procedure":{"id":1305,"slug":"pediatric-aortic-valve-replacement","name":"Remplacement de la valve aortique pédiatrique","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":"children-s-cardiosurgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":46,"iso":"TR","name":"Turquie"},"currency":"USD","data_date":"2025-06-03"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=turkey/procedure=pediatric-aortic-valve-replacement/","cost_url":"https://fr.bookimed.com/clinics/country=turkey/procedure=pediatric-aortic-valve-replacement/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":12000,"to":26000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":95000,"to":190000},"uk":{"from":62000,"to":95000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Istanbul","from":12000},{"city":"Antalya","from":14500},{"city":"Izmir","from":14500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":9500,"to":16000},{"country_iso":"FR","from":38000,"to":55000},{"country_iso":"GB","from":62000,"to":95000},{"country_iso":"US","from":95000,"to":190000},{"country_iso":"IL","from":38000,"to":55000},{"country_iso":"MX","from":28000,"to":45000},{"country_iso":"DE","from":42000,"to":63000},{"country_iso":"CA","from":58000,"to":125000},{"country_iso":"AE","from":28000,"to":48000},{"country_iso":"TH","from":24000,"to":38000},{"country_iso":"PL","from":16000,"to":25000},{"country_iso":"KR","from":32000,"to":48000},{"country_iso":"CZ","from":14000,"to":25000},{"country_iso":"AT","from":38000,"to":55000},{"country_iso":"ES","from":38000,"to":55000},{"country_iso":"IT","from":38000,"to":55000},{"country_iso":"CN","from":16000,"to":30000},{"country_iso":"AU","from":62000,"to":90000},{"country_iso":"IN","from":8000,"to":14500},{"country_iso":"MY","from":18000,"to":30000},{"country_iso":"VN","from":14000,"to":24000},{"country_iso":"BR","from":22000,"to":33000},{"country_iso":"DO","from":62000,"to":{"status":"missing","reason":"not_collected"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":87,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":6,"items":[{"id":410,"name":"Memorial Bahçelievler Hospital","city":"Istanbul","rating":4.6,"reviews_count":165,"accreditations":["International Organization for Standardization","Joint Commission International"],"rank":1,"has_procedure":true,"why_ranked":"Minimally invasive catheter-based valve replacement via inguinal artery. Dedicated Pediatric Cardiology Center handles complex neonatal cases. First JCI-accredited hospital in Turkey.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":96,"name":"Memorial Şişli Hospital","city":"Istanbul","rating":4.6,"reviews_count":437,"accreditations":["International Organization for Standardization","Joint Commission International"],"rank":2,"has_procedure":true,"why_ranked":"Specializes in complex cardiac procedures with JCI accreditation. Doctors are highly recommended for pediatric cardiac surgery, ensuring high-quality care for children.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":2943,"name":"Istanbul Florence Nightingale Hospital","city":"Istanbul","rating":5,"reviews_count":58,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":3,"has_procedure":true,"why_ranked":"Specializes in pediatric cardiovascular surgery with JCI accreditation. Offers mechanical valve replacement with dedicated ICU care. Doctors trained in advanced surgical implant techniques.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":432,"name":"Memorial Ataşehir Hospital","city":"Istanbul","rating":4.5,"reviews_count":55,"accreditations":["Joint Commission International"],"rank":4,"has_procedure":true,"why_ranked":"JCI-accredited with dedicated pediatric heart departments. Surgeon (900+ procedures) leads mechanical AVR. Package includes surgery, echocardiography, transfers, and 15-day stay.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":1900,"name":"Biruni University Hospital","city":"Istanbul","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Turkish Medical Association","TEMOS International Healthcare Accreditation"],"rank":5,"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"}},{"id":4078,"name":"Uniqacare Clinic","city":"Istanbul","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Turkish Medical Association"],"rank":6,"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":13,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":107,"slug":"istanbul","name":"Istanbul","clinics_count":1,"price_from":12000,"profile":{"city_type":"Largest city in Turkey, megacity","access":["Sabiha Gökçen Airport (SAW), 32 km southeast of city center"],"sources":["https://en.wikipedia.org/wiki/Istanbul","https://en.wikipedia.org/wiki/Sabiha_G%C3%B6k%C3%A7en_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":382,"slug":"antalya","name":"Antalya","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":14500,"profile":{"city_type":"Major Mediterranean coastal city in Turkey","access":["Antalya Airport (AYT), 13 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Antalya","https://en.wikipedia.org/wiki/Antalya_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":395,"slug":"izmir","name":"Izmir","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":14500,"profile":{"city_type":"Aegean coastal port city in Turkey","access":["Izmir Airport (ADB), 14 km from the city center"],"sources":["https://en.wikipedia.org/wiki/%C4%B0zmir","https://en.wikipedia.org/wiki/Izmir_Adnan_Menderes_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 aortic stenosis or regurgitation not suitable for valve repair","Congenital valve disease (bicuspid, dysplastic) with symptoms or ventricular changes","Rheumatic aortic valve disease with significant dysfunction","Failed prior valvuloplasty or valve repair","Aortic valve destruction from infective endocarditis"],"contraindications":["Uncontrolled systemic infection until treated","Severe uncorrectable comorbidity making surgery prohibitive"],"operation_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for isolated primary pediatric aortic valve replacement under cardiopulmonary bypass; excludes ICU stay."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary valve replacement."},"stages":[{"code":"avr_surgery","label":"Aortic valve replacement under cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage primary procedure; later reoperation is not part of the standard course."},"hospital_nights":{"value":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated primary pediatric aortic valve replacement including ICU stay; longer if complications occur."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Time to functional recovery for school and daily activity; formal rehabilitation often not required."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After surgery, including 5-10 hospital nights, with stable echocardiogram, healed wound, stable anticoagulation if mechanical valve; cardiologist clearance."},"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"Pediatric patient: return to school rather than work; parent caregiver often back at work sooner, after discharge and cardiology clearance."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light play earlier; strenuous or contact sports need cardiologist clearance, often restricted longer with mechanical valves on anticoagulation."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Sternal healing and functional recovery; echocardiographic valve function confirmed at follow-up; durability depends on valve type and growth."},"result_longevity":"Depends heavily on valve type: mechanical valves are durable but need lifelong anticoagulation; bioprosthetic valves degrade faster in children and often need reoperation. Growth may also require later replacement.","main_risks":["Bleeding","Infection including prosthetic valve endocarditis","Heart rhythm disturbances or heart block, possibly requiring a pacemaker","Stroke or thromboembolism","Anticoagulation-related bleeding and thrombosis (mechanical valve)","Structural degeneration of bioprosthetic valve and need for reoperation","Prosthesis-patient mismatch as the child grows","Low cardiac output, kidney injury, or other bypass complications","Death"],"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any major early complication within 30 days, including bleeding, arrhythmia, heart block, low output, infection; mortality under 5%."},"revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Valve reoperation within about 10 years; higher with bioprosthetic valves and small, growing children."},"success":{"metric":"Survival to hospital discharge","value":96,"horizon":"Hospital discharge (about 1-2 weeks after surgery)","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Usually a midline sternotomy scar; some centers use minimally invasive incisions. Scar may widen with growth.","pain":"Moderate to significant sternotomy pain in the first days, managed with multimodal analgesia; declines over 1–2 weeks.","preparation":["Echocardiography, ECG, chest imaging and blood tests","Pediatric cardiology and surgical evaluation; valve type discussed with family","Fasting before anesthesia per hospital protocol","Dental and infection screening","Family counseling about anticoagulation or reoperation if relevant"],"recovery_timeline":[{"phase":"ICU and early postoperative","description":"Ventilation weaning, monitoring, drains and pacing wires removed over the first days.","restrictions":["Bed rest or limited mobility","No lifting"]},{"phase":"Ward and discharge","description":"Mobilization, feeding, wound care, and anticoagulation or medication teaching; discharge typically within 1–2 weeks.","restrictions":{"status":"missing","reason":"not_collected"}},{"phase":"Early home recovery (weeks 1–6)","description":"Sternal healing with gradually increasing activity.","restrictions":["Avoid heavy lifting, pulling and pressure on the chest","Avoid rough play"]},{"phase":"Return to school and normal activity (weeks 4–12)","description":"Return to school usually after several weeks; cardiology clearance for sports.","restrictions":["Contact sports restricted, especially on anticoagulation"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First post-discharge check, wound and clinical review."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Cardiology visit with echocardiogram and ECG; anticoagulation monitoring if a mechanical valve."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Follow-up echocardiography, then lifelong periodic cardiology surveillance."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask for examples of the practitioners' experience with the surgery planned","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners' experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon consulted is the same person who will carry out the procedure","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Understand the potential complications and side effects of the surgery before traveling","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure you understand any potential complications and side effects that could arise from your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team treating the patient","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":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the aftercare arrangements are clear before booking","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":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the facilities and standards of the clinic or hospital where treatment will happen","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":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that you can ask the treating team questions about the 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"F2","text":"Adverts or claims promising complete success","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"F3","text":"Surgery offered as a package deal combined with holidays","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Adverts or advice omitting complications and aftercare requirements","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure that any adverts or advice you receive when making your decision gives you all the necessary information, including any potential complications and aftercare requirements.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The surgeon consulted will not be the person performing 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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or redness around your incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Swelling or redness around your incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Unusual bruising or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16744-aortic-valve-ross-procedure","host":"my.clevelandclinic.org","quote":"Unusual bruising or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Chest pain or pressure","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Chest pain or pressure","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Swelling in your legs or feet","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Swelling ( edema ) in your legs or feet","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","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":"The home doctor needs complete treatment details for continuity of care","document":"full medical report","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"After your treatment, you should receive a full medical report in English to bring back to your UK doctor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"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 English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","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":"T5","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":28,"max":84,"unit":"days","qualifier":"Pediatric patient: return to school rather than work; parent caregiver often back at work sooner, after discharge and cardiology clearance."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any major early complication within 30 days, including bleeding, arrhythmia, heart block, low output, infection; mortality under 5%."},"contraindications":["Uncontrolled systemic infection until treated","Severe uncorrectable comorbidity making surgery prohibitive"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Typical uncomplicated primary pediatric aortic valve replacement including ICU stay; longer if complications occur."},"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 play earlier; strenuous or contact sports need cardiologist clearance, often restricted longer with mechanical valves on anticoagulation."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Sternal healing and functional recovery; echocardiographic valve function confirmed at follow-up; durability depends on valve type and growth."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"After surgery, including 5-10 hospital nights, with stable echocardiogram, healed wound, stable anticoagulation if mechanical valve; cardiologist clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First post-discharge check, wound and clinical review."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Cardiology visit with echocardiogram and ECG; anticoagulation monitoring if a mechanical valve."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Follow-up echocardiography, then lifelong periodic cardiology surveillance."}}],"indications":["Severe aortic stenosis or regurgitation not suitable for valve repair","Congenital valve disease (bicuspid, dysplastic) with symptoms or ventricular changes","Rheumatic aortic valve disease with significant dysfunction","Failed prior valvuloplasty or valve repair","Aortic valve destruction from infective endocarditis"],"main_risks":["Bleeding","Infection including prosthetic valve endocarditis","Heart rhythm disturbances or heart block, possibly requiring a pacemaker","Stroke or thromboembolism","Anticoagulation-related bleeding and thrombosis (mechanical valve)","Structural degeneration of bioprosthetic valve and need for reoperation","Prosthesis-patient mismatch as the child grows","Low cardiac output, kidney injury, or other bypass complications","Death"],"pain":"Moderate to significant sternotomy pain in the first days, managed with multimodal analgesia; declines over 1–2 weeks.","preparation":["Echocardiography, ECG, chest imaging and blood tests","Pediatric cardiology and surgical evaluation; valve type discussed with family","Fasting before anesthesia per hospital protocol","Dental and infection screening","Family counseling about anticoagulation or reoperation if relevant"],"recovery_timeline":[{"phase":"ICU and early postoperative","description":"Ventilation weaning, monitoring, drains and pacing wires removed over the first days.","restrictions":["Bed rest or limited mobility","No lifting"]},{"phase":"Ward and discharge","description":"Mobilization, feeding, wound care, and anticoagulation or medication teaching; discharge typically within 1–2 weeks.","restrictions":[]},{"phase":"Early home recovery (weeks 1–6)","description":"Sternal healing with gradually increasing activity.","restrictions":["Avoid heavy lifting, pulling and pressure on the chest","Avoid rough play"]},{"phase":"Return to school and normal activity (weeks 4–12)","description":"Return to school usually after several weeks; cardiology clearance for sports.","restrictions":["Contact sports restricted, especially on anticoagulation"]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Time to functional recovery for school and daily activity; formal rehabilitation often not required."},"result_longevity":"Depends heavily on valve type: mechanical valves are durable but need lifelong anticoagulation; bioprosthetic valves degrade faster in children and often need reoperation. Growth may also require later replacement.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Valve reoperation within about 10 years; higher with bioprosthetic valves and small, growing children."},"scars":"Usually a midline sternotomy scar; some centers use minimally invasive incisions. Scar may widen with growth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary valve replacement."},"stages":[{"code":"avr_surgery","label":"Aortic valve replacement under cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage primary procedure; later reoperation is not part of the standard course."},"success":{"metric":"Survival to hospital discharge","value":96,"unit":"percent","horizon":"Hospital discharge (about 1-2 weeks after surgery)","population":"Children undergoing isolated primary aortic valve replacement at experienced centers","evidence_status":"limited"},"techniques":[{"name":"Mechanical valve replacement","suits_whom":"Older children and adolescents able to take lifelong anticoagulation reliably.","recovery":"Standard sternotomy recovery; lifelong anticoagulation with INR monitoring."},{"name":"Bioprosthetic valve replacement","suits_whom":"Patients in whom anticoagulation is undesirable and who accept a higher chance of reoperation.","recovery":"Standard sternotomy recovery; limited or no long-term anticoagulation."},{"name":"Ross procedure (pulmonary autograft)","suits_whom":"Selected children at experienced centers; a distinct, more complex operation.","recovery":"Longer operation and recovery than standard replacement; no anticoagulation needed for the autograft."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for isolated primary pediatric aortic valve replacement under cardiopulmonary bypass; excludes ICU stay."},"initial_assessment_documents":["Recent transthoracic echocardiogram report and images","Cardiology or cardiac surgery summary","Cardiac catheterization report (if available)","Cardiac MRI or CT report (if available)","ECG report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 2-3 weeks including 5-10 hospital nights, then fly home when cleared. Later checks done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask for examples of the practitioners' experience with the surgery planned","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners' experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon consulted is the same person who will carry out the procedure","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Understand the potential complications and side effects of the surgery before traveling","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure you understand any potential complications and side effects that could arise from your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team treating the patient","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":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the aftercare arrangements are clear before booking","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":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the facilities and standards of the clinic or hospital where treatment will happen","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":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that you can ask the treating team questions about the 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"F2","text":"Adverts or claims promising complete success","scope":"treatment_type","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":"2026-11-13","http_status":200}},{"id":"F3","text":"Surgery offered as a package deal combined with holidays","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Adverts or advice omitting complications and aftercare requirements","scope":"treatment_type","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure that any adverts or advice you receive when making your decision gives you all the necessary information, including any potential complications and aftercare requirements.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The surgeon consulted will not be the person performing 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":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or redness around your incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Swelling or redness around your incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Unusual bruising or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16744-aortic-valve-ross-procedure","host":"my.clevelandclinic.org","quote":"Unusual bruising or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Chest pain or pressure","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Chest pain or pressure","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Swelling in your legs or feet","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"Swelling ( edema ) in your legs or feet","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever or chills","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","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":"The home doctor needs complete treatment details for continuity of care","document":"full medical report","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"After your treatment, you should receive a full medical report in English to bring back to your UK doctor.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"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 English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","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":"T5","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 child needs a less invasive option to widen the valve","name":"Balloon valvuloplasty","source":{"url":"https://my.clevelandclinic.org/pediatrics/services/aortic-valve-stenosis-treatment","host":"my.clevelandclinic.org","quote":"A balloon valvuloplasty (dilation) of the aortic valve can improve blood flow through it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"A catheter-based valve may be a better option for you","name":"Transcatheter aortic valve replacement","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"For some people, transcatheter aortic valve replacement (TAVR) is a better option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"mechanical-valve-replacement","name":"Mechanical valve replacement","how_it_works":{"text":"A carbon and steel valve replaces the damaged aortic valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"These valves are made of carbon and steel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"bioprosthetic-valve","name":"Bioprosthetic valve replacement","how_it_works":{"text":"A tissue valve replaces the damaged aortic valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"These valves are made of tissues from pigs, cows or (rarely) humans.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ross-procedure","name":"Ross procedure (pulmonary autograft)","how_it_works":{"text":"The pulmonary valve moves into the aortic position and is replaced","source":{"url":"https://my.clevelandclinic.org/health/treatments/16744-aortic-valve-ross-procedure","host":"my.clevelandclinic.org","quote":"Then, they remove the pulmonary valve and move it over to the aortic position.","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":"mechanical-valve-replacement","name":"Mechanical valve replacement","how_it_works":{"id":"H1","text":"A carbon and steel valve replaces the damaged aortic valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"These valves are made of carbon and steel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Older children and adolescents able to take lifelong anticoagulation reliably.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Standard sternotomy recovery; lifelong anticoagulation with INR monitoring."},{"id":"bioprosthetic-valve","name":"Bioprosthetic valve replacement","how_it_works":{"id":"H1","text":"A tissue valve replaces the damaged aortic valve","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"These valves are made of tissues from pigs, cows or (rarely) humans.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients in whom anticoagulation is undesirable and who accept a higher chance of reoperation.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Standard sternotomy recovery; limited or no long-term anticoagulation."},{"id":"ross-procedure","name":"Ross procedure (pulmonary autograft)","how_it_works":{"id":"H1","text":"The pulmonary valve moves into the aortic position and is replaced","source":{"url":"https://my.clevelandclinic.org/health/treatments/16744-aortic-valve-ross-procedure","host":"my.clevelandclinic.org","quote":"Then, they remove the pulmonary valve and move it over to the aortic position.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected children at experienced centers; a distinct, more complex operation.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer operation and recovery than standard replacement; no anticoagulation needed for the autograft."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your child needs a less invasive option to widen the valve","name":"Balloon valvuloplasty","source":{"url":"https://my.clevelandclinic.org/pediatrics/services/aortic-valve-stenosis-treatment","host":"my.clevelandclinic.org","quote":"A balloon valvuloplasty (dilation) of the aortic valve can improve blood flow through it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"A catheter-based valve may be a better option for you","name":"Transcatheter aortic valve replacement","source":{"url":"https://my.clevelandclinic.org/health/treatments/25057-aortic-valve-replacement","host":"my.clevelandclinic.org","quote":"For some people, transcatheter aortic valve replacement (TAVR) is a better option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","dominican-republic","india","republic-of-korea","spain"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.62,"count":715,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Pediatric aortic valve replacement in Turkey typically costs from _op_1305_price_from_ to _op_1305_price_to_. The final price depends on the surgical technique, valve type, and the complexity of the congenital defect. Patients save approximately _price_percent_discount_% compared to the US, where the average cost is _price_compare_US_average_. Packages usually include pre-operative diagnostics, surgery fees, ICU stays, and airport transfers.</p>\n\n<ul>\n<li><strong>Ross procedure:</strong> Typically costs less when using the patient's own pulmonary valve for replacement.</li>\n<li><strong>Transcatheter Aortic Valve Implantation (TAVI):</strong> This minimally invasive alternative ranges from $23,000 to $55,500.</li>\n<li><strong>Robotic-assisted surgery:</strong> Modern techniques typically add 20-30% to the base surgical cost.</li>\n<li><strong>Mechanical vs. biological valves:</strong> Choice of prosthetic materials significantly impacts the long-term cost and follow-up.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing Istanbul clinics offers access to surgeons with massive clinical volumes. Professor Emin Tireli has performed over 6,300 congenital heart surgeries. Specialized centers like Biruni University Hospital or Memorial Şişli offer Ross procedures and valve reconstructions. High-tier facilities often provide 5-star accommodations. This makes Turkey a top choice for high-success, cost-effective pediatric cardiac care.</p>","faq":[{"q":"What is the success / survival rate for pediatric aortic valve replacement in Turkey?","a":"<p>Major Turkish pediatric cardiac centers report procedural success rates between 94% and 97% for aortic valve replacement. Long-term survival remains high with approximately 93% at 1 year and up to 94.5% at 10 years, particularly for older children and non-complex cases.</p> <ul> <li><strong>Institutional success:</strong> Memorial Healthcare Group reports 95% to 98% success for cardiac valve procedures.</li> <li><strong>Surgeon experience:</strong> Prof. Emin Tireli has performed over 6,329 congenital cardiac surgeries in Istanbul.</li> <li><strong>Procedural edge:</strong> Dr. Sertac Cicek specializes in rare Ozaki aortic reconstructions for complex pediatric cases.</li> <li><strong>Age factor:</strong> Success rates for older children reach 100% in specific low-risk clinical cohorts.</li> <li><strong>Re-intervention rates:</strong> Mechanical valves offer 95.2% freedom from a second surgery over 10 years.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Success in Turkey is driven by extreme specialization rather than general hospital size. Prof. Emin Tireli performs over 100 neonatal cardiac surgeries annually at Medical Park Bahcelievler. This high volume directly correlates with the 98% success rates reported at Istanbul's top-tier JCI centers.</p> <p><strong>Patient Consensus:</strong> Parents stress that choosing a surgeon with high annual pediatric volume is vital. They recommend confirming long-term cardiology follow-up plans before leaving Turkey to ensure continuous care.</p>"},{"q":"Which hospitals and surgeons in Turkey are most experienced in pediatric aortic valve surgery?","a":"<p>Turkey excels in pediatric aortic valve surgery at JCI-accredited centers like Memorial Şişli and Istanbul Florence Nightingale. Leading surgeons include Prof. Dr. Sertac Cicek at Liv Hospital Vadistanbul and Prof. Dr. Emin Tireli at Medical Park Bahcelievler, both specializing in complex neonatal and valve-sparing procedures.</p> <ul> <li><strong>Surgeon expertise:</strong> Prof. Dr. Sertac Cicek has 40+ years experience with Mayo Clinic training.</li> <li><strong>Clinical volume:</strong> Prof. Dr. Emin Tireli performs over 100 neonatal cardiac surgeries every year.</li> <li><strong>Advanced techniques:</strong> Clinics prioritize the Ross procedure and Ozaki reconstruction to reduce reoperation rates.</li> <li><strong>Hospital credentials:</strong> Memorial Şişli was the first Turkish hospital to achieve JCI accreditation standards.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows a clear performance gap between general heart centers and dedicated pediatric units. Prof. Dr. Emin Tireli alone has completed 6,329 congenital surgeries. Choosing surgeons with this specific volume is critical. These high-capacity centers often favor the Ross procedure, which typically offers better long-term durability for growing children than mechanical alternatives.</p> <p><strong>Patient Consensus:</strong> Parents value the professional responsiveness and stress-free coordination provided during high-risk cardiac cases. Many feel grateful for the personalized support and thorough medical information shared by the surgical teams throughout the recovery process.</p>"},{"q":"What valve replacement options are available for children, and how is the choice made?","a":"<p>Children can receive the Ross procedure (pulmonary autograft), mechanical valves like On-X or St. Jude, donor homografts, or bioprosthetic tissue valves. Surgeons prioritize techniques like the Ross procedure for infants and active children because the valve grows with the patient and eliminates the need for lifelong blood-thinning medication.</p> <ul> <li><strong>Growth potential:</strong> The Ross procedure uses the child's pulmonary valve, allowing the replacement to grow naturally.</li> <li><strong>Anticoagulation requirements:</strong> Mechanical valves require daily blood thinners and INR monitoring, which limits contact sports participation.</li> <li><strong>Valve durability:</strong> Synthetic mechanical valves offer the most durability but lack the biological advantages of autografts.</li> <li><strong>Patient age:</strong> Infants under 2 years often receive hybrid repairs, while children over 8 prefer autografts.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows Turkey is a high-volume hub for the Ross procedure, with surgeons like Prof. Dr. Sertac Cicek at Liv Hospital Vadistanbul bringing 30 years of elite US-fellowship experience. Choosing a center that performs over 50 pediatric valve cases annually is vital for reducing reoperation risks, which can reach 20–30% by adulthood for certain biological grafts.</p> <p><strong>Patient Consensus:</strong> Parents emphasize that the Ross procedure provides a more `normal` childhood by avoiding medication, though the initial surgery is technically more complex. Many find the recovery process smooth when coordinated through specialized pediatric international centers.</p>"},{"q":"How long is hospitalization and total recovery after pediatric aortic valve replacement?","a":"<p>Children undergoing aortic valve replacement in Turkey typically remain in the hospital for 4 to 10 days. The initial 1 to 3 days are spent in intensive care for monitoring. Full recovery, including the complete healing of the breastbone, generally requires 3 to 6 months for most pediatric patients.</p> <ul> <li><strong>Hospital stay:</strong> Most children are discharged within 4 to 10 days after the procedure.</li> <li><strong>Intensive care:</strong> Initial recovery starts with 1 to 3 days in the cardiac unit.</li> <li><strong>Light activity:</strong> Patients typically return to school and light movements within 4 to 6 weeks.</li> <li><strong>Full recovery:</strong> Total clearance for contact sports and heavy activities takes 3 to 6 months.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics offer a standard 7-day stay, experienced surgeons like Prof. Emin Tireli at Medical Park Bahcelievler, who performs over 100 neonatal surgeries yearly, emphasize that recovery speed heavily depends on pre-operative stability. For complex cases like the Ross procedure, plan for a full 10 days in Istanbul to ensure anticoagulation levels are perfectly stabilized before your flight home.</p> <p><strong>Patient Consensus:</strong> Parents often notice children regain their energy faster than expected, frequently attempting to play within 2 weeks. However, maintaining strict lifting restrictions for 6 to 8 weeks remains the most challenging but vital part of protecting the healing sternum.</p>"}],"h2":[{"text":"Comment ça fonctionne","kind":"content"},{"text":"Quel est le Coût pour votre Remplacement de la valve aortique pédiatrique en Turquie ?","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Remplacement de la valve aortique pédiatrique en Turquie : 6 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de remplacement de la valve aortique pédiatrique en Turquie","kind":"content"},{"text":"Obtenez une Évaluation Médicale pour Votre Remplacement de la valve aortique pédiatrique en Turquie : Consultez Maintenant 13 Médecins Expérimentés","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ de remplacement de la valve aortique pédiatrique en Turquie","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"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":[]}