NeuHealth Trips

Fontan Procedure

Cost

$5,000 - $10,000

  • Procedure Type: Surgical Procedure
  • Hospitalization Days: 10-20 days
  • Procedure Duration: 4-5 hrs
  • Success Rate: 85-95%

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Children born with certain complex heart defects have only one functioning pumping chamber instead of two. For these children, a normal heart circulation is not possible. The Fontan procedure is a life-saving surgery that helps redirect blood flow so the body can receive oxygen-rich blood more effectively.

The Fontan procedure in India is widely chosen by international families because of highly experienced pediatric cardiac surgeons, advanced heart-lung support systems, excellent intensive care, and significantly lower treatment costs. Indian hospitals perform a large number of complex congenital heart surgeries every year with outcomes comparable to top global centers. The cost of Fontan surgery in India ranges from USD 5,000 to USD 10,000.

Leading Hospitals for Fontan Procedure

What is a Fontan Procedure?

The Fontan procedure is a final-stage heart surgery performed in children born with single-ventricle congenital heart defects, where only one ventricle is capable of pumping blood effectively.

In a normal heart:

  • One side pumps blood to the lungs
  • The other side pumps blood to the body

In Fontan circulation:

  • Blood returning from the body flows directly into the lungs without passing through the heart
  • The single ventricle pumps oxygen-rich blood to the body

This surgery reduces mixing of oxygen-poor and oxygen-rich blood and improves the body’s oxygen levels.

The Fontan procedure is usually performed as the third stage in a series of heart surgeries during early childhood. The Fontan procedure creates a modified circulation that allows children with complex heart defects to survive and grow.

Types of Fontan Procedures

Over time, surgical techniques for the Fontan procedure have evolved to improve safety and long-term outcomes. The choice of technique depends on the child’s heart anatomy and prior surgeries.

Lateral Tunnel Fontan

In this technique, a tunnel is created inside the right atrium to direct blood from the lower body to the lungs.

  • Commonly used in earlier decades
  • Still used in selected cases
  • Allows growth in younger children

Extracardiac Conduit Fontan

This is the most commonly performed Fontan procedure today.

  • A synthetic tube (conduit) is placed outside the heart
  • Connects the inferior vena cava directly to the pulmonary artery
  • Reduces heart rhythm problems

This approach has better long-term outcomes and fewer complications.

Fenestrated Fontan

In some children, a small controlled opening (fenestration) is created.

  • Helps reduce pressure in early recovery
  • Improves short-term safety
  • May be closed later using a catheter procedure

Modern Fontan techniques focus on improving survival, reducing complications, and enhancing long-term quality of life.

Who is a Good Candidate for a Fontan Procedure?

Not every child with a heart defect is suitable for the Fontan procedure. Careful evaluation is essential.

A child may be a good candidate if:

  • They have a single functional ventricle
  • Pulmonary arteries are well-developed
  • Lung pressure is low
  • Heart rhythm is stable
  • Previous staged surgeries were successful

Doctors also assess liver function, oxygen levels, and overall growth before recommending surgery. Strict selection criteria ensure the Fontan procedure is performed safely with the best possible outcomes.

Pre-Surgery Preparation & Diagnostics

Before Fontan surgery, extensive testing is required to confirm readiness and minimize risk.

Common evaluations include:

  • Echocardiography
  • Cardiac catheterization
  • CT or MRI of the heart
  • Blood tests
  • Oxygen saturation monitoring
  • Liver and kidney function tests

Families receive detailed counseling about surgery, recovery, and long-term expectations. Thorough pre-surgical evaluation is critical for the success of the Fontan procedure.

What’s Included in the Package?

Fontan surgery packages in India are designed to cover essential hospital-based care.

Typically included:

  • Pediatric cardiologist and surgeon consultations
  • Pre-operative investigations
  • Surgery and anesthesia
  • Heart-lung bypass support
  • ICU and hospital stay
  • In-hospital medications
  • Nursing and monitoring
  • Discharge summary and follow-up plan

Not included:

  • Long-term medications
  • Future catheter-based procedures
  • Management of unrelated conditions

Transparent packages help families plan treatment clearly and confidently.

Leading Doctors for Fontan Procedure

Why Choose India for the Fontan Procedure?

India has become a leading destination for complex pediatric cardiac surgery, including Fontan procedures. Indian hospitals were among the early adopters of modern extracardiac Fontan techniques and advanced pediatric cardiac intensive care. Many centers now routinely perform high-risk congenital heart surgeries with excellent outcomes.

Key advantages include:

  • Highly experienced pediatric cardiac surgeons
  • Advanced pediatric cardiac ICUs
  • Modern heart-lung bypass and monitoring systems
  • Multidisciplinary congenital heart teams
  • Internationally accredited hospitals (JCI & NABH)
  • Treatment costs are 60-70% lower than in Western countries

India combines expertise, technology, and affordability for world-class Fontan surgery.

Insurance, Medical Visa & Travel Support

Fontan surgery is a major, long-term pediatric heart procedure that often requires extended hospitalization and careful post-surgical monitoring. Families traveling internationally for this surgery need structured, practical support alongside medical care. Indian medical facilitators offering Fontan surgery provide dedicated international patient coordination teams to guide families through every non-medical aspect of the journey.

Insurance Support

Insurance coverage for Fontan surgery varies by country and policy. To help families plan confidently, hospital teams assist with:

  • Detailed medical summaries explaining the child’s heart condition
  • Treatment plans and stage-wise cost estimates
  • Surgical notes and discharge reports for claims or reimbursement
  • Clarification of hospital charges included in the treatment package

This support helps families understand expenses clearly and reduces uncertainty during financial planning.

Medical Visa Assistance

Because Fontan surgery involves long stays and follow-up care, proper visa planning is essential. Hospitals assist by:

  • Issuing official medical visa invitation letters for the child
  • Supporting attendant visas for parents or guardians
  • Guiding families on visa application procedures
  • Assisting with visa extensions if recovery takes longer than expected

Travel, Stay & On-Ground Support

Traveling with a child undergoing heart surgery can be challenging. Hospitals help families manage daily logistics through:

  • Airport pickup and drop with appropriate arrangements
  • Assistance in booking accommodation close to the hospital
  • Local transportation for hospital visits and follow-ups
  • Interpreter services for non-English-speaking families
  • Scheduling follow-up appointments before the return travel

Many hospitals also help families identify nearby pharmacies, emergency services, and child-friendly meal options during the stay.

With a balanced combination of hands-on guidance and practical support, Indian hospitals ensure families can focus on their child’s recovery after Fontan surgery, while all insurance, visa, and travel-related needs are handled smoothly and efficiently.

What is the Cost of the Fontan Procedure in India?

The cost of Fontan surgery in India depends on surgical complexity and ICU requirements. The cost of Fontan surgery in India ranges from USD 5,000 to USD 10,000.

Approximate costs:

  • Standard Fontan procedure: USD 5,000 - USD 10,000
  • Complex or high-risk Fontan cases: USD 10,000 - USD 20,000

These costs are significantly lower than in many developed countries. India offers high-quality Fontan surgery at affordable and transparent costs.

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What Influences the Cost of the Fontan Procedure in India?

Several factors affect the final treatment cost.

These include:

  • Child’s age and weight
  • Type of Fontan technique used
  • Duration of ICU stay
  • Use of advanced cardiac support
  • Hospital infrastructure

Each child receives a personalized treatment plan and cost estimate.

India vs. Other Countries: Cost Comparison

CountryApproximate Cost (USD)
IndiaUSD 5,000 - 10,000
USAUSD 150,000 - 300,000
UKUSD 120,000 - 200,000
UAEUSD 80,000 - 150,000
ThailandUSD 50,000 - 100,000

India provides one of the most cost-effective options for Fontan surgery globally.

Procedure, Hospital Stay & Rehabilitation Timeline

The Fontan procedure is a major heart surgery that requires careful planning, expert execution, and close monitoring after surgery. Understanding what happens during each stage helps families feel better prepared and less anxious.

Procedure

The Fontan surgery is performed under general anesthesia and usually takes 4 to 6 hours. During the operation, the child is connected to a heart-lung bypass machine, which temporarily takes over the work of the heart and lungs.

The surgeon reroutes blood returning from the lower body directly to the lungs, so it no longer passes through the heart. This allows oxygen-poor blood to reach the lungs more efficiently while the single ventricle pumps oxygen-rich blood to the body.

Throughout the procedure, advanced monitoring systems are used to track heart function, oxygen levels, and blood pressure to ensure safety.

Hospital Stay

After surgery, the child is shifted to a pediatric cardiac intensive care unit (ICU) for close observation.

  • ICU stay: Usually 5-7 days, depending on recovery
  • Step-down cardiac ward: Once stable, the child is moved to a regular ward
  • Total hospital stay: Around 10-20 days

During this time, doctors focus on stabilizing oxygen levels, managing fluids, preventing infections, and ensuring the heart is adapting well to the new circulation.

Rehabilitation

Rehabilitation begins in the hospital itself. Feeding is restarted slowly, oxygen support is reduced gradually, and gentle movement is encouraged. Parents are trained on medication schedules, wound care, and how to safely handle the child at home.

The Fontan procedure involves not just surgery, but a carefully managed hospital stay and early rehabilitation to ensure the child stabilizes safely before discharge.

Recovery Timeline and Aftercare

Recovery after the Fontan procedure is gradual and ongoing, as the child’s body needs time to adjust to the new blood circulation. While many children show improvement in oxygen levels, long-term care and follow-up are essential.

Recovery Timeline

  • First 2-4 weeks: The focus is on wound healing, rest, and regaining strength. The child may tire easily and need frequent rest.
  • 1-3 months: Oxygen levels stabilize further, appetite improves, and activity levels slowly increase.
  • Long term: Children require lifelong heart follow-up, as Fontan circulation needs continuous monitoring.

Every child recovers at a different pace, and doctors adjust care accordingly.

Aftercare

After discharge, careful home care is very important. This usually includes:

  • Giving prescribed medications (often blood thinners and heart-support medicines)
  • Monitoring oxygen levels and breathing
  • Preventing infections, especially in the first few months
  • Maintaining good nutrition to support growth
  • Attending regular pediatric cardiology follow-ups

Parents are also guided on activity limits, warning signs to watch for, and when to seek urgent medical help.

With proper aftercare, regular follow-up, and family support, many children recover well after the Fontan procedure and go on to live active, meaningful lives, though lifelong medical supervision remains essential.

Reach out to us today for a free consultation and customized treatment plan.

Our services are FREE and by using our services your hospital bill does not increase!

Frequently Asked Questions (FAQ)

What heart conditions require a Fontan procedure?

Conditions with a single functional ventricle, such as tricuspid atresia or hypoplastic left heart syndrome, may require a Fontan procedure.

At what age is the Fontan procedure done?

It is usually performed between 2 and 5 years of age, after earlier staged surgeries.

Is the Fontan procedure a cure?

It is not a cure but a palliative surgery that improves circulation and oxygen levels.

Can children live a normal life after Fontan surgery?

Many children lead active lives, but long-term monitoring and lifestyle adjustments are needed.

What are the risks of Fontan surgery?

Risks include bleeding, rhythm issues, and fluid buildup, which are managed in specialized centers.

Will my child need more surgeries later?

Some children may need catheter-based or surgical interventions later in life.

How long will the ICU stay after Fontan surgery?

ICU stay usually lasts 5 to 7 days, depending on recovery.

Are long-term medications required?

Yes, most patients require lifelong medications and follow-up.

How long should we stay in India after surgery?

Families usually stay 4 to 6 weeks, including recovery and follow-up.

How do we start treatment in India?

You can begin by sharing the child’s medical reports for expert evaluation and treatment planning.

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