Heartline Clinics ist ein privates Herzchirurgie-Programm in Santo Domingo, Dominikanische Republik. Das Zentrum ist auf komplexe Herzoperationen spezialisiert. Zu den wichtigsten Eingriffen gehören koronare Bypass-Operationen und Herzklappenreparaturen. Zudem werden Aortenchirurgie und Transkatheter-Klappenimplantationen durchgeführt. Der Leiter der Herzchirurgie, Dr. Perelló, wurde am Hospital Felício Rocho in Brasilien ausgebildet.
Das chirurgische Team führt jährlich 170 Herzoperationen durch. Sie berichten von einer Erfolgsquote von 100 % bei allen Eingriffen. Fälle werden innerhalb von 24 bis 48 Stunden für eine schnelle Versorgung geprüft. Die Operationen finden in einem vollständig akkreditierten Krankenhaus mit 24-Stunden-Intensivstation statt. Die meisten internationalen Patienten kommen aus den Vereinigten Staaten, Kanada und dem Vereinigten Königreich.
","text_type":"short_description","best_texts":{"why_its_ranked":"100 % Erfolgsquote bei allen Herzoperationen. Jährlich 170 durchgeführte Eingriffe. Niedrigere Kosten als bei der Versorgung in den USA/Kanada."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":46500,"price_to":46500,"currency":"USD","id":57021},"operation":{"id":1303,"name":"Ventrikelseptumdefekt-Chirurgie","alias":"ventricular-septal-defect-surgery"}}],"reviews":[],"clinic":{"id":8195,"alias":"heartline-clinics-ai","name":"Heartline Clinics","short_description":"Heartline Clinics ist ein privates Herzchirurgie-Programm in Santo Domingo, Dominikanische Republik. Das Zentrum ist auf komplexe Herzoperationen spezialisiert. Zu den wichtigsten Eingriffen gehören koronare Bypass-Operationen und Herzklappenreparaturen. Zudem werden Aortenchirurgie und Transkatheter-Klappenimplantationen durchgeführt. Der Leiter der Herzchirurgie, Dr. Perelló, wurde am Hospital Felício Rocho in Brasilien ausgebildet.
Das chirurgische Team führt jährlich 170 Herzoperationen durch. Sie berichten von einer Erfolgsquote von 100 % bei allen Eingriffen. Fälle werden innerhalb von 24 bis 48 Stunden für eine schnelle Versorgung geprüft. Die Operationen finden in einem vollständig akkreditierten Krankenhaus mit 24-Stunden-Intensivstation statt. Die meisten internationalen Patienten kommen aus den Vereinigten Staaten, Kanada und dem Vereinigten Königreich.
","images":[{"base_url":"clinic/6a3d8550594e6","title":"Moderne Glasfassade der Heartline Clinics mit geparktem Krankenwagen"},{"base_url":"clinic/6a3d9df2738ed","title":"Arzt im Anzug mit Stethoskop im Beratungsbereich der Heartline Clinics"},{"base_url":"clinic/6a4bdbda31a90","title":"Herzchirurg bei Heartline Clinics führt Herzoperation im modernen OP-Saal durch"},{"base_url":"clinic/6a4bdd50e69cf","title":"Dialysebehandlungsraum in Heartline Clinics mit modernen Stühlen und Geräten"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Dominikanische Republik","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Av. República de Colombia 71, Santo Domingo 10106, Dominican Republic"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2026},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"promoSlots":[{"card":{"text":"Heartline Clinics ist ein privates Herzchirurgie-Programm in Santo Domingo, Dominikanische Republik. Das Zentrum ist auf komplexe Herzoperationen spezialisiert. Zu den wichtigsten Eingriffen gehören koronare Bypass-Operationen und Herzklappenreparaturen. Zudem werden Aortenchirurgie und Transkatheter-Klappenimplantationen durchgeführt. Der Leiter der Herzchirurgie, Dr. Perelló, wurde am Hospital Felício Rocho in Brasilien ausgebildet.
Das chirurgische Team führt jährlich 170 Herzoperationen durch. Sie berichten von einer Erfolgsquote von 100 % bei allen Eingriffen. Fälle werden innerhalb von 24 bis 48 Stunden für eine schnelle Versorgung geprüft. Die Operationen finden in einem vollständig akkreditierten Krankenhaus mit 24-Stunden-Intensivstation statt. Die meisten internationalen Patienten kommen aus den Vereinigten Staaten, Kanada und dem Vereinigten Königreich.
","text_type":"short_description","best_texts":{"why_its_ranked":"100 % Erfolgsquote bei allen Herzoperationen. Jährlich 170 durchgeführte Eingriffe. Niedrigere Kosten als bei der Versorgung in den USA/Kanada."},"additional_data":{"advertising_id":"8195:illness_kind:23"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":46500,"price_to":46500,"currency":"USD","id":57021},"operation":{"id":1303,"name":"Ventrikelseptumdefekt-Chirurgie","alias":"ventricular-septal-defect-surgery"}}],"reviews":[],"clinic":{"id":8195,"alias":"heartline-clinics-ai","name":"Heartline Clinics","short_description":"Heartline Clinics ist ein privates Herzchirurgie-Programm in Santo Domingo, Dominikanische Republik. Das Zentrum ist auf komplexe Herzoperationen spezialisiert. Zu den wichtigsten Eingriffen gehören koronare Bypass-Operationen und Herzklappenreparaturen. Zudem werden Aortenchirurgie und Transkatheter-Klappenimplantationen durchgeführt. Der Leiter der Herzchirurgie, Dr. Perelló, wurde am Hospital Felício Rocho in Brasilien ausgebildet.
Das chirurgische Team führt jährlich 170 Herzoperationen durch. Sie berichten von einer Erfolgsquote von 100 % bei allen Eingriffen. Fälle werden innerhalb von 24 bis 48 Stunden für eine schnelle Versorgung geprüft. Die Operationen finden in einem vollständig akkreditierten Krankenhaus mit 24-Stunden-Intensivstation statt. Die meisten internationalen Patienten kommen aus den Vereinigten Staaten, Kanada und dem Vereinigten Königreich.
","images":[{"base_url":"clinic/6a3d8550594e6","title":"Moderne Glasfassade der Heartline Clinics mit geparktem Krankenwagen"},{"base_url":"clinic/6a3d9df2738ed","title":"Arzt im Anzug mit Stethoskop im Beratungsbereich der Heartline Clinics"},{"base_url":"clinic/6a4bdbda31a90","title":"Herzchirurg bei Heartline Clinics führt Herzoperation im modernen OP-Saal durch"},{"base_url":"clinic/6a4bdd50e69cf","title":"Dialysebehandlungsraum in Heartline Clinics mit modernen Stühlen und Geräten"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Dominikanische Republik","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Av. República de Colombia 71, Santo Domingo 10106, Dominican Republic"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2026},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":22},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Aserbaidschan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Dominikanische Republik","alias":"dominican-republic","iso_code":"DO"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italien","alias":"italy","iso_code":"IT"},{"name":"Republik Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Rumänien","alias":"romania","iso_code":"RO"},{"name":"Spanien","alias":"spain","iso_code":"ES"},{"name":"Türkei","alias":"turkey","iso_code":"TR"}],"cities":[{"name":"Santo Domingo","alias":"santo-domingo"}],"operations":[{"name":"Herzklappenersatz","alias":"heart-valve-replacement"},{"name":"Operation am offenen Herzen","alias":"open-heart-surgery"},{"name":"Koronararterien-Bypass-Operation","alias":"coronary-artery-bypass-grafting"},{"name":"Transkatheter-Aortenklappenimplantation (TAVI)","alias":"transcatheter-aortic-valve-implantation-tavi"},{"name":"Chirurgie des Aortenaneurysmas","alias":"aortic-aneurysm-surgery"},{"name":"Ersatz der Aortenklappe","alias":"replacement-of-the-aortic-valve"},{"name":"Aortenklappenersatz bei Kindern","alias":"pediatric-aortic-valve-replacement"},{"name":"Mitralklappenersatz bei Kindern","alias":"pediatric-mitral-valve-replacement"},{"name":"Ventrikelseptumdefekt-Chirurgie","alias":"ventricular-septal-defect-surgery"},{"name":"Chirurgie des interventrikulären Septumdefekts","alias":"interventricular-septal-defect-surgery"},{"name":"Koronararterien-Bypass","alias":"coronary-bypass-surgery"}],"diagnostics":[{"name":"Online-Beratung mit Herzchirurgen","alias":"online-consultation-with-heart-surgeon"}],"illnesses":[{"name":"Mitralklappenprolaps","alias":"mitral-valve-prolapse"},{"name":"Aortenklappeninsuffizienz","alias":"aortic-valve-insufficiency"},{"name":"Ventrikelseptumdefekt","alias":"ventricular-septal-defect"},{"name":"Vorhofseptumdefekt","alias":"atrial-septal-defect"}],"illnessKinds":[{"name":"Herzoperation","alias":"heart-surgery"},{"name":"Kinderherzchirurgie","alias":"children-s-cardiosurgery"}],"illness_kinds":[{"name":"Herzoperation","alias":"heart-surgery"},{"name":"Kinderherzchirurgie","alias":"children-s-cardiosurgery"}]},"popularSearches":[{"name":"Radiofrequenz-Ablation","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"Herzklappenersatz","alias":"heart-valve-replacement","type":"operation","id":2},{"name":"Herzschrittmacher-Implantation","alias":"installing-heart-pacemaker","type":"operation","id":295},{"name":"Operation am offenen Herzen","alias":"open-heart-surgery","type":"operation","id":663},{"name":"Koronare Stents","alias":"coronary-stenting","type":"operation","id":554},{"name":"Ultraschall","alias":"u.s.","type":"diagnostic","id":37},{"name":"Beratung mit Erstellung des Behandlungsplans","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Komplettes Blutbild","alias":"total-blood","type":"diagnostic","id":83},{"name":"Rücksprache mit einem Kardiologen","alias":"consulting-with-cardiologist","type":"diagnostic","id":162},{"name":"EKG","alias":"ecg","type":"diagnostic","id":21},{"name":"Mitralklappenprolaps","alias":"mitral-valve-prolapse","type":"illness","id":3224},{"name":"Aortenklappeninsuffizienz","alias":"aortic-valve-insufficiency","type":"illness","id":3225},{"name":"Aorto-mesenteriales Arterienkompressionssyndrom","alias":"aorto-mesenteric-artery-compression-syndrome","type":"illness","id":3459}],"operationPrices":{"operation_prices":{"201":{"operation":{"name":"Chirurgie des Vorhofseptumdefekts","alias":"atrial-septal-defect-surgery","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":98000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":19500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":16000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":33000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"Durch die Operation wird ein Loch in der Herzwand geflickt, wodurch die Durchblutung verbessert und die Belastung des Herzens verringert wird.
"},"569":{"operation":{"name":"Chirurgie des interventrikulären Septumdefekts","alias":"interventricular-septal-defect-surgery","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":15500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":28000,"max_amount":46000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"Die Operation repariert ein Loch in der Herzwand, verbessert die Durchblutung, verringert Gesundheitsrisiken und verbessert die Lebensqualität des Patienten.
"},"663":{"operation":{"name":"Operation am offenen Herzen","alias":"open-heart-surgery","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":160000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":17600,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":13000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"Bei diesem Verfahren wird das Herz selbst operiert, häufig um Defekte oder verstopfte Gefäße zu reparieren und so die Herzfunktion zu verbessern.
"},"1302":{"operation":{"name":"Tetralogie der Fallot-Chirurgie","alias":"tetralogy-of-fallot-surgery","use_for_listing":true},"country_price":{"US":{"amount":110000,"max_amount":185000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":16000,"max_amount":21000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":15000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":55000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"Das Verfahren korrigiert einen vierseitigen Herzfehler, verbessert die Durchblutung und Sauerstoffversorgung und verbessert die Herzfunktion und den Lebensstil.
"},"1303":{"operation":{"name":"Ventrikelseptumdefekt-Chirurgie","alias":"ventricular-septal-defect-surgery","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":125000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":24400,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DO":{"amount":46500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AZ":true,"DO":true,"RO":true},"description":"Das Verfahren repariert ein Loch in der Herzwand und verbessert so die Herzfunktion, die Durchblutung und die allgemeine Gesundheit.
"},"1494":{"operation":{"name":"Chirurgie angeborener Herzfehler","alias":"congenital-heart-surgery","use_for_listing":false},"country_price":{"US":{"amount":75000,"max_amount":150000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":43000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":18000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DO":{"amount":50000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"DO":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":3049}},"responsibleDoctor":{"id":1682,"alias":"hasim-ustunsoy","name":"Hasim Ustunsoy","photo":"doctor/699ed71d22e22","advisory_text":"Prof. Dr. Haşim Üstünsoy ist Herzchirurg und spezialisiert auf roboterassistierte Herzchirurgie, Herzklappenrekonstruktion und koronare Bypass-Operationen. Er gilt als Pionier der roboterassistierten Herzchirurgie mit dem Da Vinci-System in der Türkei.","linkedin":"","specialities":[{"id":"crl.003","name":"Herz-Kreislauf-Chirurg","illness_kind_id":23}]},"direction":{"id":23,"name":"Herzoperation","alias":"heart-surgery"},"illness_kind":{"id":23,"name":{"en":"Heart Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"After uncomplicated patch closure via sternotomy; desk work resumes earlier than heavy manual work, with surgeon clearance."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Major in-hospital complications, e.g., pacemaker-requiring heart block, residual shunt, reoperation; varies by defect, age, center."},"contraindications":["Eisenmenger/fixed pulmonary vascular disease; reversible resistance needs operability assessment","Active systemic infection or endocarditis (usually deferred unless urgent)","Small hemodynamically insignificant defect without complications (relative)","Prohibitive comorbidity or anesthetic risk (relative)"],"days_in_clinic":{"min":5,"max":10,"unit":"nights","qualifier":"Uncomplicated primary surgical closure with cardiopulmonary bypass, including 1-2 days in intensive care."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking starts in hospital; strenuous exercise resumes about 6-12 weeks after surgery with clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Sternal healing and return to full activity; hemodynamic benefit is early, ventricular remodeling continues over months."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After uncomplicated discharge, counted from surgery, if no residual shunt, effusion or arrhythmia; requires surgeon or cardiologist clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Wound check, examination, often ECG or echocardiogram."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Cardiology review with echocardiography for residual shunt, valve function and rhythm."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term cardiology review; later intervals set by the cardiologist."}}],"indications":["Moderate-large VSD with significant shunt (Qp:Qs 1.5-2+)","Heart failure caused by the defect","LV dysfunction or progressive LV enlargement","Shunt-related pulmonary hypertension with acceptable vascular resistance","Prior infective endocarditis attributable to the defect","Aortic valve prolapse with progressive regurgitation","Large perimembranous, inlet or outlet defect unlikely to close"],"main_risks":["Residual or recurrent VSD","Heart block, possibly needing pacemaker","Right bundle branch block and other arrhythmias","Tricuspid or aortic valve regurgitation from valve injury","Left ventricular dysfunction","Bleeding","Wound or sternal infection","Low cardiac output after bypass","Stroke or air embolism (rare)","Pleural or pericardial effusion","Perioperative death (uncommon)"],"pain":"Moderate to significant sternotomy pain for the first several days, managed with multimodal analgesia, easing over 1-3 weeks.","preparation":["Echocardiography, ECG, chest X-ray and blood tests","Catheterization for pulmonary resistance if needed; CT/MRI for complex anatomy","Anesthesia and surgical team assessment","Fasting before surgery as instructed","Medication review by cardiology and surgical team","Treatment of active infection and dental screening where relevant"],"recovery_timeline":[{"phase":"Intensive care","description":"Monitoring, ventilation weaning, removal of chest drains and pacing wires over the first days.","restrictions":["Bed rest and monitoring"]},{"phase":"Ward recovery","description":"Early mobilization, pain control, wound care and rhythm monitoring until discharge.","restrictions":["Avoid lifting and pushing with the arms"]},{"phase":"Weeks 1-6 after discharge","description":"Gradual increase in walking and daily activity as the sternum heals. Light desk work often resumes after about 4-6 weeks.","restrictions":["Sternal precautions","No heavy lifting","No driving for a few weeks"]},{"phase":"Weeks 6-12","description":"Return to full activity with cardiology clearance.","restrictions":["Avoid contact or strenuous sport until cleared"]},{"phase":"At any time","description":"Seek urgent assessment for fever, wound discharge or sternal instability, breathlessness, fainting, palpitations, chest pain or poor feeding in infants.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Functional recovery after uncomplicated surgery; outpatient cardiac rehabilitation often added for adults."},"result_longevity":"Surgical closure is generally durable long term. Periodic cardiology surveillance is advised for arrhythmia, endocarditis and heart failure risk.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Reoperation for residual defect or valve problem after primary surgical closure; varies by defect type and center."},"scars":"Midline sternotomy scar of about 15-20 cm that fades over months; may widen or become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation under cardiopulmonary bypass."},"stages":[{"code":"surgical_closure","label":"Patch closure on cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation."}}],"qualifier":"Primary single-stage repair; pulmonary artery banding is a separate palliative approach."},"success":{"metric":"Freedom from significant residual shunt or reoperation","value":95,"unit":"percent","horizon":"Early to mid-term (hospital discharge to several years)","population":"Adults with isolated VSD after primary surgical patch closure","evidence_status":"limited"},"techniques":[{"name":"Surgical patch closure on cardiopulmonary bypass (transatrial approach for most perimembranous and inlet defects)","suits_whom":"Most adults with isolated VSD; defects unsuitable for devices.","recovery":"Sternotomy and bypass; longer recovery than transcatheter closure."},{"name":"Perventricular (hybrid) device closure","suits_whom":"Selected perimembranous or muscular defects in experienced centers.","recovery":"Avoids bypass and sternotomy; usually shorter recovery than surgical closure."},{"name":"Transcatheter device closure","suits_whom":"Selected muscular or some perimembranous defects, residual defects, or prohibitive surgical risk.","recovery":"No sternotomy or bypass; usually shorter recovery and hospital stay."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for primary patch closure under cardiopulmonary bypass, excluding intensive care."},"initial_assessment_documents":["Transthoracic echocardiogram report with VSD size and location","Echocardiogram video clips","Cardiology or cardiac surgery discharge summary","Chest X-ray report","12-lead ECG report","Cardiac catheterization report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; hospital 5-10 nights, fly home about 2-4 weeks after surgery. Later cardiology reviews usually local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon meets you before surgery and explains the operation, risks, and potential complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children/","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that pre-assessment evaluates suitability and fitness for surgery and anesthesia","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"It's very important that you come to this appointment, as this is when we assess your suitability and fitness for surgery and anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that preoperative tests assess heart, lungs, and kidneys","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"We do a number of tests to make sure that your heart, lungs and kidneys are working properly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that you can ask the treatment team questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check how aftercare will be coordinated after treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon will not meet you before surgery to explain risks and complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The treatment team will not answer your questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://kidshealth.org/en/parents/vsd.html","host":"kidshealth.org","quote":"If your child has trouble breathing, call your doctor or go to the emergency room right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound or chest drain site oozing fluid","urgency":"contact_clinic","general":false,"source":{"url":"https://www.gosh.nhs.uk/conditions-and-treatments/procedures-and-treatments/leaving-hospital-after-heart-operation/","host":"gosh.nhs.uk","quote":"The site is oozing any fluid","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"High temperature after surgery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.gosh.nhs.uk/conditions-and-treatments/procedures-and-treatments/leaving-hospital-after-heart-operation/","host":"gosh.nhs.uk","quote":"They have a high temperature","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","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}},{"id":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have VSD symptoms and surgery is not yet needed","name":"Heart failure medicines","source":{"url":"https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd","host":"my.clevelandclinic.org","quote":"Common medications for a ventricular septal defect are often the same as those that treat heart failure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your defect is small and may close by itself","name":"Watchful waiting","source":{"url":"https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd","host":"my.clevelandclinic.org","quote":"In those cases, a healthcare provider will watch for symptoms and see if the defect closes by itself.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"surgical-patch-closure-on","name":"Surgical patch closure on cardiopulmonary bypass (transatrial approach for most perimembranous and inlet defects)","how_it_works":{"text":"A patch or stitches close the hole between the lower heart chambers","source":{"url":"https://www.mayoclinic.org/diseases-conditions/ventricular-septal-defect/diagnosis-treatment/drc-20353501","host":"mayoclinic.org","quote":"A surgeon uses a patch or stitches to close the hole between the lower heart chambers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"perventricular-device-closure","name":"Perventricular (hybrid) device closure","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transcatheter-device-closure","name":"Transcatheter device closure","how_it_works":{"text":"A catheter closes selected ventricular septal defects with a device","source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK538177/","host":"ncbi.nlm.nih.gov","quote":"Transcatheter closure is an established alternative for selected muscular defects and, in experienced centers, perimembranous defects.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=ventricular-septal-defect-surgery/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53853},"manualSeo":[],"updatedAt":"2026-11-12T07:14:40.000Z","activeCountries":["DO","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}