Arterial Switch Operation Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
·Last updated: ·Editorial policy
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Arterial Switch Operation Package | $4477 | Single | Patient - 7 days stay in a single room. |
✓ Inclusion
- ✔Consultation with a paediatric cardiologist and paediatric cardiac surgeon
- ✔Pre-operative echocardiography, blood tests, chest X-ray and ECG
- ✔Arterial switch operation with coronary transfer under cardiopulmonary bypass
- ✔Closure of associated ASD/PFO where present
- ✔Surgeon, assistant, perfusionist and cardiac anaesthetist fees
- ✔Operation theatre, heart-lung machine and standard consumables
- ✔Paediatric cardiac ICU care and ventilation within the package stay
- ✔Total 7 days hospital stay; single room for baby and mother after ICU
- ✔Standard medicines, feeds and nursing care
- ✔Post-operative echocardiograms and X-rays
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Hospital or ICU days beyond the 7-day package
- ✖ECMO, peritoneal dialysis or other advanced support
- ✖Balloon atrial septostomy, cardiac catheterisation or CT angiography
- ✖Additional repairs (VSD patch, arch repair) unless quoted
- ✖Blood and blood products beyond routine use
- ✖Treatment of complications or infections
- ✖Air ambulance, medical escort and oxygen for travel
- ✖Medicines after discharge and follow-up echo visits
- ✖Flights, visa fees, hotel, food and local travel
Know More About Procedure & Surgery
🇮🇳 PAEDIATRIC CARDIAC PACKAGE — INDIA
Arterial Switch Operation (ASO) in India
Open-heart surgery for newborns and infants with transposition of the great arteries (TGA), done by experienced paediatric cardiac surgeons in dedicated children's heart units in India – at a small fraction of the cost abroad.
✅ Free Medical Opinion in 48–72 h🫀 Neonatal Cardiac Surgery Experts💰 Starting USD 4,477✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
4–6 hrs
Surgery time
🏥
7 days
Hospital stay (minimum)
📈
95%+
Early survival (top units)
📅
3–4 weeks
Total stay in India
📖 What is the Arterial Switch Operation?
In a normal heart, the aorta carries oxygen-rich blood from the left side of the heart to the body, and the pulmonary artery carries blood from the right side to the lungs. In transposition of the great arteries (TGA), these two big arteries are swapped. Oxygen-poor blood keeps going back to the body, so the baby looks blue (cyanosis) soon after birth. Without surgery, most babies with TGA do not survive the first year.
The arterial switch operation (ASO), also called the Jatene procedure, is open-heart surgery that cuts both arteries and reconnects them to the correct pumping chambers. The tiny coronary arteries that feed the heart muscle are moved carefully to the new aorta. Any hole in the heart (VSD or ASD) is closed at the same time. It is usually done in the first 2–3 weeks of life and gives a near-normal heart for most children.
🖼️ Understand It in Pictures
💡 In simple words
In transposition of the great arteries (TGA), a baby is born with the two main arteries swapped, so oxygen-poor blood goes to the body and the baby turns blue. The arterial switch operation, usually done in the first weeks of life, moves the arteries back to the right place.
Normal heart vs TGA, and after the switch
👀 Symptoms in Pictures
🩻 Scans & Tests — What Doctors See
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.
🩺 Conditions Treated
🔄
TGA with intact ventricular septum
The classic 'simple' TGA; surgery is best done in the first 2–3 weeks of life.
🕳️
TGA with ventricular septal defect (VSD)
TGA with a hole between the pumping chambers; VSD is closed during the switch.
🫀
Taussig-Bing anomaly (DORV)
Double outlet right ventricle with the pulmonary artery over the VSD; often repaired with a switch.
🔁
TGA with arch narrowing
TGA with coarctation or small aortic arch, repaired together with the switch.
🧒
Late-presenting TGA
Older infants may need heart-muscle 'training' (two-stage switch) or ECMO support.
📋
Congenitally corrected TGA (selected)
Some children have a 'double switch' that includes an arterial switch.
⚠️ Signs That May Need an Arterial Switch
- ➤Blue lips, tongue and skin soon after birth
- ➤Low oxygen level on pulse oximetry
- ➤Fast or difficult breathing
- ➤Poor feeding and sweating during feeds
- ➤Poor weight gain
- ➤Tiredness, sleepy baby
- ➤Heart murmur found by the doctor
- ➤TGA seen on a pregnancy scan (fetal echo)
💡 There is no medicine that cures TGA. Prostaglandin infusion and a balloon atrial septostomy only keep the baby stable until surgery. Older 'atrial switch' operations (Senning/Mustard) are rarely used now because of long-term heart rhythm and pump problems. Babies older than about 3–4 weeks with intact septum need specialist review, as the left ventricle may need preparation first.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Echocardiography (heart ultrasound) | Confirms TGA, the size of holes and the pattern of the coronary arteries – the key test. |
| Pulse oximetry and blood gas | Measures oxygen levels and acid in the blood. |
| Chest X-ray | Shows heart size and lung blood flow ('egg on a string' shape). |
| ECG | Records heart rhythm before surgery. |
| CT angiography / cardiac catheterisation | Used in selected babies to see unusual coronary arteries or the aortic arch. |
| Blood tests and cranial ultrasound | Check blood count, kidneys, infection markers and the baby's brain before bypass. |
🏥 The Procedure — Step by Step
1
Stabilisation
The newborn is admitted to the cardiac ICU; prostaglandin keeps the duct open and a balloon septostomy may be done to improve oxygen.
2
Planning
The paediatric cardiologist and surgeon review the echo and coronary pattern and confirm timing.
3
Anaesthesia and bypass
Under general anaesthesia the heart-lung machine takes over while the heart is stopped and protected.
4
Dividing the arteries
The aorta and pulmonary artery are cut just above their valves.
5
Coronary transfer
The tiny coronary arteries are removed with a button of tissue and stitched onto the new aorta.
6
Reconnecting the arteries
The aorta is joined to the left ventricle and the pulmonary artery to the right ventricle (Lecompte manoeuvre).
7
Closing holes
Any VSD or ASD is closed with a patch or stitches.
8
Weaning from bypass
The heart is restarted and checked with echo in the operating room; the chest may be left open for 1–2 days.
9
Cardiac ICU care
Ventilator, heart support medicines and close monitoring for the first days.
10
Ward and discharge
The baby is fed, weaned off medicines and discharged after the hospital stay with a follow-up plan.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Primary arterial switch | Single operation switching the arteries and moving coronaries | TGA with intact septum in first 2–3 weeks of life |
| Arterial switch with VSD closure | Switch plus patch closure of the VSD | TGA with VSD, usually by 1–3 months |
| Arterial switch with arch repair | Switch plus repair of coarctation or small arch | TGA or Taussig-Bing with arch obstruction |
| Two-stage switch | PA banding ± shunt to train the left ventricle, then switch | Late-presenting TGA with weak left ventricle |
| Rastelli / REV / Nikaidoh | Other repairs using a tunnel and conduit | TGA with VSD and pulmonary stenosis |
📊 Long-term series after the arterial switch report early survival of about 95–98% in experienced centres and over 90% survival at 20–25 years, with most survivors living normal active lives (NCBI StatPearls: Transposition of the Great Arteries; Circulation long-term follow-up studies).
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India ✈️ with medical escort if needed; direct admission to the paediatric cardiac ICU |
| Day 2–3 | Echo, blood tests, stabilisation; balloon septostomy if needed |
| Day 3–4 | Arterial switch operation 🫀 |
| Day 4–6 | Cardiac ICU: ventilator, heart support medicines, chest closure if left open |
| Day 7–8 | Step-down to single room, feeding established, echo check; discharge after the 7-day package stay (longer if the baby needs more ICU care) |
| Day 9–24 | Stay near the hospital, weight and feeding checks, OPD visit and repeat echo |
| Day 25–28 | Final cardiology review, medicine plan and fitness-to-fly letter |
| Day 28+ | Fly home ✈️ |
🌱 Recovery After Treatment
🏥
First week
Cardiac ICU care with ventilator and medicines; parents can visit and learn baby care.
🍼
Week 2
Feeding builds up by bottle or breast; some babies need a feeding tube for a short time.
⚖️
Weeks 2–4
Weight gain, wound healing and medicines (diuretics) checked at OPD visits.
✈️
Week 3–4
Most babies are fit to fly after a normal echo and stable feeding.
👶
Months 1–6
Normal growth and development expected; regular cardiology checks.
🔁
Lifelong
Yearly echo checks of the coronary arteries, neo-aortic valve and pulmonary arteries.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Early survival after switch (experienced centres) | About 95–98% for simple TGA |
| Long-term survival (20–25 years) | About 90%+ |
| Need for another intervention by adulthood | About 10–25% (mostly pulmonary artery narrowing) |
| Coronary artery problems after surgery | About 3–7% |
| Normal daily activity in survivors | Most children |
Results depend on the baby's age and weight at surgery, the coronary artery pattern, extra defects such as VSD or arch narrowing, infection or other illness before surgery, and the experience of the paediatric cardiac team.
🩹 Risks & Possible Complications
The arterial switch is major newborn heart surgery; the team discusses your baby's specific risk before surgery.
- •Low heart output in the first days needing medicines or chest left open – common, usually short-term
- •Narrowing of the pulmonary arteries later – about 5–25%, often treated with balloon or surgery
- •Coronary artery narrowing or blockage – about 3–7%
- •Leaking of the new aortic valve over years – mild leak is common, severe in about 2–5%
- •Heart rhythm problems – uncommon
- •Infection, bleeding or kidney problems after bypass
- •Risk of death – about 2–5% for simple TGA, higher with complex anatomy or late presentation
💰 Cost of Arterial Switch Operation in India
The cost of the arterial switch operation in India starts from about USD 4,477. This covers the paediatric cardiac surgeon and anaesthetist fees, heart-lung machine, operation theatre, standard consumables, routine medicines and a 7-day hospital stay with ICU care. Babies who need longer ventilation, ECMO, a delayed chest closure or extra procedures will have additional costs.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Arterial switch operation (this package) | 4,477 | 7 days, single room after ICU | Simple TGA with uncomplicated recovery |
| Arterial switch with VSD closure | 5,500 – 7,500 | 10–14 days | Extra patch repair and ICU days |
| Arterial switch with arch repair / Taussig-Bing | 7,000 – 10,000 | 14–21 days | Complex repair, longer ICU stay |
| Premium children's heart centre | 8,000 – 12,000 | 10–21 days | Top-tier hospital, extended ICU care |
⚠️ Final cost depends on the baby's age, weight and condition on arrival, the coronary pattern, extra defects, days on the ventilator and in ICU, and any complications. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Paediatric cardiac surgeon fees
- ✔Cardiac anaesthesia and bypass
- ✔Operation theatre and consumables
- ✔7 days hospital stay incl. ICU
- ✔Routine medicines and nursing
- ✔Post-operative echo and X-rays
- ✔Mother/attendant stay in room
- ✔Free airport pick-up, visa letter & interpreter
❌ Not Included
- ✖Extra ICU or hospital days
- ✖ECMO or dialysis if needed
- ✖Balloon septostomy / cath studies
- ✖Blood products beyond routine
- ✖Treatment of complications
- ✖Air ambulance or medical escort
- ✖Medicines after discharge
- ✖Flights, hotel and food
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Recent echocardiography report and video clips (with coronary artery pattern if seen), baby's date of birth, birth weight and current weight, oxygen saturation, details of prostaglandin or septostomy, chest X-ray, and any other illness such as infection or prematurity. Urgent cases are reviewed the same day. |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All echocardiography reports and video clips, X-rays, discharge summaries and current prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading paediatric cardiac centres such as Medanta – The Medicity, Fortis Escorts Heart Institute New Delhi, Indraprastha Apollo Hospital, Max Super Speciality Hospital Saket, Narayana Health (Bengaluru and Gurugram), Amrita Hospital Kochi and Kokilaben Dhirubhai Ambani Hospital Mumbai.
👨⚕️
Senior Specialists
Our partner paediatric cardiac surgeons and cardiologists perform many neonatal switch operations every year, supported by dedicated neonatal cardiac ICUs and paediatric cardiac anaesthetists.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ How much does the arterial switch operation cost in India?
The arterial switch operation in India starts from about USD 4,477 for simple TGA with a 7-day hospital stay. Complex cases with VSD or arch repair, or babies needing longer ICU care, cost about USD 5,500–10,000.
➤ When should the arterial switch be done?
For TGA with intact septum, ideally in the first 2–3 weeks of life. Babies with a VSD can usually be operated on by 1–3 months. Please contact us as soon as TGA is diagnosed.
➤ How long is the hospital stay?
The package includes a 7-day stay. Some babies need longer in ICU, which is charged extra. Total time in India is about 3–4 weeks.
➤ What is the success rate?
In experienced centres, about 95–98% of babies with simple TGA survive surgery, and over 90% are alive and well 20–25 years later.
➤ Can my newborn travel to India for surgery?
Yes, many babies travel. Some need oxygen or a prostaglandin drip and a medical escort or air ambulance. Our team advises on the safest way after reviewing reports.
➤ My baby is older than one month. Is surgery still possible?
Yes, but the left ventricle may have become weak. Doctors check this with echo and may plan a two-stage switch or ECMO support.
➤ Will my child live a normal life?
Most children after a successful switch grow, play and go to school normally. They need lifelong heart check-ups.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Transposition of the Great Arteries; NCBI StatPearls: Arterial Switch Operation; AHA Scientific Statement on adults with congenital heart disease; Cleveland Clinic: TGA; Mayo Clinic: Transposition of the great arteries; NHS: Congenital heart disease; long-term ASO outcome series (Circulation). Infographics: Satyug Healthcare.
Frequently Asked Questions
The arterial switch operation itself usually takes several hours, and the total time in the operating room, including anaesthesia and preparation, is longer. The baby then recovers in the paediatric cardiac ICU.
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Arterial switch operation for TGA in India from USD 4,477. Expert paediatric heart surgeons, neonatal cardiac ICU, free opinion, visa & interpreter support.
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