TOF Repair Surgery Package
Medical Visa
Assistance
Assistance
Tele-Video
Consultation
Consultation
Language Interpretation
Services
Services
Second Medical
Opinion
Opinion
Post-Treatment
Care Coordination
Care Coordination
Coordinating care at accredited hospitals, including
Apollo HospitalsFortis HealthcareManipal HospitalsSarvodaya Hospital
Not sure where to start? Get a free medical opinion Not sure what your treatment will cost? Free, instant, itemised estimate -- treatment, visa, flights, hotel & food
What will your treatment cost?
Satyug Assistant
Online · usually replies instantly
Answers are informational, not medical advice.
| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| TOF Repair Surgery Package | 5500 USD | sharing room | 7-8 Days |
✓ Inclusion
- ✔TOF total correction (VSD closure and right ventricular outflow repair)
- ✔Paediatric cardiac surgeon's fee and assistant fee
- ✔Paediatric cardiac anaesthesia and perfusion (heart-lung machine) charges
- ✔Operation theatre charges, patches and surgical consumables
- ✔Paediatric cardiac ICU stay as per package
- ✔Total 7–8 days hospital stay in a sharing room
- ✔Nursing care and routine medicines during the stay
- ✔Routine blood tests, X-rays and echocardiography during the stay
- ✔Routine blood and blood products for surgery
- ✔Diet for the patient during the hospital stay
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Pre-operative CT angiography or cardiac catheterisation
- ✖RV–PA conduit, valved conduits or special implants
- ✖Extra ICU or hospital days beyond the package
- ✖Additional blood products beyond routine use
- ✖Treatment of complications (re-operation, pacemaker, ECMO)
- ✖Genetic tests
- ✖Medicines after discharge
- ✖Hotel stay, food, local travel, airfare and visa fees
Know More About Procedure & Surgery
🇮🇳 PAEDIATRIC CARDIAC PACKAGE — INDIA
Tetralogy of Fallot (TOF) Repair Surgery in India
Complete TOF repair closes the hole in the heart and opens the narrowed path to the lungs, turning a 'blue baby' pink. It is done by experienced paediatric cardiac surgeons with dedicated children's heart ICUs at NABH and JCI accredited hospitals in India, at a fraction of Western costs.
✅ Free Medical Opinion in 48–72 h👶 Dedicated paediatric cardiac ICU💰 Starting USD 5,500✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
3–5 hrs
Surgery time
🏥
7–8 days
Hospital stay incl. ICU
📈
97–98%
Survival after repair
📅
2–3 weeks
Total stay in India
📖 What is Tetralogy of Fallot (TOF)?
Tetralogy of Fallot (TOF) is a heart defect present from birth. It is the most common 'blue' (cyanotic) heart disease, seen in about 3–5 of every 10,000 babies. It has four parts: (1) a hole between the two pumping chambers (ventricular septal defect, VSD); (2) narrowing of the path to the lungs (pulmonary stenosis); (3) the main artery (aorta) sitting over the hole; and (4) a thickened right pumping chamber. Because of this, less blood reaches the lungs and oxygen-poor blood goes to the body, making the lips and nails look blue.
TOF repair (total correction) is open-heart surgery done using the heart-lung machine. The surgeon closes the VSD with a patch and widens the narrowed path to the lungs by removing extra muscle and, if needed, enlarging the valve or artery with a patch. The ideal age for repair is usually 3–12 months, but older children and even adults can be successfully repaired. After surgery, most children grow and play normally.
🩺 Conditions Treated
🫀
Classic Tetralogy of Fallot
VSD with narrowing below and at the lung valve.
🔵
TOF with pulmonary atresia
The lung valve is completely closed; may need a conduit (tube).
🔄
TOF after a previous shunt
Children who had a BT shunt as a baby and now need complete repair.
🧒
Late-presenting TOF
Older children and adults never operated before.
➕
TOF with additional defects
TOF with ASD, abnormal coronary artery or right-sided aortic arch.
💧
TOF with absent pulmonary valve
Rare form with very large lung arteries pressing on the airways.
⚠️ Signs That May Mean TOF
- ➤Bluish lips, tongue or nails (cyanosis)
- ➤'Tet spells' – sudden blue episodes when crying or feeding
- ➤Squatting after playing or walking (older children)
- ➤Fast breathing or breathlessness
- ➤Poor feeding and slow weight gain
- ➤Tiring quickly with play
- ➤Heart murmur heard by the doctor
- ➤Clubbing (rounded fingertips) in older children
💡 There is no medicine that cures TOF – surgery is needed in almost all children. Medicines (such as propranolol) can reduce tet spells while waiting. Very small or sick babies may first need a temporary BT shunt or a stent in the heart, followed by full repair later.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Echocardiography (heart ultrasound) | Confirms TOF and measures the VSD, valve and lung arteries. |
| Oxygen saturation (pulse oximetry) | Shows how blue the child is. |
| Cardiac CT angiography | Shows the lung arteries and coronary arteries in detail. |
| Cardiac catheterisation (selected cases) | Measures pressures and shows small lung arteries. |
| ECG and chest X-ray | Checks rhythm and the 'boot-shaped' heart. |
| Blood tests (CBC, haematocrit, clotting, blood group) | Checks for thick blood and readiness for surgery. |
| Genetic test (22q11 deletion, if features) | Associated with some cases; guides care. |
🏥 The Procedure — Step by Step
1
Paediatric cardiology review
Echo and CT reviewed and surgery planned.
2
Admission
Admission 1 day before surgery for tests and blood arrangement.
3
Anaesthesia
General anaesthesia by a paediatric cardiac anaesthetist.
4
Heart-lung machine
The chest is opened through the breastbone and the heart-lung machine takes over.
5
VSD closed
The hole between the ventricles is closed with a patch.
6
Outflow widened
Extra muscle is removed and the lung valve or artery is widened with a patch (valve-sparing when possible).
7
Heart restarted and checked
Repair is checked with echo in the operating room (TEE).
8
Paediatric cardiac ICU
Ventilator for hours to a day, then close monitoring for 2–3 days.
9
Ward care
Feeding, drain removal, medicines and parents' teaching.
10
Discharge
Discharge after about 7–8 days in hospital, after a final echo.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Complete repair – valve-sparing | VSD closed; outflow widened while keeping the lung valve | Good-sized lung valve |
| Complete repair – transannular patch | Patch across the lung valve to widen it | Small lung valve |
| Repair with RV–PA conduit | Tube placed from right ventricle to lung artery | Pulmonary atresia or abnormal coronary artery |
| BT shunt / PDA or RVOT stent (staged) | Temporary extra blood flow to the lungs | Very small or unwell newborns |
| Pulmonary valve replacement (later) | Valve replaced surgically or by catheter | Leaking lung valve years after repair |
📊 Large international registries (STS Congenital Heart Surgery Database) report early mortality of about 1–2% for elective TOF repair, and long-term studies show over 90% of patients are alive 30 years after repair.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India ✈️, airport pick-up and hotel check-in |
| Day 2 | Paediatric cardiologist consultation, echo, blood tests and CT if needed |
| Day 3 | Admission and pre-surgery preparation |
| Day 4 | TOF repair surgery |
| Day 4–6 | Paediatric cardiac ICU care |
| Day 7–11 | Ward care, feeding, drain removal, final echo and discharge (7–8 days in hospital) |
| Day 12–18 | Hotel stay, wound check and follow-up echo |
| Day 18–21 | Fitness to fly – Fly home ✈️ |
🌱 Recovery After Treatment
🏥
Days 1–3
ICU care with breathing support and heart monitoring.
🍼
Week 1
Feeding resumes, child becomes pink; discharge after 7–8 days.
🩹
Weeks 2–4
Wound heals. Avoid lifting the child under the arms for 4–6 weeks.
🎒
Weeks 4–6
Older children can return to school.
⚽
2–3 months
Normal play and activity, as advised by the cardiologist.
📆
Lifelong
Regular heart check-ups with echo; some patients need a valve procedure years later.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Early survival after elective TOF repair | About 97–99% |
| Long-term survival at 30 years | Over 90% |
| Children with normal or near-normal activity | About 90% |
| Need for pulmonary valve replacement by adulthood | About 10–30% |
| Hospital stay including ICU | 7–8 days |
Results are best when repair is done in infancy at an experienced paediatric cardiac centre. Very low oxygen, older age at repair, small lung arteries or other defects increase the risk.
🩹 Risks & Possible Complications
TOF repair is a major but well-established operation. Possible risks include:
- •Irregular heart rhythm soon after surgery (junctional ectopic tachycardia) – about 5–10%, usually temporary
- •Leaking lung valve (pulmonary regurgitation) over the years – common, may need valve replacement later
- •Small leftover hole or narrowing needing follow-up – about 5%
- •Fluid around the lungs or heart (effusions, chylothorax) – about 5%
- •Infection or wound problems – about 2–3%
- •Complete heart block needing a pacemaker – about 1%
- •Death – about 1–3% (higher in complex or late cases)
💰 Cost of TOF Repair Surgery in India
The cost of TOF repair surgery in India starts from about USD 5,500. This includes open-heart surgery, anaesthesia, perfusion, paediatric cardiac ICU and ward stay in a sharing room for 7–8 days, and routine medicines. Complex repairs with conduits, longer ICU stay or older patients cost more.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| TOF repair surgery – this package | 5,500 | 7–8 days, sharing room | Total correction in infants and children |
| TOF repair – premium hospital / single room | 6,500 – 8,000 | 7–10 days | Private room for parent and child |
| Complex TOF (pulmonary atresia, conduit) | 8,000 – 11,000 | 10–14 days | Conduit or extra procedures |
| BT shunt (staged palliation) | 4,500 – 6,000 | 7–10 days | For very small or unwell babies |
⚠️ Final cost depends on the child's age and weight, anatomy, need for a conduit, ICU stay and complications. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔TOF total correction surgery
- ✔Surgeon, anaesthesia and perfusion fees
- ✔Paediatric cardiac ICU stay
- ✔7–8 days hospital stay
- ✔Sharing room
- ✔Routine medicines and consumables
- ✔Echo before discharge
- ✔Free airport pick-up, visa letter and interpreter
❌ Not Included
- ✖Pre-surgery CT / catheter study
- ✖Conduit or special implants
- ✖Extra ICU or hospital days
- ✖Blood products beyond routine
- ✖Treatment of complications
- ✖Hotel stay after discharge
- ✖Flights and visa fees
- ✖Food for parents
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Recent echocardiography report (and video if possible), oxygen saturation level, child's age and weight, CT angiography or catheter report if done, details of any previous heart surgery or shunt, and current medicines. |
| 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 echo reports / videos, CT or catheter study on CD / link, previous surgery notes and 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 Fortis Escorts Heart Institute, Medanta – The Medicity, Max Super Speciality Hospital Saket, Narayana Health (Bengaluru), Amrita Hospital, Sir Ganga Ram Hospital and Apollo hospitals.
👨⚕️
Senior Specialists
Surgery is performed by paediatric cardiac surgeons who operate on hundreds of children with congenital heart disease every year, supported by paediatric cardiologists and intensivists.
💵
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
➤ What is the cost of TOF repair surgery in India?
TOF repair starts from about USD 5,500 with a 7–8 day stay in a sharing room, including ICU care. Complex cases cost more.
➤ What is the best age for TOF repair?
Usually between 3 and 12 months. Older children and adults can also be repaired successfully.
➤ How long does the surgery take?
About 3–5 hours, including time on the heart-lung machine.
➤ How long will we stay in hospital and in India?
About 7–8 days in hospital and 2–3 weeks in India in total.
➤ How successful is TOF repair?
At experienced centres about 97–99% of children survive surgery, and over 90% are alive and well 30 years later.
➤ Will my child be normal after surgery?
Most children grow, go to school and play normally. They need regular heart check-ups for life.
➤ Will my child need more surgery later?
Some children (about 10–30%) need a lung valve replacement as teenagers or adults, often done by catheter without open surgery.
➤ Is the surgery painful for the child?
Children receive strong pain relief in the ICU and ward. Most are comfortable and feeding within a few days.
➤ What are the main risks?
Temporary rhythm problems, fluid around the lungs, leftover narrowing and, rarely, heart block or death (about 1–3%).
➤ Can adults with unrepaired TOF have surgery?
Yes. Adults can be repaired, though the risk is somewhat higher and recovery longer.
➤ What are tet spells and what should I do?
These are sudden blue episodes. Calm the baby and hold them with knees bent to the chest, and seek urgent care. Surgery stops tet spells.
➤ Can both parents travel with the child?
Yes. Both parents can travel. Satyug provides visa invitation letters for the child and attendants.
➤ Is an interpreter available?
Yes, free interpreter support is available in Arabic, French, Russian and other languages.
➤ What follow-up is needed at home?
Echo at 1, 3 and 6 months, then yearly. Our team shares reports with the surgeon online.
💬 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: Tetralogy of Fallot; American Heart Association: Tetralogy of Fallot; STS Congenital Heart Surgery Database reports; Cuypers JA et al., long-term outcome after TOF repair, Circulation 2014; Mayo Clinic: Tetralogy of Fallot; ESC 2020 Guidelines for Adult Congenital Heart Disease. Infographics: Satyug Healthcare.
Ready to plan your treatment in India?
Free medical opinion in 48 hours — our coordinators are available 24/7
📞 +91-8860606766
💬 WhatsApp
✉ Email Us
TOF (Tetralogy of Fallot) repair surgery in India from USD 5,500. Expert paediatric heart surgeons, cardiac ICU, 7–8 day stay, 97%+ survival. Free opinion.
TOP HOSPITALS
Special High-quality Hospitals
HAPPY PATIENTS
What Our Patients Are Saying
Our Gallery
