Heart Septal Defect Surgery for Foreign Patients in Taiwan - Cardiology

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Surgical procedures related to cardiac septal defects?


Hello Dr.
Lin,
I have a foreign friend who has been experiencing extreme difficulty breathing for the past six months due to a hole in his heart septum (which has never been an issue for him before).
He has had to be hospitalized every three days to rely on an oxygen tank for breathing.
He heard that the medical standards in Taiwan are better and the costs are relatively lower, so he asked me to inquire whether general hospitals have a process for foreign patients to undergo surgeries like septal defect repair and what the approximate costs would be.

He is only in his early twenties and has fainted multiple times due to his inability to breathe, resulting in head injuries and brain hemorrhages.
Therefore, he is considering heart surgery to permanently resolve this issue.
I have found that the estimated costs for such surgeries for local patients are around 200,000 to 300,000 NTD, but I am unclear about the costs for foreign patients seeking to pay out of pocket for heart septal defect surgery.

I would appreciate your guidance on this matter.
Thank you for your response, and I wish you well.

Peter, 30~39 year old female. Ask Date: 2016/07/11

Dr. Lin Jixiong reply Cardiology


Hello: After consulting with a cardiac surgeon, the estimated cost for a complete out-of-pocket procedure is approximately 300,000 to 400,000 TWD.
Dr.
Lin Chi-Hsiung.

Reply Date: 2016/07/11

More Info


Understanding heart septal defect surgery, especially for foreign patients seeking treatment in Taiwan, involves several key considerations, including the medical process, potential costs, and the overall healthcare environment in Taiwan.


Medical Process for Heart Septal Defect Surgery
1. Diagnosis and Evaluation: The first step is a thorough evaluation by a cardiologist. This typically includes imaging studies such as echocardiograms, CT scans, or MRIs to assess the size and location of the septal defect. Given your friend's severe symptoms, this evaluation would likely be expedited.

2. Consultation: After diagnosis, the cardiologist will discuss treatment options. For a significant septal defect causing severe symptoms like difficulty breathing, surgical intervention is often recommended. The options may include traditional open-heart surgery or less invasive procedures such as catheter-based interventions, depending on the defect's characteristics.

3. Surgical Procedure: If surgery is deemed necessary, the procedure will be scheduled. In Taiwan, many hospitals are equipped with advanced technology and experienced surgical teams. The surgery typically involves repairing the defect, which can be done through various techniques, including patching the hole or using devices that can be inserted via catheterization.

4. Postoperative Care: After surgery, the patient will be monitored in a recovery unit. The length of hospital stay can vary, but patients usually remain in the hospital for several days to ensure proper recovery.


Healthcare Environment in Taiwan
Taiwan is known for its high-quality healthcare system, which is accessible and relatively affordable compared to many Western countries. The National Health Insurance (NHI) system covers a wide range of services, but foreign patients may need to pay out-of-pocket for certain procedures, especially if they are not residents.


Costs of Surgery
1. Estimated Costs: The cost of heart septal defect surgery in Taiwan can range from NT$200,000 to NT$300,000 (approximately USD 6,500 to USD 10,000) for residents. For foreign patients, the costs may be similar, but it’s essential to check with specific hospitals as prices can vary based on the institution and the complexity of the case.

2. Payment Options: Many hospitals in Taiwan accept international patients and may offer payment plans or assistance with insurance claims. It’s advisable for your friend to contact hospitals directly to inquire about costs, payment methods, and any potential discounts for foreign patients.

3. Hospital Selection: Major hospitals in cities like Taipei, Taichung, and Kaohsiung are well-equipped to handle complex cardiac surgeries. Institutions such as National Taiwan University Hospital or Chang Gung Memorial Hospital are renowned for their cardiac care.


Conclusion
For your friend, seeking treatment for a heart septal defect in Taiwan is a viable option, given the country’s advanced medical facilities and expertise. It is crucial for him to undergo a comprehensive evaluation to determine the best course of action. Additionally, contacting hospitals directly will provide the most accurate information regarding costs and procedures for foreign patients.
Encourage your friend to prepare all necessary medical records and documentation before reaching out to hospitals, as this will facilitate the consultation process. With timely intervention, he can significantly improve his quality of life and address the serious symptoms he has been experiencing.

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