Countries · Decision guide
Compare named programmes, clinical fit and the journey home.
This guide connects 11 countries to named cardiac programmes. The useful comparison is the operation available there, the evidence behind the team, the included care and the practical burden of continuing treatment away from home.
The directory links destinations to clinical services and doctors rather than assigning a national success rate.
Hisar and Teknon advertise CABG packages with different methods, hospital allowances and travel inclusions.
Sources: Hisar robotic CABG — advertised Bookimed package · Xavier Ruyra Baliarda — teknon cabg
Hospital discharge, fitness to fly and full recovery are separate milestones. Follow-up remains necessary after return.
Sources: NHS: CABG recovery · NHS: valve recovery
Compare treatment, travel and follow-up needs.
Sources: NHS: valve recovery
Each destination is connected to a named programme and a distinctive area of care, such as robotic repair, arterial bypass, repeat surgery or complex HCM.
| Destination and programmes | What stands out | Clinical distinction |
|---|---|---|
| Canada Ottawa Toronto | Minimally invasive bypass with recovery and long-term follow-up evidence Total-arterial bypass through a smaller chest incision | Its research provides both a measured early recovery benefit in eligible patients and evidence that later coronary disease still needs attention. Selected multivessel operations combine arterial grafts, a smaller intercostal incision and avoidance of heart–lung support. |
| China | HCM surgery through an underarm incision, with the breastbone preserved Septal myectomy through the apex on a beating heart | The earlier infra-axillary series demonstrates combined septal and subvalvular correction through the same smaller access. The studied transapical approach accesses the septum without cardiopulmonary bypass, while the heart continues beating. |
| France | Aortic-root surgery with a native-valve preservation focus | The service includes a valve-preserving aortic-root approach supported by technique-specific comparative research. |
| Germany Berlin Bad Oeynhausen | Robotic valve repair with a structured early-recovery pathway LVAD care that continues after implantation | The ERMICS pathway connects minimally invasive valve surgery with pain control and early mobilisation; suitable patients reach a regular ward on the same day. Continuing VAD support and coordinated outpatient/inpatient care are described parts of the programme, not only the implantation procedure. |
| India Gurugram | Arterial grafts, beating-heart bypass and robotic access | Named surgeons cover separate CABG choices: arterial grafts and diffuse coronary disease, beating-heart support, and robot-assisted chest access. |
| Italy | HCM myectomy that addresses abnormal mitral chordae | Its studied HCM operation preserves the mitral valve while treating abnormal secondary chordae and septal muscle together. |
| Japan | Robotic Barlow repair using an anatomy-specific strategy | The published Barlow technique combines artificial chordae and selective leaflet resection to retain a complex native mitral valve. |
| Spain Barcelona | CABG with a named team and defined inpatient care | The medical package defines preoperative assessment, room type and inpatient days, with hotel, airfare and transfers transparently excluded. |
| Thailand | Surgical and catheter valve treatment within one heart team | Surgical and catheter valve options can be assessed in one service with imaging, anaesthesia and rehabilitation disciplines. |
| Turkey Gebze, Kocaeli (Istanbul region) | Complex valve repair and valve-sparing aortic-root surgery Repeat valve surgery and a priced robotic bypass pathway | Complex valve repair and valve-sparing root replacement provide routes to retain suitable native valve tissue. The service combines explicitly listed redo-valve expertise with a named robotic CABG package that includes postoperative monitoring and travel transfers. |
| United Kingdom | Valve-sparing root surgery with wider aortic expertise | Root preservation, more extensive aortic reconstruction and redo expertise are described within the same surgical practice. |
| United States Cleveland, Ohio New York Rochester, Minnesota Chicago New York Los Angeles Durham, North Carolina Boston New York St. Louis, Missouri | Distinct teams for mitral repair, HCM and complex valve reconstruction HCM surgery tailored to the valve apparatus, with emerging robotic access HCM, apical aneurysm and congenital disease with complex anatomy Totally endoscopic CABG, including selected multivessel and hybrid plans Bypass graft selection with ten-year randomized evidence Robotic mitral repair measured by anatomy and durability Aortic reconstruction, transplantation and mechanical support Complex two-ventricle reconstruction with long-term planning Congenital treatment from defect closure to staged reconstruction Maze surgery with long-term rhythm follow-up | Distinct valve, myectomy, catheter and endocarditis specialists support different anatomical problems rather than a single general cardiac-surgery label. The HCM team covers medical and surgical treatment, with anatomy-specific valve-apparatus work and a separately reported robotic route. The programme includes pathways for selected apical aneurysm disease and congenital/reoperative problems beyond routine basal HCM obstruction. Selected patients can receive fully endoscopic beating-heart grafts, including multivessel or hybrid bypass-and-stent treatment. Specific arterial-graft expertise is paired with randomized long-term evidence on radial artery versus vein conduits. Anatomy-specific repair data separate routine prolapse from Barlow disease and include follow-up for recurrent leakage. Aortic disease can be managed across cardiac and vascular disciplines, while a separate service offers transplant and temporary or durable circulatory support. Detailed anatomical modelling and tailored reconstruction create a two-ventricle pathway for selected difficult congenital hearts. The programme spans isolated defect repair, neonatal reconstruction, congenital valve work and transition to adult congenital care. A current surgical AF service is paired with long-term institutional rhythm follow-up that includes patients with previous catheter-ablation failure. |
Travel and entry requirements change. Check the official requirements for your nationality after a clinical plan and destination have been selected.
| Decision | What to establish before booking |
|---|---|
| Clinical fit | A team with the exact procedure and complexity you need |
| Access | Case acceptance, named surgeon and current scheduling |
| Communication | Language support and a clear way to contact the team |
| Travel | Visa requirements, companion plans and flexibility if recovery takes longer |
| Aftercare | Local clinician handoff, medicines, rehabilitation and follow-up |
| Financial plan | Itemized quote, currency and who pays for additional care |
Aftercare includes wound review, medicine management, rehabilitation and follow-up imaging. The operation report, discharge summary and implant information allow the home team to continue that care.
Readiness to fly depends on recovery and clinical assessment. Hotel nights are a package allowance rather than medical clearance.
Sources: NHS: CABG recovery · NHS: valve recovery
If you are considering, for example, Turkey and Germany, first establish whether the programmes propose the same operation. Then compare the named team, records reviewed, expected care pathway and quote scope. A difference in technique can matter more than the national label.
Use your preferred countries as a request preference, not a substitute for the team’s assessment. A second opinion may change which destination is practical.
Hangzhou, China
Yong Cui
Zhejiang Provincial People’s Hospital
A 4–5 cm underarm incision keeps the breastbone intact: no divided breastbone to heal while you rebuild walking and everyday activity.
$25,000–40,000 estimated cost
USD · estimated programme range · updated 8 October 2026.
Published 100-patient MESM series; separate 132-patient mid-cavity conference report and earlier 148-patient modified-Morrow study.
Cleveland, United States
Nicholas Smedira
Cleveland Clinic HCM Center
Specialist HCM imaging and myectomy that can also correct mitral-leaflet or papillary-muscle causes of obstruction.
Quote on request
Individual estimate after assessment.
A historical series of 1,559 LVOT operations, including 1,530 myectomies and 522 myectomies with mitral or subvalvular intervention.
New York, United States
Daniel Swistel · Joshua Scheinerman
NYU Langone Hypertrophic Cardiomyopathy Program
An HCM team that treats septal and mitral causes of obstruction, with conventional and selected robotic surgical approaches.
Quote on request
Individual estimate after assessment.
NYU reports more than 600 myectomies at programme level. Supporting method evidence includes a historical 77-patient anatomy study and a separate first robotic case report.
Istanbul, Turkey
Faruk Gençoğlu
Hisar Hospital Intercontinental
An advertised $20,000 robotic bypass package with preoperative tests, nursing, seven hospital days, hotel accommodation and transfers.
$20,000 advertised package
USD · advertised offer checked 8 October 2026.
An advertised named-surgeon package with explicit medical and travel services; no package-specific robotic CABG outcomes are supplied.
Barcelona, Spain
Xavier Ruyra Baliarda
Centro Médico Teknon
CABG with a named cardiac surgeon, preoperative specialist consultations, an individual room and five hospital days in the advertised package.
$41,411.97 advertised package
USD · observed 8 October 2026; individual quote required.
A named-surgeon CABG offer with defined medical inclusions. It supplies no package-specific outcomes cohort or comparative access-route results.
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Compare treatment, travel and follow-up needs.