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Cardiology and Cardiac Surgery

TOF, DORV or Glenn Surgery in India

A detailed international-patient guide to preparing for specialist review, comparing the proposed approach and coordinating the journey around the confirmed clinical plan.

Procedure overview

Start with diagnosis and purpose.

TOF, DORV and Glenn operations address complex congenital heart anatomy. Tetralogy of Fallot and double-outlet right ventricle repairs aim to improve the route of blood through the heart; a Glenn procedure connects upper-body venous return directly to the pulmonary arteries as part of staged single-ventricle care.

TOF, DORV or Glenn Surgery is a named clinical pathway, but the name alone does not define the exact treatment. Technique, complexity, expected benefit and recovery depend on the individual findings and the hospital team’s assessment.

A useful preliminary review should clarify what diagnosis is established, why this procedure is being considered, whether further tests are needed, what alternatives exist and which parts of the plan remain provisional until examination.

No outcome can be guaranteed.

Ask the treating clinician to explain patient-specific benefits, material risks, uncertainty and what may happen without treatment.

Possible indications

When a specialist may consider it

  • A confirmed complex congenital defect requiring repair or staged palliation
  • Low oxygen levels, obstruction, heart failure or impaired growth
  • Anatomy and physiology suited to complete repair or a Glenn-stage pathway
  • Decision by a specialist paediatric or adult congenital heart team
Clinical assessment

Evaluation before a recommendation

  • Detailed echocardiography and often CT or cardiac MRI
  • Cardiac catheterization when pressures, resistance or anatomy need clarification
  • Oxygen saturation, rhythm, ventricular and valve-function assessment
  • Review of previous shunts, operations and extracardiac conditions
Treatment options

Approaches the team may compare

  • Complete TOF repair, including VSD closure and relief of right-ventricular outflow obstruction
  • DORV repair tailored to ventricular and great-artery relationships
  • Bidirectional Glenn connection within an individualized staged pathway
Informed consent

Important risks to discuss

  • Bleeding, infection, rhythm disturbance and neurological complications
  • Residual obstruction, leak or valve dysfunction
  • Low cardiac output, oxygenation problems or prolonged intensive care
  • Need for catheter intervention or further surgery as the child grows

This is not a complete risk list. Personal risk can only be explained by the treating clinician after assessment.

Information for review

Records the hospital may request

  • Current diagnosis, symptom timeline and specialist notes
  • Relevant laboratory, imaging, pathology or functional-test reports
  • Original image files or pathology material when requested
  • Previous operations, procedures and treatment response
  • Current medicines, allergies and important medical conditions
Questions to compare

What the specialist should clarify

  • What is the goal of TOF, DORV or Glenn Surgery in this case?
  • What non-procedural or alternative procedural options are reasonable?
  • Which technique, device, implant or technology is proposed and why?
  • What are the important risks and possible need for additional treatment?
  • What recovery, rehabilitation and long-term follow-up are expected?
International patient pathway

From record review to safe return.

Clinical confirmation should lead the travel plan—not the other way around.

  1. 01

    Case preparation

    Organize the diagnosis, medical timeline, reports and questions.

  2. 02

    Hospital review

    Coordinate an appropriate department and preliminary opinion.

  3. 03

    Estimate and schedule

    Request a written institutional estimate and expected stay.

  4. 04

    Treatment and discharge

    Collect the confirmed plan, records, prescriptions and warning signs.

  5. 05

    Return and follow-up

    Travel only after fitness advice and continue care at home.

Recovery planning

Before booking a return flight

  • Care is delivered in a specialist cardiac ICU followed by ward recovery
  • Feeding, oxygen, medicines and wound care require coordinated planning
  • Long-term congenital cardiology surveillance is essential even after successful surgery
  • International families need a clear emergency and home-follow-up pathway
Financial planning

TOF, DORV or Glenn Surgery cost in India

A current estimate depends on the exact clinical scope, hospital, treating team, devices or medicines, room category and expected stay.

Open cost-planning guide
Relevant doctors

Specialists related to TOF, DORV or Glenn Surgery

Explore specialists whose published clinical focus relates to this treatment. Final selection depends on medical-record review, current hospital association and appointment availability.

Search all doctors →
Paediatrics

Dr. Krishna Subramony Iyer

Chairman & Head Paediatric and Congenital Heart Surgery

Paediatrics | Paediatric Cardiac Sciences | Paediatric CTVS (Cardiothoracic and Vascular Surgery)

Fortis Escorts Heart Institute, New Delhi View verified profile →
Dr. Kulbhushan Singh Dagar - Cardiac Sciences, Paediatric (Ped) Cardiac Surgery
Cardiac Surgery

Dr. Kulbhushan Singh Dagar

Chairman - Neonatal & Congenital Heart Surgery

Cardiac Sciences, Paediatric (Ped) Cardiac Surgery

Max Super Speciality Hospital, Saket, New Delhi View verified profile →
Dr. Smita Mishra - Cardiology, Paediatric And Child Care, Heart Care Clinic, Paediatric Cardiology
Paediatrics

Dr. Smita Mishra

HOD and consultant - Pediatric Cardiology, Pediatrics

Cardiology, Paediatric And Child Care, Heart Care Clinic, Paediatric Cardiology

Manipal Hospital, Dwarka, New Delhi View verified profile →
Paediatrics

Dr. Manvinder Singh Sachdev

Director & Head - Pediatric Cardiology | FMRI Gurgaon

Paediatrics | Paediatric Cardiac Sciences | Paediatrics

Fortis Memorial Research Institute, Gurugram View verified profile →
Paediatrics

Dr. S. Radhakrishnan

Head & Senior Consultant

Paediatric Cardiology and Adult Congenital Heart Disease

Amrita Hospital, Faridabad View verified profile →
Dr. Sushil Azad - Paediatric Cardiology and Adult Congenital Heart Disease
Paediatrics

Dr. Sushil Azad

Deputy Head & Principal Consultant

Paediatric Cardiology and Adult Congenital Heart Disease

Amrita Hospital, Faridabad View verified profile →
Dr Gaurav Garg - Heart & Vascular Institute, Centre For Child Health, Enhanced External Counterpulsation (EECP) Therapy, Paediatric Cardiology
Paediatrics

Dr Gaurav Garg

Director - Paediatric Cardiology - Heart & Vascular Institute

Heart & Vascular Institute, Centre For Child Health, Enhanced External Counterpulsation (EECP) Therapy, Paediatric Cardiology

BLK-Max Super Speciality Hospital, New Delhi View verified profile →

These profiles support specialist discovery and are not rankings, endorsements or confirmation that a doctor is appropriate for a particular patient.

Relevant hospitals

Hospitals associated with the displayed specialists

Each hospital appears because at least one eligible doctor displayed above is currently associated with it in the directory. This association does not by itself confirm that the hospital currently offers TOF, DORV or Glenn Surgery, has particular equipment or is suitable for an individual case.

Explore the hospital directory →
Okhla Road, New Delhi, India

Fortis Escorts Heart Institute, New Delhi

Fortis Escorts Heart Institute in Okhla, New Delhi is a multi-specialty hospital with a major focus on cardiac sciences.

Specialist association shown; current service availability not confirmed

Explore hospital profile →
Saket, New Delhi, India

Max Super Speciality Hospital, Saket, New Delhi

Max Super Speciality Hospital, Saket, New Delhi is listed in InMedism’s hospital directory for international patients considering specialist treatment in India.

Specialist association shown; current service availability not confirmed

Explore hospital profile →
Sector 38, Gurugram, Haryana, India

Medanta - The Medicity, Gurugram

Medanta - The Medicity, Gurugram is listed in InMedism’s hospital directory for international patients considering specialist treatment in India.

Specialist association shown; current service availability not confirmed

Explore hospital profile →
Dwarka, New Delhi, India

Manipal Hospital, Dwarka, New Delhi

Manipal Hospital, Dwarka, New Delhi is listed in InMedism’s hospital directory for international patients considering specialist treatment in India.

Specialist association shown; current service availability not confirmed

Explore hospital profile →

Hospital cards are based on displayed specialist associations. They do not imply partnership, affiliation, agency, endorsement, authorization, guaranteed admission, procedure availability or individual suitability.

Contextual guidance

Questions patients often ask

These answers provide general coordination information. Questions about diagnosis, risks or treatment require a qualified clinician.

Ask a different question →
Who may be considered for TOF, DORV or Glenn Surgery?

Suitability depends on the confirmed diagnosis, symptoms, test findings, previous treatment, overall health and comparison with reasonable alternatives by the treating specialist.

Can the procedure be confirmed before travel?

A hospital may provide a preliminary opinion after record review, but examination or updated tests in India may change the recommendation.

How long should I plan to remain in India?

The expected stay depends on pre-procedure evaluation, the procedure, recovery, complications and the treating team’s travel-fitness advice.

How can I request the current cost?

Use the linked cost-planning page or contact InMedism with a concise case summary. Detailed medical records should be shared only through the approved secure process.

Does InMedism perform the procedure?

No. Licensed hospitals and clinicians provide all diagnosis and treatment. InMedism coordinates access and the surrounding medical-travel journey.

Your next practical step

We will help identify the appropriate coordination route without asking you to make an uninformed commitment.

Confidential patient assistance

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Share a brief enquiry for treatment, hospital, doctor and medical-travel coordination. Do not include passport details or medical files here.

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