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qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your treatment questions to the medical team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether facilities and healthcare professionals abroad hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Understand the possible complications and side effects of the treatment before going ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated once you are home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, before booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick 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pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Heart palpitations are a sign to","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"heart palpitations (where your heartbeat becomes more noticeable)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Bleeding or pus from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Explains your medicines so your home doctor can continue them","document":"letter about your medicines","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"you will be given a letter about your medicines and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Sets out regular follow-up blood tests your home doctor needs to arrange","document":"blood test arrangements (warfarin)","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"If you take warfarin you will receive information and arrangements for follow-up blood tests with your GP or local clinic, which you will need to have regularly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented 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Drain sites leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation under one hospital admission."},"stages":[{"code":"valve_replacement_surgery","label":"Valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Survival at 5 years after isolated surgical valve replacement","value":85,"unit":"percent","horizon":"5 years","population":"Adults with isolated aortic or mitral valve replacement, elective, without major comorbidity","evidence_status":"limited"},"techniques":[{"name":"Conventional open surgical valve replacement (median sternotomy)","suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat shorter recovery and smaller scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one isolated valve replacement on cardiopulmonary bypass; excludes anesthesia preparation and ICU recovery."},"initial_assessment_documents":["Recent echocardiogram report","Cardiologist report with valve diagnosis","Coronary angiography or cardiac CT report","Recent ECG report","Current medication list including anticoagulants","Recent blood test results including INR and creatinine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks including 5-10 hospital nights and early check before flying. Later follow-up done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how much experience the surgeon has treating your specific heart valve condition","scope":"procedure","source":{"url":"https://renaissance.stonybrookmedicine.edu/node/14676","host":"renaissance.stonybrookmedicine.edu","quote":"How much experience does the surgeon have in treating their specific condition?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your treatment questions to the medical 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booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Heart palpitations are a sign to","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"heart palpitations (where your heartbeat becomes more noticeable)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Bleeding or pus from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Explains your medicines so your home doctor can continue them","document":"letter about your medicines","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"you will be given a letter about your medicines and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Sets out regular follow-up blood tests your home doctor needs to arrange","document":"blood test arrangements (warfarin)","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"If you take warfarin you will receive information and arrangements for follow-up blood tests with your GP or local clinic, which you will need to have regularly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-open-surgical","name":"Conventional open surgical valve replacement (median sternotomy)","how_it_works":{"text":"The surgeon opens the chest to reach the heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"text":"The surgeon works through small cuts between the ribs","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Minimally invasive heart surgery uses small cuts between the ribs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17233-minimally-invasive-heart-surgery","host":"my.clevelandclinic.org","quote":"Most people return to their usual activities within two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"conventional-open-surgical","name":"Conventional open surgical valve replacement (median sternotomy)","how_it_works":{"id":"H1","text":"The surgeon opens the chest to reach the heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"id":"H1","text":"The surgeon works through small cuts between the ribs","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Minimally invasive heart surgery uses small cuts between the ribs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17233-minimally-invasive-heart-surgery","host":"my.clevelandclinic.org","quote":"Most people return to their usual activities within two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Selected patients with suitable anatomy at experienced centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"May allow somewhat shorter recovery and smaller scar."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can visit Lithuania without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area, which includes Lithuania, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport should be valid for at least three months beyond the period of stay in Lithuania","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Your passport should be valid for at least three months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"medicines","audience":"us","volatile":false,"text":"Carry prescription medication into Lithuania in its original packaging, together with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Lithuania, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Lithuania expect payment upon admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Lithuania.html","host":"travel.state.gov","quote":"Payment is expected upon admission at private hospitals.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Lithuania","source":{"url":"https://www.gov.uk/foreign-travel-advice/lithuania/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","china","colombia","cyprus","czech-republic","dominican-republic","germany","greece","india","israel","italy","japan","kazakhstan","mexico","poland","republic-of-korea","romania","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":159,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p class=\"bm-h1-lead\">A heart valve replacement in Lithuania costs _op_2_price_from_ to _op_2_price_to_, compared with about _price_compare_US_average_ in the US (Bookimed data, _date_). It is offered by Meliva Kardiolita Hospital, a JCI-accredited clinic in Vilnius. The clinic is rated 4.7/5 in 159 verified patient reviews on Bookimed.</p>","faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"リトアニアでの心臓弁置換術費用について今すぐご確認ください","kind":"content"},{"text":"Bookimedでのお客様のメリットと保証","kind":"content"},{"text":"Bookimed専属アシスタント","kind":"content"},{"text":"リトアニアの最高の心臓弁置換術クリニックをご発見ください：1件の認証済み選択肢と料金","kind":"content"},{"text":"リトアニアでの心臓弁置換術概要","kind":"content"},{"text":"リトアニアで心臓弁置換術の医学評価を受ける：その分野の最高の専門医をお選びください","kind":"content"},{"text":"Bookimed患者のビデオストーリー","kind":"content"},{"text":"Bookimedに関するレビュー：患者様の洞察を発見","kind":"content"},{"text":"このコンテンツを共有","kind":"content"},{"text":"無料相談を受ける","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}