Heart transplant is an operation in which a failing or diseased heart is replaced with healthier donor heart. It is a major operation with good chances of survival. It is done for patients suffering from end stage heart disease which can be caused by conditions as:
- Dilated Cardiomyopathy
- Ischaemic Cardiomyopathy
- Congenital Heart Disease, which was not corrected early in age
Preparation of the patient is to be done weeks to months before The heart condition is evaluated at a heart transplantation center to see if patient would benefit from the transplantation. The evaluation of all other systems like kidney, liver, lungs etc. is done, and the body is checked for infections (viral, fungal, bacterial etc.) The patient has a supportive network from family and friends. If everything shows that the patient is a good candidate for heart transplant, the center will register the patient with the “Jeevandan” trust. While you are on a waiting list your condition will be monitored and if condition worsens then you will be put on a life support system like: inotropic support, ventilation, IABP or ECMO. When the donor heart is available, the donor recipient matching is done using the following factors:
- Blood group (A, B, AB, or O)
- Antibodies in recipients (PRA levels)
- Size of donor organ
After harvesting the donor heart, it is preserved at the low temperature (4° C), transferred to the heart transplant center and transplanted to the recipient with in the 4 to 5 hours time. Heart Transplant surgery usually takes about 4 hours. The chest will be opened and patient connected to a heart lung machine. The diseased heart is then removed and donor heart is sewn in place. The new heart starts beating when blood flow is restored. Patient will be on ventilator till he recovers from the surgery. After the procedure patient will remain in the hospital for a week or two, then closely monitored at the OPD transplant center for 3 months. There will be regular blood test, Echocardiogram etc.
Immunosupressants: Immunosuppressants decrease the activity of your immune system, so that your body accepts the new heart. These medications will have to be taken for the rest of your life. Initially the medication will be of higher dosage and overtime it will be decreased. For some people who can’t have a heart transplant another option may be a ventricular device (VAD). A VAD is a miniature artificial pump which is attached to the heart; it sucks the blood from the heart and pumps in to the main artery of body (aorta). It runs on batteries which will be outside of the body. VAD can be used as a permanent treatment for the heart failure.
Health Blogs for CT Surgery
Transcatheter Aortic Valve Replacement (TAVR) for severe aortic valve stenosis
Sep 13, 2019 15:35
Transcatheter Aortic Valve Replacement (TAVR) is helpful for patients with aortic stenosis, who are very weak and cannot tolerate a major heart surgery.
All About the Cardiac Pacemaker
Apr 12, 2019 18:39
A pacemaker is a device that regulates the heart beat. If your doctor recommends a pacemaker for you, you will need to undergo surgery for it to be implanted. This reference summary explains how pacemakers work, and the benefits and risks of having one.
TAVR – Treating severe aortic valve stenosis without surgery
Jan 18, 2019 17:16
Transcatheter Aortic Valve Implantation/Replacement (TAVI/TAVR) is a less invasive procedure (not surgery) to replace the failing aortic valve. A transcatheter heart valve is a biological tissue valve made of human, pig or cow heart tissue.
Primary angioplasty for Acute Myocardial infarction
Nov 19, 2018 10:32
Myocardial Infarction (MI or heart attack) is a medical emergency wherein the irreversible death of heart muscles occurs due to prolonged lack of oxygen. Over the past decades, treatment for myocardial infarction has evolved considerably. Immediate coronary angiography followed by primary angioplasty is a commonly used procedure to treat MI.
బాధాకరమైన బైపాస్ సర్జరీలకు కాలం చెల్లింది హార్ట్ సర్జరీకోసం ఇపుడు పక్కటెముకలు కోయనక్కరలేదు
Sep 21, 2018 15:43
నా వయస్సు 48 సం.లు. ఈ మధ్య ఓ రోజు ఛాతీలో ఏడమవైపు నొప్పి వచ్చి ఎడమచేయి లాగినట్లు అని పించగా అనుమానంతో వెంటనే ఆస్పత్రికి వెళ్లాను. పరీక్షలు చేసి గుండెకు రక్తం సరఫరాచేసే రక్తనాళాలు రెండు బ్లాక్ అయినట్లు చెప్పి బైపాస్ సర్జరీ చేయించుకోమని సిఫార్సు చేశారు.
Transcatheter Mitral Valve Replacement (TMVR) for mitral valve diseases
Mar 30, 2016 09:22
Transcatheter Mitral Valve Replacement (TMVR) Transcatheter Mitral Valve Replacement (TMVR) is a rare and complex procedure performed to replace the dysfunctional or leaking mitral valve. TMVR is a nonsurgical, minimally invasive procedure performed at very few centers in India. Yashoda Hospitals Secunderabad recently performed this procedure in a 75-year-old man who was having a dysfunctional […]
Benefits of Minimally Invasive Cardiac Bypass Surgery (MICS)
Oct 21, 2015 09:30
Minimally invasive surgery, an innovation of the recent times, makes the surgical procedures less traumatic. The minimally invasive Heart Bypass Surgery or Cardiac surgery (MICS) is different to the conventional cardiac surgeries where the breast bone is split into two (sternotomy). The sternotomy incisions range from 8 to 10 inches, while the MICS incisions are […]